[Federal Register Volume 77, Number 89 (Tuesday, May 8, 2012)]
[Notices]
[Pages 27067-27070]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-11082]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day 0920-12IW]


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 404-639-7570 
and send comments to Ron Otten, at CDC, 1600 Clifton Road, MS-D74, 
Atlanta, GA 30333 or send an email 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

    Fetal Alcohol Spectrum Disorders Regional Training Centers--New--
National Center on Birth Defects and Developmental Disabilities 
(NCBDDD), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    This program will collect program evaluation data from participants 
of trainings for medical and allied health students and practitioners 
regarding fetal alcohol spectrum disorders (FASDs) conducted by the 
FASD Regional Training Centers (RTCs) through a cooperative agreement 
with the CDC.
    Prenatal exposure to alcohol is a leading preventable cause of 
birth defects and developmental disabilities. The term fetal alcohol 
spectrum disorders (FASDs) describes the full continuum of effects that 
can occur in an individual exposed to alcohol in utero. These effects 
include physical, mental, behavioral, and learning disabilities. All of 
these effects have lifelong implications.
    Health care professionals play a crucial role in identifying women 
at risk for an alcohol-exposed pregnancy and in identifying effects of 
prenatal alcohol exposure in individuals. However, despite the data 
regarding alcohol consumption among women of childbearing age and the 
estimated prevalence of FASDs, screening for alcohol use among female 
patients of childbearing age and screening for FASDs are not yet common 
standards of care. In addition, it is known from surveys of multiple 
provider types that although they might be familiar with the teratology 
and clinical presentation of FASDs, they report feeling less prepared 
to identify for referral or to diagnose a child and even less prepared 
to manage and coordinate the treatment of children with FASDs. 
Similarly, among obstetrician-gynecologists, although almost all report 
asking their patients

[[Page 27068]]

about alcohol use during pregnancy, few use a proper screening tool for 
alcohol assessment.
    There is a need for the training of medical and allied health 
students and practitioners in the prevention, management, and 
identification of FASDs, hence the recommendations that have been put 
forward in this area. As part of the fiscal year 2002 appropriations 
funding legislation, the U.S. Congress mandated that the CDC, acting 
through the NCBDDD Fetal Alcohol Syndrome (FAS) Prevention Team and in 
coordination with the National Task Force on Fetal Alcohol Syndrome and 
Fetal Alcohol Effect (NTFFAS/FAE), other federally funded FAS programs, 
and appropriate nongovernmental organizations (NGOs), would (1) develop 
guidelines for the diagnosis of FAS and other negative birth outcomes 
resulting from prenatal exposure to alcohol; (2) incorporate these 
guidelines into curricula for medical and allied health students and 
practitioners, and seek to have them fully recognized by professional 
organizations and accrediting boards; and (3) disseminate curricula to 
and provide training for medical and allied health students and 
practitioners regarding these guidelines. As part of CDC's response to 
this mandate, a total of seven FASD RTCs have been established since 
2002 to train medical and allied health students and professionals 
regarding the prevention, identification, and treatment of FAS and 
related disorders, now known collectively as FASDs. The FASD RTCs have 
developed and implemented ongoing FASD training programs and courses 
throughout their regions reaching medical and allied health 
professionals and students. Trainings are delivered in academic 
settings (medical and allied health schools) and via continuing 
education events for practicing medical and allied health 
professionals. Training delivery varies by RTC depending on the target 
audience and setting. Examples include grand round presentations, a 
five-week online course for practicing social work, nursing, and 
substance abuse professionals, a two-hour face-to-face training for 
nursing and social work students, and a train-the-trainer model with 1- 
to 5-day trainings for trainers who then deliver at least two trainings 
per year to students and professionals.
    CDC requests OMB approval to collect program evaluation information 
from training participants over a three-year period. Training 
participants will be completing program evaluation forms to provide 
information on whether the training met the educational goals. The 
information will be used to improve future trainings.
    It is estimated that 15,640 participants will be trained each year, 
for a total estimated burden of 5,316 hours (2,658 hours annually). 
There are no costs to respondents other than their time.

                                                            Estimated Annualized Burden Hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                             Number of
       Type of respondents                   Organization                 Form name          Number of     responses per   Avg. burden/    Total burden
                                                                                            respondents     respondent        rsponse       (in hours)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Medical and allied health          Artic RTC......................  Foundations Pre.....              30               1           15/60               8
 professionals and students.                                        Foundations Post....              30               1           15/60               8
                                                                    Foundations Follow-               18               1           10/60               3
                                                                     Up.
                                                                    FASD 201 Pre........              30               1           10/60               5
                                                                    FASD 201 Post.......              30               1           10/60               5
                                                                    FASD 201 Follow-Up..              18               1           10/60               3
                                                                    Intro to FASDs Pre..              80               1           15/60              20
                                                                    Intro to FASDs Post.              80               1           15/60              20
                                                                    Intro to FASDs                    48               1           10/60               8
                                                                     Follow-Up.
                                                                    Train-the-Trainer                 25               1           15/60               6
                                                                     Pre.
                                                                    Train-the-Trainer                 25               1           15/60               6
                                                                     Post.
                                                                    Train-the-Trainer                 15               1           15/60               4
                                                                     Follow-Up.
                                                                    Online I Pre........             100               1           10/60              17
                                                                    Online I Post.......             100               1           10/60              17
                                                                    Online II Pre.......             100               1           10/60              17
                                                                    Online II Post......             100               1           10/60              17
                                                                    Online III Pre......             100               1           10/60              17
                                                                    Online III Post.....             100               1           10/60              17
                                                                    Classroom Post......             150               1            6/60              15
                                                                    Special Event Post..             150               1            6/60              15
--------------------------------------------------------------------------------------------------------------------------------------------------------
Nursing Students.................  Frontier RTC...................  Pre-test............             410               1           15/60             103
                                                                    Post-test...........             410               1           15/60             103
                                                                    Follow-up...........             410               1           15/60             103
Social Work Students.............  ...............................  Pre-test............             410               1           15/60             103
                                                                    Post-test...........             410               1           15/60             103
                                                                    Follow-up...........             410               1           15/60             103
Allied Health Practitioners......  ...............................  Pre-test............             200               1           15/60              50
                                                                    Post-test...........             200               1           15/60              50
                                                                    Follow-up...........             200               1           15/60              50
Training of Trainers Participants  ...............................  Pre-test............             100               1           15/60              25
                                                                    Post-test...........             100               1           15/60              25
                                                                    Follow-up...........             100               1           15/60              25
Academic Faculty/Students Online.  ...............................  Pre-test............             150               1           15/60              38
                                                                    Post-test...........             150               1           15/60              38
                                                                    Follow-up...........             150               1           15/60              38

[[Page 27069]]

 
Practitioner Online..............  ...............................  Pre-test............             160               1           15/60              40
                                                                    Post-test...........             160               1           15/60              40
                                                                    Follow-up...........             160               1           15/60              40
--------------------------------------------------------------------------------------------------------------------------------------------------------
Medical and Allied Health Care     Great Lakes RTC................  Foundations/                     450               1            5/60              38
 Providers and Students.                                             QUALTRICS online     ..............  ..............  ..............  ..............
                                                                     Pre.                 ..............  ..............  ..............  ..............
                                                                    Foundations/                     450               1           10/60              75
                                                                     QUALTRICS online
                                                                     Post.
Medical Students and Providers...  ...............................  Foundations/                     310               1            5/60              26
                                                                     QUALTRICS online 6-
                                                                     Mo F/U.
Medical and Allied Health Care     ...............................  SBI/QUALTRICS online             120               1            8/60              16
 Providers and Students.                                             Pre.                 ..............  ..............  ..............  ..............
                                                                    SBI/QUALTRICS online             120               1           13/60              26
                                                                     Post.
                                                                    SBI/QUALTRICS online             108               1            8/60              14
                                                                     6-Mo Follow-up.
                                                                    ID and Treatment of              270               1            8/60              36
                                                                     FASD/QUALTRICS
                                                                     online Pre.
                                                                    ID and Treatment of              270               1           13/60              59
                                                                     FASD/QUALTRICS
                                                                     online Post.
                                                                    ID and Treatment of              258               1            8/60              34
                                                                     FASD/QUALTRICS
                                                                     online 6-Mo Follow-
                                                                     up.
                                                                    FASD/QUALTRICS                   220               1           15/60              55
                                                                     online
                                                                     Comprehensive Pre.
                                                                    FASD/QUALTRICS                   220               1           20/60              73
                                                                     online
                                                                     Comprehensive Post.
                                                                    FASD/QUALTRICS                   204               1           15/60              51
                                                                     online
                                                                     Comprehensive 6-Mo
                                                                     Follow-up.
Physicians and Medical Students..  ...............................  Clinical Experience               25               1            5/60               2
                                                                     A.                               25               1            5/60               2
                                                                    Clinical Experience
                                                                     B.
Training of Trainers Participants/ ...............................  Key Informant                     16               1           15/60               4
 Regional State Training Partners/                                   Interview.                       15               1           20/60               5
 Advisory Committee Members.                                        Key Informant                     10               1           15/60               3
                                                                     Interview.
                                                                    Key Informant
                                                                     Interview.
Training of Trainer Participants.  ...............................  Harvard Minute                   100               1            1/60               2
                                                                     Feedback.
Staff and Training of Trainer      ...............................  Training Activity                180               1            2/60               6
 Graduates.                                                          Reporting (TARF).
--------------------------------------------------------------------------------------------------------------------------------------------------------
Academic Faculty/Health            Midwest RTC....................  Knowledge Pre.......            1080               1            7/60             126
 Professionals/Professionals/                                       Knowledge Post......            1080               1            7/60             126
 Health Profession Students.                                        Knowledge Assessment            1080               1            7/60             126
                                                                     3 mo Follow-up.      ..............  ..............  ..............  ..............
                                                                    Event Eval..........            1110               1            5/60              93
Health Professionals.............  ...............................  Continuing Education             250               1            5/60              21
                                                                     Event, Pre.
                                                                    Continuing Education             250               1            5/60              21
                                                                     Event, Post.
                                                                    Continuing Education             250               1            5/60              21
                                                                     Event, 3 mo Follow-
                                                                     up.
                                                                    Modified Index, Pre.              75               1           10/60              13
                                                                    Modified Index, 3 mo              75               1           10/60              13
                                                                     Follow-up.
Academic Faculty.................  ...............................  Utilization of FAS/               50               1            5/60               4
                                                                     FASD Curriculum,
                                                                     Pre.
                                                                    Utilization of FAS/               50               1            5/60               4
                                                                     FASD Curriculum 3
                                                                     mo Follow-up.
--------------------------------------------------------------------------------------------------------------------------------------------------------

[[Page 27070]]

 
Medical and allied health          Southeast RTC..................  FASD Pre............             500               1           10/60              83
 students and residents.                                            FASD Post...........             500               1           15/60             125
                                                                    FASD 3 Mo Follow-up.             300               1           10/60              50
                                  ----------------------------------------------------------------------------------------------------------------------
    Total........................  ...............................  ....................          15,640  ..............  ..............           2,658
--------------------------------------------------------------------------------------------------------------------------------------------------------


    Dated: April 30, 2012.
Ron A. Otten,
Director, Office of Scientific Integrity, Office of the Associate 
Director for Science (OADS), Office of the Director, Centers for 
Disease Control and Prevention.
[FR Doc. 2012-11082 Filed 5-7-12; 8:45 am]
BILLING CODE 4163-18-P