[Federal Register Volume 78, Number 29 (Tuesday, February 12, 2013)]
[Notices]
[Pages 9924-9925]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-03194]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60-Day-13-0743]


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 404-639-7570 or 
send comments to Kimberly Lane, 1600 Clifton Road, MS D-74, 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

    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. 12/31/2011)--
Reinstatement--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 social, economic, and health 
benefits of breastfeeding for both the mother and infant as well as for 
society in general. 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 2020 establishes specific national breastfeeding 
goals. In addition to increasing overall rates, a significant public 
health priority in the United States (U.S.) is to reduce variation in 
breastfeeding rates across population subgroups. Although CDC 
surveillance data indicate that breastfeeding initiation rates in the 
U.S. are climbing, rates for duration and exclusivity continue to lag, 
and significant disparities in breastfeeding rates persist between 
African-American and white women.
    The health care system is one of the most important and effective 
settings to improve breastfeeding initiation rates because hospital 
practices strongly influence infant feeding outcomes. In 2003, CDC 
convened a panel of experts in surveillance and monitoring of hospital 
practices related to breastfeeding to identify the most effective way 
for CDC to address the urgent public health need for nationally 
representative data on these practices. The Expert Panel's consensus 
recommendation was to establish an ongoing, national system to monitor 
and evaluate hospital practices related to breastfeeding among all 
facilities that routinely provide intrapartum care in the United 
States. In response to this input, CDC created 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 birth centers). The mPINC survey was first

[[Page 9925]]

launched in 2007. As it was designed to provide baseline information 
and to be repeated every two years, it was conducted again in 2009 and 
2011. The survey inquired about patient education and support for 
breastfeeding throughout the maternity stay as well as staff training 
and maternity care practices.
    OMB approval for the 2007 survey included a request to CDC to 
provide, prior to the fielding of the 2009 iteration, a report to the 
Office of Management and Budget (OMB) on the results of the 2007 
collection. In this report, CDC provided survey results by geographic 
and demographic characteristics and a summary of activities that 
resulted from the survey. A summary of mPINC findings was also the 
anchor of all activities related to the CDC August 2011 Vital Signs 
activity, marking the first time that CDC decided to highlight 
improving hospital maternity practices as the CDC-wide public health 
priority for the month.
    A major strength of the mPINC survey design is its structure as an 
ongoing, national census. The 2013 and 2015 mPINC surveys repeat the 
prior iterations (2007, 2009, and 2011). Ensuring that the methodology, 
content, and administration of these will match those used before 
maximizes the utility not only of the data to be collected in the 
upcoming survey, but also that of data already collected; fidelity to 
the original design allows for analyses of the wide spectrum of changes 
and factors at the hospital, regional, state, and national levels that 
affect any given hospital's practices. 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. Facilities that will be 
invited to participate in the survey include those that participated in 
previous iterations and those that were invited but did not participate 
in the previous iterations, as well as those that have become eligible 
since the most recent mPINC survey. 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 
rates to the previous iterations of the mPINC survey (82% in 2007 and 
2009, and 83% in 2011) indicate that the methodology is appropriate and 
also reflects unusually high interest among the respondent population. 
The estimated burden for the Telephone Screening Interview is five 
minutes, and the estimated burden for completing the mPINC Survey is 30 
minutes.
    As with the initial surveys, a major goal of the 2013 and 2015 
follow-up surveys is to be fully responsive to facilities' 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. CDC will use information from the mPINC surveys to identify, 
document, and share information related to incremental changes in 
practices and care processes over time at the hospital, state, and 
national levels. Data will be also used by researchers to better 
understand the relationships between hospital characteristics, 
maternity-care practices, state level factors, and breastfeeding 
initiation and continuation rates.
    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
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                                                                                                             Number of    Average burden
               Type of respondent                               Form name                    Number of     responses per   per response    Total burden
                                                                                            respondents     respondent      (in hours)      (in hours)
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AHA Hospitals with either  1 birth    Telephone Screening Interview..........           2,398               1            5/60             200
 or  1 registered maternity bed.
                                                 mPINC Survey...........................           1,730               1           30/60             865
AABC Birth Centers.............................  Telephone Screening Interview..........             173               1            5/60              14
                                                 mPINC Survey...........................              95               1           30/60              48
    Total......................................  .......................................  ..............  ..............  ..............           1,127
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Kimberly S. Lane,
Deputy Director, Office of Scientific Integrity, Office of the 
Associate Director for Science, Office of the Director, Centers for 
Disease Control and Prevention.
[FR Doc. 2013-03194 Filed 2-11-13; 8:45 am]
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