[Federal Register Volume 74, Number 21 (Tuesday, February 3, 2009)]
[Notices]
[Pages 5936-5937]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-2260]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-09-0743]


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 or 
send comments to Maryam I. Daneshvar, CDC Acting Reports Clearance 
Officer, 1600 Clifton Road, MS D-74, 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 Facilities in the United States and 
Territories (OMB Control No. 0920-0743, Exp. 7/31/2009)--Revision--
National Center for Chronic Disease Prevention and Health Promotion 
(NCCDPHP), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Substantial evidence demonstrates the health benefits of 
breastfeeding. Breastfeeding mothers have lower risks of breast and 
ovarian cancers and type 2 diabetes, and breastfeeding better protects 
infants against infections, chronic diseases like diabetes and obesity, 
and even childhood leukemia and sudden infant death syndrome (SIDS). 
However, the groups that are at higher risk for diabetes, obesity, and 
poor health overall persistently have the lowest breastfeeding rates.
    Health professionals recommend at least 12 months of breastfeeding, 
and Healthy People 2010 establishes specific national breastfeeding 
goals. In addition to increasing overall rates, a significant public 
health priority in the U.S. is to reduce variation in breastfeeding 
rates across population subgroups. For example, in 2005, nearly three-
quarters of white mothers started breastfeeding, but only about half of 
black mothers did so.
    The health care system is one of the most important and effective 
settings to improve breastfeeding. In 2007, CDC conducted the first 
national survey of Maternity Practices in Infant Nutrition and Care 
(known as the mPINC Survey) in health care facilities (hospitals and 
free-standing childbirth centers). This survey was designed to provide 
baseline information and to be repeated again in 2009. It inquired 
about patient education and support for breastfeeding throughout the 
maternity stay as well as staff training and maternity care policies.
    Prior to the fielding of the 2009 iteration, CDC has been requested 
to provide a report to OMB on the results of the 2007 collection. In 
this report, CDC will provide these results by geographic and 
demographic characteristics and a summary of activities that resulted 
from the survey.
    Because the 2009 mPINC survey repeats the prior iteration, the 
methodology, content, and administration of it will match those used 
before. The census design does not employ sampling methods. Facilities 
are identified by using the American Association of Birth Centers 
(AABC) and the American Hospital Association (AHA) Annual Survey of 
Hospitals. In addition to all facilities that participated in 2007, the 
2009 survey will include those that were invited but did not

[[Page 5937]]

participate in 2007 and any that are new since then. All birth centers 
and hospitals with >=1 registered maternity bed will be screened via a 
brief phone call to assess their eligibility, identify additional 
locations, and identify the appropriate point of contact. The extremely 
high response rate to the 2007 mPINC survey of 82 percent indicates 
that the methodology is appropriate and also reflects unusually high 
interest among the study population.
    As with the initial survey, a major goal of the 2009 follow-up 
survey is to be fully responsive to their needs for information and 
technical assistance. CDC will provide direct feedback to respondents 
in a customized benchmark report of their results and identify and 
document progress since 2007 on their quality improvement efforts. 
National and state reports will use de-identified data to describe 
incremental changes in practices and care processes over time at the 
facility, state, and national levels.
    Participation in the survey is voluntary, and responses may be 
submitted by mail or through a web-based system. There are no costs to 
respondents other than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
      Type of respondents           Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)      (in hours)
----------------------------------------------------------------------------------------------------------------
AHA and AABC Facilities with    Screening call..           4,089               1            5/60             341
 either >=1 birth or >=1
 registered maternity bed.
                                2009 mPINC......           3,281               1           30/60           1,641
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           1,982
----------------------------------------------------------------------------------------------------------------


    Dated: January 27, 2009.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
 [FR Doc. E9-2260 Filed 2-2-09; 8:45 am]
BILLING CODE 4163-18-P