[Federal Register Volume 72, Number 26 (Thursday, February 8, 2007)]
[Notices]
[Pages 5971-5972]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-2070]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-07-05BU]


Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) publishes a 
list of information collection requests under review by the Office of 
Management and Budget (OMB) in compliance with the Paperwork Reduction 
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call 
the CDC Reports Clearance Officer at (404) 639-5960 or send an email to 
[email protected]. Send written comments to CDC Desk Officer, Office of 
Management and Budget, Washington, DC or by fax to (202) 395-6974. 
Written comments should be received within 30 days of this notice.

Proposed Project

    Assessment and Monitoring of Breastfeeding-Related Maternity Care 
Practices in Intra-partum Care Facilities 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 on 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 between African 
American and white women in breastfeeding rates. 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 and in Oregon was 88.8%.

[[Page 5972]]

    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 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 
2007 and for the second time in 2009. Survey content will be similar in 
each of the administrations to examine changes in practices and 
policies over time. It is expected that approximately 3,700 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 birth centers. There are no costs to respondents other than 
their time. The approximate annualized burden hours are 1,484 hours.

                                        Estimated Annualized Burden Hours
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                                                                                                      Average
                                                                     Number of       Number of      burden per
                    Questionnaire/respondents                       respondents     responses/     response  (in
                                                                                    respondent        hours)
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Screening call to facilities that have at least one registered              1458               1            5/60
 maternity bed (2006)...........................................
Mail survey/ facilities providing maternity care in the past                1240               1           30/60
 calendar year (2006)...........................................
Screening call to facilities that have at least one registered              1458               1            5/60
 maternity bed (2008)...........................................
Mail survey/ facilities providing maternity care in the past                1240               1           30/60
 calendar year (2008)...........................................
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    Dated: January 31, 2007.
Joan F. Karr,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
[FR Doc. E7-2070 Filed 2-7-07; 8:45 am]
BILLING CODE 4163-18-P