[Federal Register Volume 82, Number 4 (Friday, January 6, 2017)]
[Notices]
[Pages 1742-1744]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-00004]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-17-17JA; Docket No. CDC-2016-0122]


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 effort 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 Evaluation of 
``Effectiveness of Teen Pregnancy Prevention Programs Designed 
Specifically for Young Males: Columbia University Young Men's 
Project''. The main goal of this study is to adapt, implement, and 
evaluate an innovative computer-assisted motivational interviewing 
(CAMI-TPP) intervention to engage young males in behaviors that prevent 
unintended teen pregnancy.

DATES: Written comments must be received on or before March 7, 2017.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2016-
0122 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.

[[Page 1743]]

Proposed Project

    Evaluation of ``Effectiveness of Teen Pregnancy Prevention Programs 
Designed Specifically for Young Males: Columbia University Young Men's 
Project''--New--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, Centers for Disease Control 
and Prevention (CDC), is seeking OMB review and approval for a new 
information collection to carry out an evaluation of the Columbia 
University Young Men's Teen Pregnancy Prevention project funded by the 
``DP15-007 Effectiveness of Teen Pregnancy Prevention Programs Designed 
Specifically for Young Males'' cooperative agreement. Approval is being 
requested for three years (Years 2-4) of a 5-year project. During Year 
3, a request will be made for an extension of information collection to 
cover Years 4-5.
    Although teen birth rates (defined as live births per 1,000 15-19-
year-old U.S. females) are declining, the U.S. teen birth rate remains 
higher than in other developed countries (Penman-Aguilar, Carter, 
Snead, & Kourtis, 2013). Furthermore, geographic, socioeconomic, and 
racial/ethnic disparities in teen birth rates persist. In 2012, non-
Hispanic black and Hispanic teen birth rates were still more than two 
times higher than birth rates for non-Hispanic white teens (Martin, 
Hamilton, Osterman, Curtin, & Mathews, 2013).
    In 2014 teen fatherhood occurred at a rate of 11.3 births per 1,000 
men aged 15-19 (Hamilton, Martin, Osterman, Curtin, & Mathews, 2015) 
and resulted in approximately 156,000 births. According to the 2006-
2010 National Survey of Family Growth, 15% of males fathered a child 
while younger than age 20 and rates of fathering a child were highest 
among non-Hispanic Black and Hispanic teens (Martinez, Daniels, & 
Chandra, 2012). Data suggest that teen fathers attend fewer years of 
school and are less likely to graduate from high school than teens who 
are not fathers (Fletcher & Wolfe, 2012). In addition, males just 
beyond their teen years (aged 20-24) father a higher proportion of 
children born to teen mothers than males aged 19 and younger (Elo, 
King, & Furstenburg, 1999; Males, 1995). Thus, it is important to reach 
both teenage as well as young adult males in their early twenties 
(hereafter collectively referred to as ``young men'') in teen pregnancy 
prevention efforts.
    Initiatives to prevent teen pregnancy have focused primarily on the 
role of female teens; however, young men can also play an important 
role and should be actively engaged in preventing teen pregnancy. 
Partner involvement in contraceptive decision making can increase use 
of effective methods of pregnancy prevention, including the use of dual 
protection (i.e., using condoms plus hormonal methods to prevent both 
pregnancy and sexually transmitted infections [STIs]) (Kerns 2003, 
Harper 2004, Kraft 2010, Cox and Cox 2010). Increased use of effective 
contraception may be based on improved contraception-related 
communication, joint responsibility and decision making between 
partners, as well as male partners' knowledge and attitudes about 
contraceptive methods (including condoms), support for use of 
moderately or highly effective methods, and desire for pregnancy 
prevention. Nevertheless, few interventions have focused on young men 
or been shown to be effective in reducing teen pregnancy. The HHS Teen 
Pregnancy Prevention Evidence Review, (http://tppevidencereview.aspe.hhs.gov/ReviewProtocol.aspx) conducted in 2012 
by Mathematica Policy Research on behalf of the HHS (U.S. Department of 
Health and Human Services, 2012) and updated in 2014 identified 35 
rigorously evaluated interventions found to have an impact on sexual 
risk behaviors, teen pregnancy, and/or STIs. Most interventions were 
evaluated among young male and female participants; only one 
intervention was designed and evaluated specifically for males (Magura, 
Kang, & Shapiro 1994). Most of the 35 interventions were designed as 
HIV/STI prevention interventions and provide participants with 
information about condoms but little about other contraceptive options. 
They also do not address the shared responsibility of contraceptive 
decision making or sexual and reproductive health services.
    While programs that address male-specific risk and protective 
factors for teen pregnancy (e.g., Gottesgen & Philiber, 2001; Ricardo, 
Nascimento, Fonseca & Segundo, 2010; Smith, Weinman, Buzi, & Benton, 
2004; Tello, Cervantes, Cordova, & Santos, 2010) have been developed, 
there are no published results from rigorous evaluations of these 
interventions. If found to be efficacious, this study will add a male-
focused program to the evidence review. This information collection 
request aims to address this gap in the literature through a randomized 
controlled trial (RCT) of a computer-assisted motivational interviewing 
application for mobile phones to prevent fathering an unintended 
pregnancy (CAMI-TPP) by males aged 15 to 24 years in comparison to a 
control group (CAMI-Fitness).
    CAMI will be conducted in a racially and ethnically diverse 
population of young males aged 15 to 24 years in New York City, NY. 
Young males will be recruited at 3 sites in New York City: The Young 
Men's Clinic in Washington Heights and among students at the school-
based health centers of two inner-city NYC high schools--George 
Washington Educational Campus in Washington Heights and John F. Kennedy 
campus in the Bronx. Participants will be assessed at baseline, 
immediately post-intervention (12 weeks), and at three follow-ups (24 
weeks, 36 weeks, and 60 weeks) after participation in the 12-week 
intervention. Participants will also complete weekly online check-ins 
for 60 weeks from the time of enrollment in the project. Weekly check-
ins have been used in past studies to increase retention during the 
study period and are very brief.
    The knowledge generated from this project will inform the HHS Teen 
Pregnancy Prevention Evidence Review. If the intervention is found to 
be efficacious, it will provide Teen Pregnancy Prevention grantees of 
the Office of Adolescent Health, CDC, and Administration for Children 
and Families with a new intervention to reduce the number of young men 
who father a teen pregnancy.
    OMB approval is requested for three years. Participation is 
voluntary and there are no costs to respondents other than their time. 
The total estimated annualized burden hours are 2,598.

[[Page 1744]]



                                        Estimated Annualized Burden Hours
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                                                                                          Average       Total
                                                            Number of       Number       burden per     burden
        Type of respondents               Form name        respondents   responses per    response    hours (in
                                                                          respondent     (in hours)     hours)
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Young men aged 15-24 years........  Eligibility Screener.        2,428               1         5/60          202
Consented and enrolled young men    Baseline Assessment..          315               1        32/60          168
 aged 15-24 years.
                                    Therapeutic Alliance           315               2         5/60           53
                                     Assessment.
                                    Satisfaction--Coachin          315               4         2/60           42
                                     g.
                                    Satisfaction--Weekly           315               1         5/60           26
                                     Check-ins.
                                    12-week Assessment...          315               1        30/60          158
                                    Satisfaction--Assessm          315               1         7/60           37
                                     ents.
                                    24-week Assessment...          315               1        28/60          147
                                    36-week Assessment...          252               1        26/60          108
                                    60-week Assessment...          190               1        26/60           82
Consented and enrolled young men    Weekly Check-in......          315              60         5/60        1,575
 aged 15-24 years.
                                                          ------------------------------------------------------
    Total.........................  .....................  ...........  ..............  ...........        2,598
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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. 2017-00004 Filed 1-5-17; 8:45 am]
 BILLING CODE 4163-18-P