[Federal Register Volume 79, Number 96 (Monday, May 19, 2014)]
[Notices]
[Pages 28729-28731]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-11449]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-14-14AAO]


Proposed Data Collections Submitted for Public Comment and 
Recommendations

    The Centers for Disease Control and Prevention (CDC), as part of 
its continuing effort to reduce public burden, invites the general 
public and other Federal agencies to take this opportunity to comment 
on proposed and/or continuing information collections, as required by 
the Paperwork Reduction Act of 1995. To request more information on the 
below proposed project or to obtain a copy of the information 
collection plan and instruments, call 404-639-7570 or send comments to 
LeRoy Richardson, 1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send 
an email to [email protected].
    Comments submitted in response to this notice will be summarized 
and/or included in the request for Office of

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Management and Budget (OMB) approval. 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; (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; and (e) estimates of capital or start-up costs and costs of 
operation, maintenance, and purchase of services to provide 
information. Burden means the total time, effort, or financial 
resources expended by persons to generate, maintain, retain, disclose 
or provide information to or for a Federal agency. This includes the 
time needed to review instructions; to develop, acquire, install and 
utilize technology and systems for the purpose of collecting, 
validating and verifying information, processing and maintaining 
information, and disclosing and providing information; to train 
personnel and to be able to respond to a collection of information, to 
search data sources, to complete and review the collection of 
information; and to transmit or otherwise disclose the information. 
Written comments should be received within 60 days of this notice.

Proposed Project

    Testing Act Early Messages and Materials for ``Learn the Signs. Act 
Early.''--Phase II,--New--National Center on Birth Defects and 
Developmental Disabilities (NCBDDD), Centers for Disease Control and 
Prevention (CDC).

Background and Brief Description

    Developmental milestones are used to track growth and development 
in children. Various milestones correspond to specific stages in a 
child's growth and development (e.g. crawling, walking, smiling, and 
waving ``bye-bye''). Not all children develop at the same pace; 
however, these developmental milestones serve as a guide in monitoring 
children as they grow. According to the CDC, approximately one in six 
children in the United States have developmental-behavioral 
disabilities such as autism, intellectual disability, or attention-
deficit/hyperactivity disorder. Despite the fact that most of these 
children will show mild developmental delays (i.e., failing to reach 
some of the milestones associated with their stage of development) by 
the age of two, less than half of these children will be identified 
before they start school. Missing this window of opportunity for 
diagnosing developmental delays in children creates a serious public 
health problem. The late identification of developmental delays can 
lead to increased costs for future interventions and can be detrimental 
to the child's ability to learn.
    The CDC initiated the ``Learn the Signs. Act Early.'' (LTSAE) 
campaign in 2004 in an effort to improve the likelihood that children 
with developmental disabilities are identified and connected with 
appropriate services at the earliest age possible. To this end, one of 
the campaign's overall goals is to empower parents to ``act early'' if 
they have concerns about their child's development. Children from 
families insured by Medicaid and those from families with low incomes 
are often identified with developmental delays and disabilities at a 
later age than other children, and thus are the target audience for the 
campaign.
    The study described in this information collection request seeks to 
assess the impact of ``act early'' messages embedded within LTSAE 
campaign materials. To achieve this goal, CDC will work with a 
contractor, Westat, to test revised draft messages and materials with 
low-income parents through focus groups and intercept interviews 
administered via the web on a tablet device. Parents/guardians who are 
age 18-55 and who have children age 5 or younger will be recruited from 
six primary care practices (3 in the Washington, DC/Baltimore, Maryland 
metropolitan area and three in the Atlanta, Georgia metropolitan area) 
to participate in focus groups and/or an intercept interview.
    Selected primary care practices will see children from low-income 
families as part of their patient population. Each of the six selected 
practices will receive study promotional materials, including a poster 
to hang in the office and waiting room as well as handouts to leave at 
the front desk. These materials will advertise the focus groups and 
outline eligibility criteria.
    Parents interested in participating will be advised to call an 800 
number to be screened and scheduled for a group discussion (if 
eligible). The 800 number will be staffed by the Westat study team who 
will be responsible for screening and scheduling. Representatives from 
each of the practices will be provided with brief ``talking points'' 
and study (Frequently Asked Questions (FAQs) to refer to if interested 
parents have any basic questions about the study.
    It is estimated that 80 respondents will have to be screened in 
order to recruit 40 participants for the focus groups. Each screening 
will take approximately five minutes. The estimated response burden for 
the screening process is seven hours. The focus groups will have 10 
participants each. Four focus groups will be conducted in two locations 
(the metropolitan areas of Atlanta, Georgia and Washington, DC/
Baltimore, Maryland), yielding a total of 40 participants. Parents/
guardians will be asked to complete an informed consent, which will 
take approximately 15 minutes to review, and the focus group discussion 
using the moderator's guide will take 60 minutes to complete. Focus 
group activities will have a total burden of 50 hours.
    The intercept interviews will take place in the waiting rooms or 
right outside the waiting rooms if feasible. Parents will be recruited 
as they are waiting for their appointment. Again, it is estimated that 
80 respondents will have to be screened in order to recruit 40 
participants. The screening process should take approximately five 
minutes. The estimated response burden for the screening process is 
seven hours. We plan to conduct a total of 40 intercept interviews. 
Twenty interviews will be conducted in each of two locations (Atlanta, 
Georgia metropolitan area and Washington, DC/Baltimore, Maryland 
metropolitan area). The intercept interview will be conducted as a 
computer-assisted personal interview (CAPI) and will take each 
respondent approximately 15 minutes to complete, for an estimated total 
burden of 10 hours.
    The total estimated burden for this data collection is 74 hours. 
There is no cost to respondents other than their time.

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                                                            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)         hours
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                                                                      Focus Groups
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Parents/Guardians..............................  Screener...............................              80               1            5/60               7
Parents/Guardians..............................  Informed Consent.......................              40               1           15/60              10
Parents/Guardians..............................  Focus Group Moderator's Guide..........              40               1               1              40
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                                                                  Intercept Interviews
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Parents/Guardians..............................  Screener...............................              80               1            5/60               7
Parents/Guardians..............................  Intercept Interview....................              40               1           15/60              10
                                                --------------------------------------------------------------------------------------------------------
    Total......................................  .......................................  ..............  ..............  ..............              74
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LeRoy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific 
Integrity, Office of the Associate Director for Science, Office of the 
Director, Centers for Disease Control and Prevention.
[FR Doc. 2014-11449 Filed 5-16-14; 8:45 am]
BILLING CODE 4163-18-P