[Federal Register Volume 83, Number 170 (Friday, August 31, 2018)]
[Notices]
[Pages 44628-44630]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-19012]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-18-0743]
Agency Forms Undergoing Paperwork Reduction Act Review
In accordance with the Paperwork Reduction Act of 1995, the Centers
for Disease Control and Prevention (CDC) has submitted the information
collection request titled Monitoring Breastfeeding-Related Maternity
Care--U.S. hospitals to the Office of Management and Budget (OMB) for
review and approval. CDC previously published a ``Proposed Data
Collection Submitted for Public Comment and Recommendations'' notice on
November 22, 2017, to obtain comments from the public and affected
agencies. CDC received 12 comments related to the previous notice. This
notice serves to allow an additional 30 days for public and affected
agency comments.
CDC will accept all comments for this proposed information
collection project. The Office of Management and Budget is particularly
interested in comments that:
(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, 725 17th
Street NW, Washington, DC 20503 or by fax to (202)
[[Page 44629]]
395-5806. Provide written comments within 30 days of notice
publication.
Proposed Project
Monitoring Breastfeeding-Related Maternity Care--U.S. Hospitals
(OMB Control No. 0920-0743, Exp. 9/30/2016)--Reinstatement with
Change--Division of Nutrition, Physical Activity, and Obesity, 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 United States 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). This
survey was designed to provide baseline information and to be repeated
every two years. The survey was conducted again 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, CDC was requested to
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 planned methodology for the 2018 and 2020 national survey of
Maternity Practices in Infant Nutrition and Care (mPINC) will closely
match that of the previously administered mPINC surveys in 2007, 2009,
2011, 2013, and 2015. Changes described in this Reinstatement with
change include: (1) Deployment of 2018 and 2020 Surveys; (2) data
collection via web-survey only (no paper surveys); (3) surveying
hospitals only (not birth centers); (4) requesting contact information
for two individuals per facility (previously only one); (5) an updated
American Hospital Association (AHA) database will be acquired to
identify hospitals not currently on the list for recruitment in the
2018 survey. This process will not occur for the 2020 survey, but
additional hospitals identified from the new database for 2018 will be
included in the 2020 survey; (6) 2018 and 2020 survey content has been
updated.
A major strength of the mPINC survey is its structure as an ongoing
national census, which does not employ sampling methods. Facilities are
identified by using the American Hospital Association (AHA) Annual
Survey of Hospitals. Facilities that will be invited to participate in
the survey include hospitals that participated in previous iterations
and those that were invited but did not participate in the previous
iterations, as well as those that have become eligible since the most
recent mPINC survey. All hospitals with >=1 registered maternity bed
will be screened 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 also 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. Data are also used by researchers to better understand
the relationships between hospital characteristics, maternity-care
practices, state level factors, and breastfeeding initiation and
continuation rates. Participation in the survey is voluntary, and
responses may be submitted through a Web-based system. The total
estimated annual Burden Hours are 855. 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
respondents respondent (in hours)
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Maternity Hospital.................... Screening Call Script 1,952 1 1/60
Part A.
Maternity Hospital.................... Screening Call Script 1,672 1 4/60
Part B.
Maternity Hospital.................... mPINC Facility Survey... 1,421 1 30/60
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[[Page 44630]]
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. 2018-19012 Filed 8-30-18; 8:45 am]
BILLING CODE 4163-18-P