[Federal Register Volume 76, Number 127 (Friday, July 1, 2011)]
[Notices]
[Page 38654]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-16554]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-11-11BD]


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 e-mail 
to [email protected]. Send written comments to CDC Desk Officer, Office of 
Management and Budget, Washington, DC or by fax to (202) 395-5806. 
Written comments should be received within 30 days of this notice.

Proposed Project

    Fetal-Infant Mortality Review: Human Immunodeficiency Virus 
Prevention Methodology (FHPM)--New--National Center for HIV/AIDS, Viral 
Hepatitis, STD, and TB Prevention (NCHHSTP), Centers for Disease 
Control and Prevention (CDC).

Background and Brief Description

    Despite advances in interventions to prevent mother-to-child 
transmission of Human Immunodeficiency Virus (HIV), including 
antiretroviral drugs, elective cesarean deliveries, and avoidance of 
breastfeeding, between 100 and 200 infants are perinatally infected 
with HIV in the United States each year. Many of these cases result 
from missed prevention opportunities, such as prenatal HIV testing, 
prenatal care, or antiretroviral prophylaxis.
    The Fetal-Infant Mortality Review: Human Immunodeficiency Virus 
Prevention Methodology (FHPM) is designed to identify and address 
missed prevention opportunities at the community level. FHPM will be a 
CDC funded extramural project at 10 sites, conducted in partnership 
with the National Fetal and Infant Mortality Review Program, CityMatCH, 
and participating communities. Sites will be selected through a 
competitive application process, and funds will be administered through 
CityMatCH, which will also maintain the National FHPM Resource Center 
to provide training, technical assistance, and capacity building for 
selected sites. This will be the first program to approach perinatal 
HIV prevention using a community-based systems investigation and 
improvement strategy.
    In order to address perinatal HIV transmission at the community 
level, FHPM has adapted the Fetal-Infant Mortality Review (FIMR) 
methodology. The FIMR methodology is an approach designed to lead to 
community-level improvements in infant health outcomes. The methodology 
consists of four steps: Data gathering, case review, community action, 
and changes in community systems.
    FHPM has tailored this methodology to address perinatal HIV 
prevention. During FHPM's first stage, HIV-infected pregnant or 
recently postpartum women will be identified based on a pre-established 
case definition, and will be prioritized for community review. A 
maternal interview will then be conducted if consent is provided by the 
woman. Data collection can proceed using hospital records if there is 
no consent for an interview. After the data collection phase, a 
multidisciplinary case review team (CRT) will conduct a case review 
session.
    Recommendations of the CRT will then be passed on to a Community 
Action Team (CAT), which will be a diverse, broad-based group of 
community leaders and representatives capable of defining and 
initiating changes in the local systems.
    Each of the 10 FHPM sites will conduct 30 maternal interviews each 
year. De-identified FHPM data will be stored electronically at 
participating sites. CDC plans to launch the FIMR-HIV Data System 
(FHDS) in 2011, which will provide a centralized, web-based data system 
that can be utilized by all participating sites and partner 
organizations. CDC will not have access to any personal identifiable 
information that may be collected for the project.
    Data collected by FHPM will primarily serve to inform and improve 
local health systems in order to prevent future perinatal HIV 
transmissions. This data will provide a clearer picture of the systems-
level strengths and weaknesses in participating communities. There is 
no cost to participants other than their time. The total estimated 
annual burden hours are 450.

                                       Estimate of Annualized Burden Table
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                                                                                   Number of     Average  burden
         Type of respondent                  Form name            Number of      responses  per    response  (in
                                                                 respondents       respondent         hours)
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Pregnant or Recently Post-Partum HIV- FIMR/HIV Maternal                   300                1              1.5
 infected Women.                       Interview Form.
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Daniel L. Holcomb,
Reports Clearance Officer, Centers for Disease Control and Prevention.
[FR Doc. 2011-16554 Filed 6-30-11; 8:45 am]
BILLING CODE 4163-18-P