[Federal Register Volume 81, Number 44 (Monday, March 7, 2016)]
[Notices]
[Pages 11801-11803]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-05073]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-16-15BEZ]


Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) has submitted 
the following information collection request to the Office of 
Management and Budget (OMB) for review and approval in accordance with 
the Paperwork Reduction Act of 1995. The notice for the proposed 
information collection is published to obtain comments from the public 
and affected agencies.
    Written comments and suggestions from the public and affected 
agencies concerning the proposed collection of information are 
encouraged. Your comments should address any of the following: (a) 
Evaluate whether the proposed collection of information is necessary 
for the proper performance of the functions of the agency, including 
whether the information will have practical utility; (b) Evaluate the 
accuracy of the agencies estimate of the burden of the proposed 
collection of information, including the validity of the methodology 
and assumptions used; (c) Enhance the quality, utility, and clarity of 
the information to be collected; (d) Minimize the burden of the 
collection of information on those who are to respond, including 
through the use of appropriate automated, electronic, mechanical, or 
other technological collection techniques or other forms of information 
technology, e.g., permitting electronic submission of responses; and 
(e) Assess information collection costs.
    To request additional information on the proposed project or to 
obtain a copy of the information collection plan and instruments, call 
(404) 639-7570 or send an email to [email protected]. Direct written comments 
and/or suggestions regarding the items contained in this notice to the 
Attention: CDC Desk Officer, Office of Management and Budget, 
Washington, DC 20503 or by fax to (202) 395-5806. Written comments 
should be received within 30 days of this notice.

Proposed Project

    Improving Fetal Alcohol Spectrum Disorders Prevention and Practice 
through Practice and Implementation Centers and National Partnerships--
New--National Center on Birth Defects and Developmental Disabilities 
(NCBDDD), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    The National Center on Birth Defects and Developmental Disabilities 
seeks to collect training evaluation data from healthcare practitioners 
and staff in health systems where FASD-related practice and systems 
changes are implemented, and from grantees of Practice and 
Implementation Centers and national partner organizations related to 
prevention, identification, and treatment of fetal alcohol spectrum 
disorders (FASDs).
    Prenatal exposure to alcohol is a leading preventable cause of 
birth defects and developmental disabilities. The term ``fetal alcohol 
spectrum disorders'' describes the full continuum of effects that can 
occur in an individual exposed to alcohol in utero. These effects 
include physical, mental, behavioral, and learning disabilities. All of 
these have lifelong implications.
    The purpose of this program is to expand previous efforts from FASD 
training programs and shift the perspective from individual training 
for practicing healthcare professionals to one that capitalizes on 
prevention opportunities and the ability to impact health care practice 
at the systems level.
    Since 2002, CDC funded FASD Regional Training Centers (RTCs) to 
provide education and training to healthcare professionals and students 
about FASD prevention, identification, and treatment. In July 2013, CDC 
convened an expert review panel to evaluate the effectiveness of the 
RTC program overall and to make recommendations about the program.
    The panel highlighted several accomplishments of the RTCs and 
proposed several changes for future programming: (1) The panel 
identified a need for more comprehensive coverage nationally with 
discipline-specific trainings, increased use of technology, greater 
collaboration with medical societies, and stronger linkages with 
national partner organizations to increase the reach of training 
opportunities, and (2) The panel suggested that the training centers 
focus on demonstrable practice change and

[[Page 11802]]

sustainability and place a stronger emphasis on primary prevention of 
FASDs. In addition, it was recommended that future initiatives have 
stronger evaluation components.
    Based on the recommendations of the expert review panel, CDC is 
placing increased focus on prevention, demonstrating practice change, 
achieving national coverage, and strengthening partnerships between 
FASD Practice and Implementation Centers, or PICs (the newly redesigned 
RTCs), and medical societies and national partner organizations. The 
National Organization on Fetal Alcohol Syndrome (NOFAS) also 
participates in this project as a resource to the PICS and national 
partners. The PICs and national partners are asked to closely 
collaborate in discipline-specific workgroups (DSWs) and identify 
strategies that will increase the reach of the program on a national 
level. While a major focus of the grantees' work will be national, 
regional approaches will be used to develop new content and ``test 
out'' feasibility and acceptability of materials, especially among 
healthcare providers and medical societies. In addition, CDC is placing 
a stronger emphasis on evaluation, with both individual DSW/NOFAS 
evaluations and a cross-site evaluation.
    CDC requests OMB approval to collect program evaluation information 
from (1) healthcare practitioners from disciplines targeted by each 
DSW, including training participants, (2) health system staff, and (3) 
cooperative agreement grantees over a three-year period.
     Healthcare practitioners will complete surveys to provide 
information on whether project trainings impacted their knowledge and 
practice behavior regarding FASD identification, prevention, and 
treatment. The information will be used to improve future trainings and 
assess whether knowledge and practice changes occurred. Some 
participants will also complete qualitative key informant interviews to 
gain additional information on practice change.
     Health system employees will be interviewed or complete 
surveys as part of projects to assess healthcare systems change, 
including high impact evaluation studies and DSW systems change 
projects. The high impact evaluation studies will be primarily 
qualitative assessments of two to three specific grantee efforts that 
seem likely to result in achievement of program objectives. The DSW 
systems change projects will employ online surveys to assess systems 
change in selected health systems across the U.S.
     Grantees will complete program evaluation forms to track 
perceptions of DSW collaboration and perceptions of key successes and 
challenges encountered by the DSW.
    It is estimated that 29,573 respondents will participate in the 
evaluation each year, for a total estimated burden of 3790 hours 
annually. There are no costs to respondents other than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                      Number      Average burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
Project Grantee Staff.................  DSW Report..............              90               2           10/60
DSW Project Staff.....................  High Impact Study:                    10               2           60/60
                                         Discipline Specific
                                         Workgroup Discussion
                                         Guide for Project Staff.
Health Care System Staff..............  High Impact Study: Key                10               2           60/60
                                         Informant Interview--
                                         Health Care System
                                         Staff.
FASD Core Training Participants.......  FASD Core Training                  4013               1            9/60
                                         Survey--Pre-Test.
FASD Core Training Participants.......  FASD Core Training                  4013               1            5/60
                                         Survey--Post-Test.
FASD Core Training Participants.......  FASD Core Training                  4013               1            6/60
                                         Survey--6 Month Follow-
                                         Up.
Nurses................................  Pre-Training Survey for              667               1            9/60
                                         Nursing.
Nurses................................  Post-Training Survey for             550               1            9/60
                                         Nursing.
Nurses................................  Six Month Follow-Up                  440               1            9/60
                                         Training Survey for
                                         Nursing.
Nurses................................  Nursing DSW Polling                  417               1            5/60
                                         Questions.
Nurses................................  Key Informant Interviews              14               2           45/60
                                         with Champions.
Nurses................................  Brief Questionnaire for            2,934               1           10/60
                                         Nursing Organization
                                         Memberships.
Nurses................................  Friends & Members of the              34               2           10/60
                                         Network Survey.
Healthcare Organization                 Healthcare Organization              234               1           30/60
 Representatives.                        Utilization Survey.
Physicians and students in allied       OBGYN SBI Knowledge &                600               1            2/60
 health professions.                     Agency.
Physicians............................  OBGYN BI-MI Proficiency              600               1            3/60
                                         Rating Scale--Provider
                                         Skills Training
                                         Baseline.
Students in allied health professions.  OBGYN BI-MI Proficiency              600               1            3/60
                                         Rating Scale--
                                         Standardized Patient
                                         Version.
Physicians............................  OBGYN BI-MI Proficiency              600               2            3/60
                                         Rating Scale--Provider
                                         Follow Up (3m & 6m).
Physicians and students in allied       OBGYN Telecom Training               480               1            5/60
 health professions.                     Satisfaction Survey.
Physicians and students in allied       OBGYN Avatar Training                120               1            5/60
 health professions.                     Satisfaction Survey.
Physicians............................  OBGYN FASD-SBI Training              124               1            2/60
                                         Event Evaluation.
Residency Directors, Training           OBGYN Qualitative Key                 34               1           25/60
 Coordinators, Clinical Directors,       Informant Interview--
 Physicians.                             Pre-Training.
Residency Directors, Training           OBGYN Qualitative Key                 34               1           25/60
 Coordinators, Clinical Directors,       Informant Interview--
 Physicians.                             Post-Training.

[[Page 11803]]

 
Certified Medical Assistants and        Medical Assistant--Pre-              334               1           10/60
 students.                               Test Survey.
Students..............................  Medical Assistant--Pre-               67               1           10/60
                                         Test Survey (Academic).
Certified Medical Assistants and        Medical Assistant--Post-             334               1           10/60
 students.                               Test Survey.
Students..............................  Medical Assistant--Post-              67               1           10/60
                                         Test Survey (Academic).
Certified Medical Assistants and        Medical Assistant Follow             200               1           10/60
 students.                               Up Survey.
Students..............................  Medical Assistant Follow              17               1           10/60
                                         Up Survey (Academic).
Certified Medical Assistants and        Medical Assistants                   250               1           15/60
 students.                               Change in Practice
                                         Survey.
Physicians............................  Survey of Pediatricians--            534               2           10/60
                                         Baseline and Follow Up.
Physicians............................  AAP Post-Training                    120               1            7/60
                                         Evaluation Survey.
Physicians............................  AAP Pre-Training                     120               1            7/60
                                         Evaluation Survey.
Physicians............................  AAP Three Month Follow               120               1            2/60
                                         Up Evaluation Survey.
Physicians............................  AAP Six Month Follow Up              120               1            5/60
                                         Evaluation Survey.
Physicians............................  FASD Toolkit User Survey              50               1           15/60
Physicians............................  FASD Toolkit Evaluation               10               1           30/60
                                         Focus Group/Guided
                                         Interview.
Physicians............................  Pediatric FASD Regional               10               1           20/60
                                         Education and Awareness
                                         Liaisons Work Plan.
Physicians............................  Pediatric FASD Regional               10               1            4/60
                                         Liaison/Champion
                                         Training Session
                                         Evaluation.
Physicians............................  Family Medicine                       62               1            8/60
                                         Evaluation Questions
                                         Addendum for Practice
                                         or Individual Provider.
Practicing family physicians, family    Social Work and Family              1167               1            8/60
 physician faculty, residents, social    Physicians Pre-training
 workers, social work students.          Survey.
Practicing family physicians, family    Social Work and Family              1167               1            5/60
 physician faculty, residents, social    Physicians Post-
 workers, social work students.          training Survey.
Practicing family physicians, family    Social Work and Family              1167               1            8/60
 physician faculty, residents, social    Physicians 6-Month
 workers, social work students.          Follow Up Survey.
NOFAS webinar attendees...............  NOFAS Webinar Survey....             601               1            2/60
NOFAS webinar attendees...............  NOFAS Three Month Follow-            601               1            2/60
                                         Up Webinar
                                         Questionnaire.
NOFAS training participants...........  NOFAS Pre-Test Survey...             551               1            3/60
NOFAS training participants...........  NOFAS Post-Test Survey..             551               1            3/60
Systems change project participants...  Clinical Process                     246               2           10/60
                                         Improvement Survey.
Systems change project participants...  TCU Organizational                   246               2           10/60
                                         Readiness Survey.
Systems change project participants...  Organizational Readiness             220               2           10/60
                                         to Change Assessment.
----------------------------------------------------------------------------------------------------------------


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. 2016-05073 Filed 3-4-16; 8:45 am]
 BILLING CODE 4163-18-P