[Federal Register Volume 81, Number 137 (Monday, July 18, 2016)]
[Notices]
[Pages 46678-46680]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-16874]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2016-0064; 60 Day-16-0969]


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 ``Monitoring 
Changes in Attitudes and Practices among Family Planning Providers and 
Clinics,'' a survey to assess dissemination and use of guidance 
documents about the use of contraceptives and the delivery of quality 
family planning services.

DATES: Written comments must be received on or before September 16, 
2016.

[[Page 46679]]


ADDRESSES: You may submit comments, identified by Docket No. CDC-2016-
0064 by any of the following methods:
    Federal eRulemaking Portal: Regulations.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

    Monitoring Changes in Attitudes and Practices among Family Planning 
Providers and Clinics (OMB No. 0920-0969, exp. 5/31/2014)--
Reinstatement with Change--National Center for Chronic Disease 
Prevention and Health Promotion (NCCDPHP), Centers for Disease Control 
and Prevention (CDC).

Background and Brief Description

    The Division of Reproductive Health (DRH) at the Centers for 
Disease Control and Prevention (CDC) develops and disseminates guidance 
to improve the use of contraceptives and the delivery of quality family 
planning services. The U.S. Medical Eligibility Criteria for 
Contraceptive Use (US MEC), the first national guidance on family 
planning containing evidence-based recommendations for the safe use of 
contraceptive methods for women and men with specific characteristics 
and medical conditions, was published by the CDC in June 2010. The US 
Selected Practice Recommendations for Contraceptive Use (US SPR), which 
provides guidance on how to use contraceptive methods safely and 
effectively once they are deemed to be medically appropriate, was 
published by the CDC in June 2013. Providing Quality Family Planning 
Services (QFP), which provides evidence-informed recommendations to 
improve client care and service delivery infrastructure to support the 
provision of quality family planning services to women and men of 
reproductive age in the United States, was published by CDC and the 
Office of Population Affairs (OPA) in April 2014. The US MEC, US SPR, 
and QFP have been widely disseminated to health care providers and 
other constituents via professional organizations, federal program 
grantees, scientific and programmatic meetings, scientific manuscripts, 
online resources, and other avenues.
    In 2009-2010, CDC collected baseline information related to 
diffusion and use of the US MEC (OMB No. 0920-0008). In 2013-2014, CDC 
collected follow-up information related to the US MEC and baseline 
information related to the US SPR and QFP (OMB No. 0920-0969). These 
information collections provided useful knowledge about differences in 
attitudes and practices of family planning providers based on varying 
levels of key demographic characteristics (e.g., years since completion 
of formal health care training), and identification of attitudes not 
consistent with current scientific evidence (e.g., misconceptions that 
intrauterine devices are not safe for adolescents or nulliparous 
women). CDC used findings to develop educational materials and 
opportunities for health care providers.
    In 2017, in collaboration with the HHS Office of Population Affairs 
(OPA), CDC plans to request a reinstatement of OMB No. 0920-0969, 
``Monitoring Changes in Attitudes and Practices among Family Planning 
Providers and Clinics.'' The information collection will allow CDC and 
OPA to assess changes in attitudes and practices among family planning 
providers and clinics after the release of these three national 
guidance documents, and to identify persisting misconceptions and/or 
gaps in clinic-level practices (e.g., low provision of preconception 
health services) that may warrant continued and more tailored 
dissemination and educational activities. Specifically, the survey will 
allow CDC and OPA to improve family planning-related public health 
practice by (1) understanding the current use of contraception guidance 
in practice and valued sources of contraceptive information, including 
awareness and use of the US MEC, US SPR and QFP; (2) describing current 
attitudes and practices among family planning providers and clinics 
related to recommendations included in the US MEC, US SPR, and QFP and 
assessing changes from baseline; and (3) identifying targeted training 
needs in use of guidance and family planning service delivery (e.g., 
provider tools, continuing education modules).
    In 2017-2018, CDC plans to administer a follow-up survey to a 
sample of 10,000 private- and public-sector family planning providers 
and clinic administrators in the United States. The design, 
methodology, and analytic approach are based on methods

[[Page 46680]]

previously approved for the 2013-2014 survey. Minor changes to survey 
content will be made to eliminate unnecessary questions, add new 
questions of interest, and improve formatting, usability, and data 
quality. As in 2013-2014, different versions of the survey instrument 
will be administered to providers and clinic administrators. The 
estimated burden per response for providers is 15 minutes and has not 
changed since the previous OMB approval. The estimated burden per 
response for administrators will be reduced from 40 minutes to 25 
minutes.
    Private-sector physicians will be randomly selected from sampling 
frames with individual-level information on physicians. To reach 
public-sector providers and clinic administrators, publicly funded 
clinics will be randomly selected; one provider and the clinic 
administrator will be asked to complete surveys at sampled clinics. 
Specifically, surveys will be completed by: (a) 2,000 private-sector 
office-based physicians (i.e., those specializing in obstetrics/
gynecology, family medicine, and adolescent medicine), sampled from the 
American Medical Association Physician Masterfile; (b) 2,000 providers 
from Title X clinics, sampled from a database of publicly funded family 
planning clinics; (c) 2,000 providers from non-Title X clinics, sampled 
from a database of publicly funded family planning clinics; (d) 2,000 
clinic administrators from Title X clinics, sampled from a database of 
publicly funded family planning clinics; and (e) 2,000 clinic 
administrators from non-Title X clinics, sampled from a database of 
publicly funded family planning clinics.
    Each sampled provider and clinic will receive a mailed survey 
package. For private-sector family planning providers, each mailed 
survey package will include a single survey to be completed by the 
provider. For public-sector clinics, each mailed survey package will 
include two surveys--one to be completed by a randomly selected family 
planning provider at the clinic, and the second to be completed by the 
clinic administrator. Each mailed survey will be accompanied by a 
postage-paid return envelope. Individuals will also be given the option 
to complete the survey online via a password protected web-based data 
collection system.
    OMB approval is requested for one year. Participation is voluntary 
and there are no costs to respondents other than their time.

                                        Estimated Annualized Burden Hours
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                                                                                      Average
                                                     Number of        Number        burden per     Total burden
      Type of respondents           Form name       respondents    responses per   response  (in      (in hr)
                                                                    respondent          hr)
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Office-based physicians         2017 Survey of             2,000               1           15/60             500
 (private sector).               Health Care
                                 Providers.
Title X clinic providers        2017 Survey of             2,000               1           15/60             500
 (public sector).                Health Care
                                 Providers.
Non-Title X publicly funded     2017 Survey of             2,000               1           15/60             500
 clinic providers (public        Health Care
 sector).                        Providers.
Title X clinic administrators   2017 Survey of             2,000               1           25/60             834
 (public sector).                Administrators
                                 of Publicly-
                                 Funded Health
                                 Centers that
                                 Provide Family
                                 Planning.
Non-Title X publicly funded     2017 Survey of             2,000               1           25/60             834
 clinic administrators (public   Administrators
 sector).                        of Publicly-
                                 Funded Health
                                 Centers that
                                 Provide Family
                                 Planning.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           3,168
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Jeffrey M. Zirger,
Acting 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. 2016-16874 Filed 7-15-16; 8:45 am]
 BILLING CODE 4163-18-P