[Federal Register Volume 80, Number 110 (Tuesday, June 9, 2015)]
[Notices]
[Pages 32562-32564]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-13955]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60-Day 15-15ANC; Docket No. CDC-2015-0044]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part 
of its continuing efforts to reduce public burden and maximize the 
utility of government information, 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. This notice invites comment on a newly proposed 
information collection entitled ``Formative and Summative Evaluation of 
the National Diabetes Prevention Program''. Mixed methods will be used 
to describe program performance.

DATES: Written comments must be received on or before August 10, 2015.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2015-
0044 by any of the following methods: Federal eRulemaking Portal: 
Regulation.gov. Follow the instructions for submitting comments.
    Mail: Leroy A. Richardson, Information Collection Review Office, 
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. All relevant comments received will be posted 
without change to Regulations.gov, including any personal information 
provided. For access to the docket to read background documents or 
comments received, go to Regulations.gov.

    Please note: All public comment should be submitted through the 
Federal eRulemaking portal (Regulations.gov) or by U.S. mail to the 
address listed above.


FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact the Information Collection Review Office, 
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected].

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below. 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.

Proposed Project

    Formative and Summative Evaluation of the National Diabetes 
Prevention Program--New--National Center for Chronic Disease Prevention 
and Health Promotion (NCCDPHP), Centers for Disease Control and 
Prevention (CDC).

[[Page 32563]]

Background and Brief Description

    Diabetes takes a significant toll on the public's health and, 
subsequently, our nation's health care system. In addition to 29.1 
million people in the U.S. population diagnosed with diabetes, CDC 
estimates that 86 million adults aged 20 or older have prediabetes. 
Evidence-based lifestyle change programs have proven effective for 
preventing or delaying the onset of type 2 diabetes. However, several 
challenges must be addressed to achieve large-scale adoption and 
implementation of evidence-based lifestyle change programs. 
Implementation barriers include creating a shared vision among 
inherently different organizations, managing costs, managing variations 
in the quality of interventions, and training and appropriate referral 
of those at risk to lifestyle change programs.
    In response to these challenges, CDC led the development of the 
National Diabetes Prevention Program (National DPP), a lifestyle change 
program aimed to increase knowledge and awareness of healthy eating and 
activities among people at-risk for diabetes. The National DPP funded 
six grantees to establish and expand ``a network of structured, 
evidence-based lifestyle change programs designed to prevent type 2 
diabetes among people at high risk.'' Grantees are responsible for 
sustaining and scaling up the National DPP, which involves establishing 
evidence-based lifestyle change programs in multiple states and 
building a system to strategically recruit participants at high risk 
for diabetes.
    As a central component of the National DPP, grantees promote sites' 
participation in the CDC's Diabetes Prevention Recognition Program 
(DPRP). The DPRP recognizes organizations that demonstrate effective 
delivery of proven type 2 diabetes prevention lifestyle interventions. 
To sustain the programs beyond the funding period, grantees are 
responsible for
     gaining concrete support for delivery sites from insurance 
companies in the form of reimbursement, and
     developping delivery sites' capacity to obtain and 
maintain DPRP recognition, and
     actively educating employers and insurance companies on 
the cost savings of including the lifestyle change program as a covered 
health benefit and reimbursing delivery sites on a pay-for-performance 
basis.
    The National DPP has the potential for increasing the availability 
and reach of lifestyle change programs for those at risk for type 2 
diabetes, improving the quality of programs and resources offered, and 
creating sustainable changes in how third-party payers offer and 
reimburse for programs to ensure that they are available to individuals 
regardless of their ability to pay.
    CDC plans to collect information needed to evaluate the role of 
program-level factors on the effectiveness of National DPP efforts and 
to identify best practices. The best practices will draw from many 
different implementation strategies and take into account the barriers 
that arise in a variety of different delivery settings. Specifically, 
this assessment will reveal the impact of recruitment strategies and 
delivery models on factors such as reaching targeted demographics and 
participant completion rates. As a result of the assessment, the 
successes and challenges experienced by all programs can be used by 
other organizations to sustain and increase the effectiveness of their 
own lifestyle change programs. This information is necessary for 
translating the National DPP into various settings nationwide.
    CDC plans to distribute an assessment tool (spreadsheet) to all six 
grantees, who will, in turn, disseminate the tool to their partner 
organizations across 23 states and 2 tribes and tribal organizations. 
The spreadsheets are a means for grantees and intervention sites to 
report on program components and progress. Grantees are responsible for 
completing their specific data collection spreadsheet and for 
distributing the spreadsheets to their interventions sites. Each 
grantee will collect information from its intervention sites, collate 
the site-specific spreadsheet reports into an aggregate grantee report, 
and submit the aggregate spreadsheet report to the CDC.
    Program coordinators at each intervention site will be asked to 
describe their intervention, identify barriers and facilitators to 
implementation, and identify resources used to hold the lifestyle 
change classes. The estimated burden per response is 30 minutes. 
Project directors at the grantee level will be asked similar questions 
about resource use and implementation strategies, but will also be 
asked to discuss elements related to the reach of their National DPP 
programs. The estimated burden per response for a grantee is 8 hours.
    CDC will use the information to investigate how to (1) expand the 
reach and sustainability of the National DPP program, (2) ensure the 
quality of the program as it is offered within communities, (3) 
increase referrals, and (4) secure sustained commitment among insurance 
providers to reimburse organizations providing the program so it is 
accessible to individuals most in need of this intervention. Finally, 
CDC will use the information to inform the development of data-driven 
technical assistance for National DPP grantees and their intervention 
sites.
    OMB approval is requested for three years, in which there will be 
two waves of information collection. Wave one will include 110 NDPP 
Intervention Sites and 6 NDPP Grantees, and wave two will include 120 
NDPP Intervention Sites and 6 NDPP Grantees. Over the three-year 
clearance period, the total burden estimate is based on 73 annualized 
responses from NDPP Intervention Sites (110 + 120/3) and 4 annualized 
responses from NDPP Grantees (6 + 6/3).
    Participation is voluntary and there are no costs to respondents 
other than their time.

                                        Estimated Annualized Burden Hours
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                                                                     Number of    Average burden
      Type of respondents           Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent       (in hrs.)       (in hrs.)
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NDPP Intervention Sites.......  Spreadsheet for               73               1           30/60              37
                                 NDPP
                                 Intervention
                                 Sites.
NDPP FOA Grantees.............  Spreadsheet for                4               1               8              32
                                 NDPP Grantees.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............              69
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[[Page 32564]]

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. 2015-13955 Filed 6-8-15; 8:45 am]
BILLING CODE 4163-18-P