[Federal Register Volume 82, Number 224 (Wednesday, November 22, 2017)]
[Notices]
[Pages 55609-55611]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-25260]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-17-0743; Docket No. CDC-2017-0086]


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 the opportunity to comment on proposed and/or 
continuing information collection, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on a proposed 
information collection project titled Monitoring Breastfeeding-Related 
Maternity Care--US hospitals. The Maternity Practices in Infant 
Nutrition and Care (mPINC) survey is a census of maternity care 
hospitals in the United States and Territories, that CDC has 
administered every other year since 2007 in order to monitor and 
examine changes in breastfeeding-related maternity care practices over 
time.

DATES: CDC must receive written comments on or before January 22, 2018.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2017-
0086 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

[[Page 55610]]

Docket Number. CDC will post, without change, all relevant comments to 
Regulations.gov.

    Please Note: Submit all comments 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 Leroy A. Richardson, 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 the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. 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;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected; and
    4. 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 
submissions of responses.
    5. Assess information collection costs.

Proposed Project

    Monitoring Breastfeeding-Related Maternity Care--US Hospitals (OMB 
Control No. 0920-0743, Exp. 9/30/2016)--Reinstatement with change--
Division of Nutrition, Physical Activity, and Obesity (DNPAO), National 
Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), 
Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Substantial evidence demonstrates the social, economic, and health 
benefits of breastfeeding for both the mother and infant as well as for 
society in general. Breastfeeding mothers have lower risks of breast 
and ovarian cancers and type 2 diabetes, and breastfeeding better 
protects infants against infections, chronic diseases like diabetes and 
obesity, and even childhood leukemia and sudden infant death syndrome 
(SIDS). However, the groups that are at higher risk for diabetes, 
obesity, and poor health overall persistently have the lowest 
breastfeeding rates.
    Health professionals recommend at least 12 months of breastfeeding, 
and Healthy People 2020 establishes specific national breastfeeding 
goals. In addition to increasing overall rates, a significant public 
health priority in the U.S. is to reduce variation in breastfeeding 
rates across population subgroups. Although CDC surveillance data 
indicate that breastfeeding initiation rates in the United States are 
climbing, rates for duration and exclusivity continue to lag, and 
significant disparities persist between African American and white 
women in breastfeeding rates.
    The health care system is one of the most important and effective 
settings to improve breastfeeding. Recognition of the hospital stay as 
a crucial influence in later breastfeeding outcomes led to the addition 
of two objectives in Healthy People 2020 to allow national monitoring 
of improvements in support for breastfeeding during this time. In 2007, 
CDC conducted the first national survey of Maternity Practices in 
Infant Nutrition and Care (known as the mPINC Survey) in health care 
facilities (hospitals and free-standing childbirth centers). CDC 
designed this biennial survey to provide baseline information. CDC also 
conducted the survey in 2009, 2011, 2013, and 2015. The survey inquired 
about patient education and support for breastfeeding throughout the 
maternity stay as well as staff training and maternity care policies.
    Prior to the fielding of the 2009 iteration, OMB requested that CDC 
provide a report to OMB on the results of the 2007 collection. In this 
report, CDC provided survey results by geographic and demographic 
characteristics and a summary of activities that resulted from the 
survey. A summary of mPINC findings was also the anchor of all 
activities related to the CDC August 2011 Vital Signs activity, marking 
the first time that CDC highlighted improving hospital maternity 
practices as the CDC-wide public health priority. A summary of mPINC 
findings provided the basis of the CDC October 2015 Vital Signs report, 
which updated the 2011 Vital Signs report and concluded that although 
maternity care policies and practices supportive of breastfeeding are 
improving nationally; more work is needed to ensure all women receive 
optimal breastfeeding support during the birth hospitalization.
    The 2018 and 2020 mPINC surveys will closely match those used 
before (2007, 2009, 2011, 2013, and 2015) in methodology and 
administration but CDC updated the content of the survey to reflect 
changes in maternity care over time. A major strength of the mPINC 
survey is its structure as an ongoing national census, which does not 
employ sampling methods. CDC uses the American Hospital Association 
(AHA) Annual Survey of Hospitals to identify potential participating 
facilities. Facilities invited to participate in the survey include 
hospitals that participated in previous iterations and those that 
received an invite but did not participate in the previous iterations, 
as well as those that have become eligible since the most recent mPINC 
survey. CDC will screen all hospitals with one or more registered 
maternity beds via a brief phone call to assess their eligibility, 
identify additional satellite locations, and identify the appropriate 
point of contact. The high response rates to the previous iterations of 
the mPINC survey (82-83% in 2007, 2009, 2011, 2013, and 2015) indicate 
that the methodology is appropriate and reflects high interest among 
the study population.
    As with the initial surveys, a major goal of the 2018 and 2020 
follow-up surveys is to be fully responsive to hospitals' needs for 
information and technical assistance. CDC will provide direct feedback 
to hospital respondents in a customized benchmark report of their 
results. CDC will use information from the mPINC surveys to identify, 
document, and share information related to incremental changes in 
practices and care processes over time at the hospital, state, and 
national levels. Researchers also use the data to gain a better 
understanding of the relationships between hospital characteristics, 
maternity-care practices, state level factors, and breastfeeding 
initiation and continuation rates.

[[Page 55611]]

    Participation in the survey is voluntary, and participants may 
submit responses through a Web-based system.
    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 hours)      (in hours)
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Maternity Hospital............  Screening Call             1,952               1            1/60              33
                                 Script Part A.
Maternity Hospital............  Screening Call             1,672               1            4/60             111
                                 Script Part B.
Maternity Hospital............  mPINC Facility             1,421               1           30/60             711
                                 Survey.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............             855
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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. 2017-25260 Filed 11-21-17; 8:45 am]
 BILLING CODE 4163-18-P