[Federal Register Volume 81, Number 12 (Wednesday, January 20, 2016)]
[Notices]
[Pages 3142-3144]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-00936]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-16-16JO; Docket No. CDC-2016-0005]


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 the proposed 
information collect project entitled ``The Pregnancy Risk Assessment 
Surveillance System''.

DATES: Written comments must be received on or before March 21, 2016.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2016-
0005 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].

[[Page 3143]]


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

    The Pregnancy Risk Assessment Monitoring System (PRAMS)--Existing 
Collection in Use without an OMB Control Number--National Center for 
Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for 
Disease Control and Prevention (CDC).

Background and Brief Description

    The Centers for Disease Control and Prevention (CDC) seeks OMB 
approval to collect information through the Pregnancy Risk Assessment 
Monitoring System (PRAMS) for three years. The PRAMS is a customized 
mail and telephone survey currently conducted by 41 sites (40 states 
and New York City) collectively called ``states'' or ``jurisdictions'' 
in this document. In 2016 PRAMS intends to expand to all 50 states.
    PRAMS supplements vital records data by providing state-specific 
information on maternal behaviors and experiences. Respondents are 
pregnant or postpartum women. Every month, in each participating state, 
a sample of 100 to 300 women who have recently given birth to a live 
infant is selected from birth certificates. The sample is stratified 
based on the state's population of interest to ensure high-risk 
populations are represented in the data. Information is collected by 
self-administered mail survey with telephone follow-up for non-
responders. Because PRAMS uses standardized data collection methods, it 
allows data to be compared among states.
    The PRAMS survey instrument is based on a core set of questions 
common across all states. Core questions request information that is 
not available from vital records; information about health conditions, 
prenatal care, postpartum care, access to care, or health insurance 
status; information about contraception, health habits or risk 
behaviors; and information about other topics such as breastfeeding. In 
addition, CDC provides participating states with standard but optional 
questions that states may use to customize survey content for their 
specific needs. These questions can be used to address state-specific 
priorities, or address special topics such history of breast and 
ovarian cancer. States not intending to implement the survey on an 
ongoing basis, can instead employ a point-in-time survey consisting of 
core and standard questions. Increasingly, PRAMS infrastructure is used 
to support emerging needs and special-purpose information collection 
relevant to the core mission of improving maternal and child health. 
For example, pregnant or postpartum women may have unique needs in some 
circumstances, such as disease outbreaks or natural disasters. Because 
PRAMS infrastructure was developed to access a specific and vulnerable 
subpopulation, the PRAMS infrastructure can be rapidly adapted for 
targeted information collection that would not be feasible with other 
surveillance methods.
    States submit their PRAMS data sets to CDC for cleaning and 
weighting, and CDC returns the data sets to the respective state of 
origin for its use. CDC has implemented a Web-based data collection and 
management system that enhances authorized users' ability to monitor 
and improve survey operations in real time and survey participants to 
complete a survey online via mobile devices. The system also enhances 
the ability of CDC and states to conduct additional information 
collection related to surveillance of a vulnerable population, emerging 
needs for maternal and child health program planning, or special 
purpose studies designed to elucidate factors that influence material 
and child health.
    PRAMS data are used by state governments to plan and review 
preconception and perinatal health programs and policies aimed at 
reducing health problems among mothers and babies, and by researchers 
to investigate emerging issues in the field of reproductive health.
    The burden estimate for PRAMS includes two types of information 
collection: (1) Information collection associated with the standard 
PRAMS core questions, and (2) information collection associated with 
supplemental activities. 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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Women of child-bearing age who  PRAMS Core and            50,150               1           25/60          20,896
 recently delivered a live       Standard Phase
 born infant.                    8 Questions
                                 (English).

[[Page 3144]]

 
                                PRAMS Core and             6,054               1           34/60           3,431
                                 Standard Phase
                                 8 Questions
                                 (Spanish).
                                PRAMS Point in             5,200               1           24/60           2,080
                                 Time Core and
                                 Standard Phase
                                 8 Questions.
                                PRAMS                      8,000               1           15/60           2,000
                                 Supplemental
                                 Questions on
                                 Family History
                                 of Breast and
                                 Ovarian Cancer.
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    Total.....................  ................  ..............  ..............  ..............          28,407
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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. 2016-00936 Filed 1-19-16; 8:45 am]
BILLING CODE 4163-18-P