[Federal Register Volume 77, Number 185 (Monday, September 24, 2012)]
[Notices]
[Pages 58843-58845]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-23048]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30 Day-12-12IW]


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 
(404) 639-7570 or send an email to [email protected]. Send written comments 
to CDC Desk Officer, Office of Management and Budget, Washington, DC 
20503 or by fax to (202) 395-5806. Written comments should be received 
within 30 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 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

[[Page 58844]]

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 for two years. 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 of 31,280 participants during the two year approval period. 
The estimated annual burden is 2654 hours. 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/
                                                                                                            respondents     respondent       response
--------------------------------------------------------------------------------------------------------------------------------------------------------
Medical and allied health               Arctic RTC..................  Foundations Pre...................              30               1           15/60
 professionals and students.
                                                                      Foundations Post..................              30               1           15/60
                                                                      Foundations Follow-Up.............              18               1           10/60
                                                                      FASD 201 Pre......................              30               1           10/60
                                                                      FASD 201 Post.....................              30               1           10/60
                                                                      FASD 201 Follow-Up................              18               1           10/60
                                                                      Intro to FASDs Pre................              80               1           15/60
                                                                      Intro to FASDs Post...............              80               1           15/60
                                                                      Intro to FASDs Follow-Up..........              48               1           10/60
                                                                      Train-the-Trainer Pre.............              25               1           15/60
                                                                      Train-the-Trainer Post............              25               1           15/60
                                                                      Train-the-Trainer Follow-Up.......              15               1           15/60
                                                                      Online I Pre, Post................             100               2           10/60
                                                                      Online II Pre, Post...............             100               2           10/60
                                                                      Online III Pre, Post..............             100               2           10/60
                                                                      Classroom and Special Event Post..             150               2            6/60
Nursing Students......................  Frontier RTC................  Pre-test..........................             410               1           15/60
                                                                      Post-test.........................             410               1           15/60
                                                                      Follow-up.........................             410               1           15/60
Social Work Students..................  ............................  Pre-test..........................             410               1           15/60
                                                                      Post-test.........................             410               1           15/60
                                                                      Follow-up.........................             410               1           15/60
Allied Health Practitioners...........  ............................  Pre-test..........................             200               1           15/60
                                                                      Post-test.........................             200               1           15/60
                                                                      Follow-up.........................             200               1           15/60
Training of Trainers Participants.....  ............................  Pre-test..........................             100               1           15/60
                                                                      Post-test.........................             100               1           15/60
                                                                      Follow-up.........................             100               1           15/60
Academic Faculty/Students Online......  ............................  Pre-test..........................             150               1           15/60
Post-test.............................  150.........................  1.................................           15/60
Follow-up.............................  150.........................  1.................................           15/60
Practitioner Online...................  ............................  Pre-test..........................             160               1           15/60
                                                                      Post-test.........................             160               1           15/60
                                                                      Follow-up.........................             160               1           15/60
Medical and Allied Health Care          Great Lakes RTC.............  Foundations Pre-, QUALTRICS online             450               1            5/60
 Providers and Students.                                               Pre.
                                                                      Foundations Post,.................             450               1           10/60
                                                                      QUALTRICS online Post.............
                                                                      Foundations 6-mo F/U,.............             310               1            5/60
                                                                      QUALTRICS online..................
                                                                      6-Mo F/U..........................
Medical and Allied Health Care          ............................  SBI Pre, QUALTRICS online Pre.....             120               1            8/60
 Providers and Students.
                                                                      SBI Post, QUALTRICS online Post...             120               1           13/60
                                                                      SBI 6-mo F/U, QUALTRICS online 6-              108               1            8/60
                                                                       Mo Follow-up.
                                                                      ID and Treatment of FASD Pre,                  270               1            8/60
                                                                       QUALTRICS online Pre.
                                                                      ID and Treatment of FASD Post,                 270               1           13/60
                                                                       QUALTRICS online Post.

[[Page 58845]]

 
                                                                      ID and Treatment of FASD 6-mo F/U,             258               1            8/60
                                                                       QUALTRICS online 6-Mo Follow-up.
                                                                      FASD ComprehensivePre, QUALTRICS               220               1           15/60
                                                                       online Comprehensive Pre.
                                                                      FASD Comprehensive Post, QUALTRICS             220               1           20/60
                                                                       online Comprehensive Post.
                                                                      FASD Comprehensive 6-mo F/U,                   204               1           15/60
                                                                       QUALTRICS online Comprehensive 6-
                                                                       Mo Follow-up.
Physicians and Medical Students.......  ............................  Clinical Experience A.............              25               1            5/60
                                                                      Clinical Experience B.............              25               1            5/60
Training of Trainers Participants/      ............................  Key Informant Interview...........              16               1           15/60
 Regional State Training Partners/
 Advisory Committee Members.
                                                                      Key Informant Interview...........              15               1           20/60
                                                                      Key Informant Interview...........              10               1           15/60
Training of Trainer Participants......  ............................  Harvard Minute Feedback...........             100               1            1/60
Staff and Training of Trainer           ............................  Training Activity Reporting (TARF)             180               1            2/60
 Graduates.
Academic Faculty/Health Professionals/  Midwest RTC.................  Knowledge Pre.....................            1080               1            7/60
 Professionals/Health Profession
 Students.
                                                                      Knowledge Post, 3 mo F/U..........            1080               2            7/60
                                                                      Event Eval........................            1110               1            5/60
Health Professionals..................  ............................  Continuing Education Event, Pre...             250               1            5/60
                                                                      Continuing Education Event, Post..             250               1            5/60
                                                                      Continuing Education Event, 3 mo               250               1            5/60
                                                                       Follow-up.
                                                                      Modified Index Pre, 3 mo online F/              75               2           10/60
                                                                       U.
Academic Faculty......................  ............................  Utilization of FAS/FASD Curriculum              50               2            5/60
                                                                       Pre, 3 mo online F/U.
Medical and allied health students and  Southeast RTC...............  FASD Pre..........................             500               1           10/60
 residents.
                                                                      FASD Post.........................             500               1           15/60
                                                                      FASD 3 Mo Follow-up...............             300               1           10/60
--------------------------------------------------------------------------------------------------------------------------------------------------------


    Dated: September 13, 2012.
Ron A. Otten,
Director, Office of Scientific Integrity, Office of the Associate 
Director for Science, Office of the Director, Centers for Disease 
Control and Prevention.
[FR Doc. 2012-23048 Filed 9-21-12; 8:45 am]
BILLING CODE 4163-18-P