[Federal Register Volume 78, Number 83 (Tuesday, April 30, 2013)]
[Notices]
[Pages 25277-25279]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-10130]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-13-13RQ]


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 S. 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

    Community Transformation Grants (CTG) Context Scan Surveys--New--
National Center for Chronic Disease Prevention and Health Promotion 
(NCCDPHP), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Obesity currently affects more than one-third of adults and 
approximately 17 percent of children in the United States. Obese 
children and teens are likely to remain so into adulthood, and are at 
risk for developing severe health conditions such as heart disease, 
type 2 diabetes, stroke, and certain cancers. As one of the most dire 
and fastest growing health-related problems, obesity prevention has 
become a public health priority.
    Physical activity and dietary behaviors are known to impact 
obesity. Importantly, research has shown that

[[Page 25278]]

these behaviors are impacted by community-level factors (social 
determinants of health) such as place of residence, access to healthy/
unhealthy food, availability of walkable environments, and 
opportunities to be physically active. Thus, one promising strategy to 
address nutrition and physical activity is through policy and 
environmental improvements in settings such as schools, childcare 
centers, and workplaces.
    Given the high proportion of children enrolled, and the substantial 
amount of time children spend in schools and childcare centers, these 
settings are natural targets for policy and environment changes to 
improve nutrition and physical activity. CDC and others have 
recommended strategies to decrease sedentary time, increase the 
quantity and quality of physical activity, improve nutrition standards, 
and decrease the availability of less healthy foods. Numerous 
governmental and non-governmental initiatives are underway to support 
improved policies and environments, but little is known about the 
barriers and facilitators to this work, and the overall community 
context in which these initiatives are occurring.
    In fiscal year 2011, the Patient Protection and Affordable Care Act 
(ACA) funded the Community Transformation Grants (CTG) Program (CDC-
RFA-DP11-1103PPHF11) to address the root causes of chronic disease. CTG 
grants were awarded to state and local governments, tribes and 
territories, and nonprofit organizations to help individuals lead 
healthier lives. As mandated by the ACA, CDC is conducting a national 
evaluation of the CTG Program that includes the following components: 
(1) Local Evaluation, (2) Performance Monitoring, (3) Population-level 
Surveillance, (4) Enhanced Evaluation Studies, (5) Cost Studies, (6) 
Simulation Modeling, and (7) Context Scan (policy and community 
characteristics).
    The Context Scan will capture information on social determinants 
within communities, such as population density, community resources for 
active living and health eating, and nutrition and physical activity 
policies and environments in middle schools and childcare centers. It 
will include (1) Examining policies and environments in school and 
childcare settings (including review of school and childcare policies 
and administration of the Context Scan Surveys); (2) examining policies 
and environments in the community (including review of policies 
addressing the nutrition and built environments and observation of 
public food environments such as grocery and convenience stores) and 
(3) extraction of data from the U.S. Bureau of the Census, U.S. 
Department of Agriculture (USDA), and other publically available data 
sources.
    The Context Scan Surveys will employ longitudinal data collection 
to document and monitor changes in nutrition and physical activity 
policies and environments in childcare centers and middle schools over 
time. The surveys will be implemented once per year over a four-year 
period with childcare center directors, middle school principals, and 
school food service personnel. A three-year Office of Management and 
Budget (OMB) clearance period is requested to support the first three 
years of the data collection.
    The surveys include the (1) Childcare Center Nutrition and Physical 
Activity Survey (CCNPAS), (2) School Principal Nutrition and Physical 
Activity Survey (SPNPAS), and (3) School Food Service Nutrition Survey 
(SFSNS). A mixed-mode methodology will be used to recruit respondents; 
schools and centers will be identified from publically available lists.
    The specific aims of the Context Scan Surveys, and related 
evaluation questions, are as follows:
    A. Document policies and environments related to nutrition and 
physical activity in middle schools and childcare centers located in 20 
CTG awardees.
    1. Evaluation Question 1: What are the policies and environments 
related to nutrition and physical activity in middle schools?
    2. Evaluation Question 2: What are the policies and environments 
related to nutrition and physical activity in childcare centers?
    B. Monitor changes in policies and environments related to 
nutrition and physical activity in childcare centers and middle schools 
over time.
    1. Evaluation Question 3: How do policies and environments related 
to nutrition and physical activity in middle schools change over time 
within and across awardees?
    2. Evaluation Question 4: How do policies and environments related 
to nutrition and physical activity in childcare centers change over 
time within and across awardees?
    The 20 CTG awardees selected for this study were identified based 
on their commitment to implementing comprehensive active living and 
healthy eating interventions and the diverse geographic and demographic 
contexts within their communities.
    The study universe for these 20 communities includes 970 public 
middle schools and 4,362 licensed childcare centers in 871 intervention 
area zip codes. The study design will adopt implicit stratification 
coupled with probability proportional to size (PPS) systematic sampling 
with zip code areas serving as primary sampling units. The measure of 
size for PPS sampling will be the number of childcare centers in each 
zip code area and the resulting sample size will consist of 120 zip 
codes.
    Participation in the surveys is voluntary. There are no costs to 
respondents other than time. The surveys will be hosted by the secure 
online survey-hosting site, Survey Monkey. All surveys will be Web-
based, with paper options available as needed. Data from the Context 
Scan Surveys will provide the CDC with the ability to track policy and 
environment change over time across and within communities. When 
combined with other Context Scan and CTG national evaluation datasets, 
the Context Scan Survey data will provide a comprehensive understanding 
of the community environments in which CTG interventions are occurring, 
an evidence-base for policy and environmental change strategies to 
promote healthy eating and active lifestyles, and an identification of 
the factors that facilitate and inhibit policy and environmental 
initiatives.
    The estimated burden for each survey response is 15 minutes. Pilot 
tests were performed to inform burden estimates and ensure relevance of 
questions to respondents.

Estimated Annualized Burden Hours

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                                                                                     Avgerage
                                                     Number of       Number of      burden per     Total burden
     Type of respondents           Form name        respondents    responses per   response  (in     (in hrs)
                                                                    respondent         hrs)
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Childcare center directors...  CCNPAS...........             760               1           15/60             190
Middle school principals.....  SANPAS...........             738               1           15/60             185

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School food service personnel  SFSNS............             738               1           15/60             185
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    Total....................  .................  ..............  ..............  ..............             560
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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. 2013-10130 Filed 4-29-13; 8:45 am]
BILLING CODE 4163-18-P