[Federal Register Volume 83, Number 212 (Thursday, November 1, 2018)]
[Notices]
[Pages 54928-54929]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-23862]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-19-0969]


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 Changes in Attitudes and 
Practices among Family Planning Providers and Clinics'' 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 June 8, 2018 to obtain comments from the 
public and affected agencies. CDC received one substantive and five 
non-substantive 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) 395-5806. Provide 
written comments within 30 days of notice publication.

Proposed Project

    Monitoring Changes in Attitudes and Practices among Family Planning 
Providers and Clinics (OMB Number 0920-0969, Expiration Date: 05/31/
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) and the HHS Office of Population 
Affairs (OPA) develop and disseminate guidance to improve the use of 
contraception 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 first 
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 first published by the CDC 
in June 2013. The US MEC and US SPR were updated after review of the 
scientific evidence and consultation with national experts in family 
planning; the revised US MEC and US SPR were published in August 2016.
    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 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

[[Page 54929]]

manuscripts, online resources, and other avenues.
    To monitor changes in attitudes and practices regarding provision 
of contraception among family planning providers and clinics, we 
initiated a multi-phase assessment. In 2009-2010, CDC carried out the 
first phase of the assessment, collecting information before the 
release of the US MEC (OMB No. 0920-0008). In 2013-2014, CDC, in 
collaboration with OPA, carried out the second phase of the assessment, 
collecting information before the release of the US SPR and QFP (OMB 
No. 0920-0969). These information collections provided useful knowledge 
about attitudes and practices of family planning providers. CDC and OPA 
used the findings to develop educational materials and opportunities 
for health care providers.
    In 2018, in collaboration with OPA, CDC plans to request a 
reinstatement of OMB No. 0920-0969, `Monitoring Changes in Attitudes 
and Practices among Family Planning Providers and Clinics' to carry out 
the third phase of the assessment. As in the previous phases, the 
information collection will allow CDC and OPA to improve family 
planning-related practice by: (1) Understanding the current use of 
contraception guidance in practice, 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 
previous data collections; and (3) identifying training needs in use of 
guidance and family planning service delivery (e.g., provider tools, 
continuing education modules).
    As in previous phases of data collection, CDC plans to administer 
surveys to private and public sector family planning providers and 
clinic administrators in the United States. The design, methodology, 
and analytic approach that CDC plans to implement are based on methods 
previously approved for the 2013-2014 survey, with different 
instruments being administered to providers and clinic administrators. 
Minor changes to survey content will be made to eliminate unnecessary 
questions, add new questions of interest, and improve formatting, 
usability, and data quality. 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 35 minutes. The total burden for 
participants is estimated at 1,916 hours. Participation is voluntary 
and there are no costs to respondents other than their time. OMB 
approval is requested for one year.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                                      Average
                                                                     Number of       Number of      burden per
          Type of respondents                   Form name           respondents    responses per   response  (in
                                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
Office-based physicians (private        2018-2019 Survey of                1,000               1           15/60
 sector).                                Health Care Providers
                                         about Family Planning
                                         Attitudes and Practices.
Title X clinic providers (public        2018-2019 Survey of                1,000               1           15/60
 sector).                                Health Care Providers
                                         about Family Planning
                                         Attitudes and Practices.
Non-Title X clinic providers (public    2018-2019 Survey of                1,000               1           15/60
 sector).                                Health Care Providers
                                         about Family Planning
                                         Attitudes and Practices.
Title X clinic administrators (public   2018-2019 Survey of                1,000               1           35/60
 sector).                                Administrators of
                                         Health Centers that
                                         Provide Family Planning.
Non-Title X clinic administrators       2018-2019 Survey of                1,000               1           35/60
 (public sector).                        Administrators of
                                         Health Centers that
                                         Provide Family Planning.
----------------------------------------------------------------------------------------------------------------


Jeffrey M. Zirger,
Acting Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2018-23862 Filed 10-31-18; 8:45 am]
 BILLING CODE 4163-18-P