[Federal Register Volume 71, Number 68 (Monday, April 10, 2006)]
[Notices]
[Pages 18101-18102]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-5172]



[[Page 18101]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-06-05BU]


Proposed Data Collections Submitted for Public Comment and 
Recommendations

    In compliance with the requirement of Section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995 for opportunity for public comment on 
proposed data collection projects, the Centers for Disease Control and 
Prevention (CDC) will publish periodic summaries of proposed projects. 
To request more information on the proposed projects or to obtain a 
copy of the data collection plans and instruments, call 404-639-5960 
and send comments to Seleda Perryman, CDC Assistant Reports Clearance 
Officer, 1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send an e-mail 
to [email protected].
    Comments are invited on: (a) Whether the proposed collection of 
information is necessary for the proper performance of the functions of 
the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (d) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology. Written comments should be received 
within 60 days of this notice.

Proposed Project

    Assessment and Monitoring of Breastfeeding-Related Maternity Care 
Practices in Intra-partum Care Facility in the United States and 
Territories New National Center for Chronic Disease Prevention and 
Health Promotion (NCCDPHP), Centers for Disease Control and Prevention 
(CDC).

Background and Brief Description

    There is substantial evidence of the social, economic and health 
benefits of breastfeeding for both the mother and infant and the 
importance of the health care system in promoting the initiation and 
maintenance of breastfeeding. Yet breastfeeding initiation rates and 
duration in the United States did not achieve Healthy People 2000 
goals, and significant disparities continue to exist for breastfeeding 
rates between African American and white women. The Healthy People 2010 
goals are to increase the proportion of mothers who breastfeed in the 
early postpartum period from 64% (1998 estimate) to 75%, the proportion 
who breastfeed their babies through 6 months of age from 29% to 50%, 
and to increase from 16% to 25% the proportion of mothers who 
breastfeed to 1 year of age and to decrease the disparities in 
breastfeeding initiation, exclusivity, and duration between African 
American and white women. In addition to ethnic and racial disparities, 
there is evidence of significant variation in state breastfeeding 
rates. For example, the breastfeeding initiation rate in Louisiana was 
46.4% in 2003, while in Oregon it was 88.8%.
    One important and effective means to promote and support the 
initiation and maintenance of breastfeeding is through the health care 
system. While the few studies on breastfeeding practices at intra-
partum care facilities in individual states and facilities show 
significant variation in practices, it is not currently possible to 
assess and monitor breastfeeding-related practices and policies in 
hospitals and free-standing childbirth centers across the United States 
with the data currently available.
    CDC plans to conduct an assessment of breastfeeding-related 
maternity care practices in intra-partum care facilities in the United 
States and Territories to provide information to individual facilities, 
state health departments, and CDC on the extent to which facilities are 
providing effective breastfeeding-related maternity care. The 
assessment will provide detailed information on general facility 
characteristics related to maternity care such as facility policies 
related to breastfeeding-related maternity care practices, practices 
related to the training of health care staff on breastfeeding 
instruction, management and support, rooming-in, infant 
supplementation, and discharge from facility. CDC will provide 
facility-specific information based on the assessment to the individual 
facilities and state-specific information to state health departments. 
The information from the survey can be used by facilities to evaluate 
and modify breastfeeding-related maternity care practices, and by 
states and CDC to inform and target programs and policies to improve 
breastfeeding-related maternity care practices at intra-partum care 
facilities.
    Approximately 4,375 facilities providing maternity care in the 
United States and Territories will be mailed a survey every other year 
in this study. The survey will be administered for the first time in 
2006 and for the second time in 2008. Survey content will be similar in 
each of the administrations to examine changes in practices and 
policies over time. It is expected that approximately 3,719 facilities 
will complete the thirty minute questionnaire in each administration. 
The facilities will be identified from the American Hospital 
Association's Annual Survey of Hospitals (AHA) and the National 
Association of Childbearing Centers (NACC). A five minute screening 
telephone call will be made prior to survey administrations to all 
facilities identified as providing maternity care in AHA and NACC to 
ensure they are currently providing maternity care, to identify 
possible satellite clinics providing maternity care, and to identify 
survey respondent in each of the facilities. The respondents will have 
the option of either responding by mail or through a Web-based system. 
The survey will provide detailed information about breastfeeding-
related maternity care practices and policies at hospitals and free-
standing birthing centers. The approximate annualized burden is 1,483 
hours. The burden estimate is based on CDC's experience with surveys 
with similar administration protocols and lengths.
    There are no costs to respondents except their time to participate 
in the survey.
    Estimated Annualized Burden Table

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                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
                   Respondents                      respondents     responses/     response  (in       hours
                                                                    respondent        hours)
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Screening/Facilities (2006).....................           1,458               1            5/60             122
Mail survey/Facilities (2006)...................           1,240               2           30/60            1240
                                                 ---------------------------------------------------------------
    Total.......................................  ..............  ..............  ..............           1,362
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[[Page 18102]]

    Dated: April 4, 2006.
Joan F. Karr,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
[FR Doc. E6-5172 Filed 4-7-06; 8:45 am]
BILLING CODE 4163-18-P