[Federal Register Volume 84, Number 53 (Tuesday, March 19, 2019)]
[Notices]
[Pages 10091-10093]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-05155]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30 Day-19-1090]


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 Formative and Summative Evaluation of Scaling 
the National Diabetes Prevention Program (National DPP) in Underserved 
Areas 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 October 4, 
2018 to obtain comments from the public and affected agencies. CDC 
received and responded to five sets of unique public comments related 
to the previous notice. This notice serves to allow an additional 30

[[Page 10092]]

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 agency's 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

    Formative and Summative Evaluation of Scaling the National Diabetes 
Prevention Program (National DPP) in Underserved Areas (OMB No. 0920-
1090, exp. 12/31/2018)--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 CDC-led National Diabetes Prevention Program (DPP) is a 
partnership of public and private organizations working collectively to 
build the infrastructure for nationwide delivery of an evidence-based 
lifestyle change program to prevent or delay type 2 diabetes among 
adults with prediabetes. The National DPP lifestyle change program is 
founded on the science of the Diabetes Prevention Program research 
study and several translation studies that followed, which showed that 
making modest behavior changes helped people with prediabetes lose 5% 
to 7% of their body weight and reduce their risk of developing type 2 
diabetes by 58% (71% for people over 60 years old). From 2012 to 2017, 
CDC funded six national organizations through a cooperative agreement 
to establish and expand multistate networks of over 200 program 
delivery organizations that were able to meet national standards and 
achieve the outcomes proven to prevent or delay onset of type 2 
diabetes. CDC has conducted a formative and summative evaluation of 
this program and used the evaluation findings and lessons learned to 
provide data-driven technical assistance to the grantees and other 
organizations delivering the National DPP lifestyle change program. The 
data and lessons learned from DP12-1212 were also used to inform 
decision-making and policy, including the development of the Centers 
for Medicare & Medicaid Services (CMS) Medicare Diabetes Prevention 
Program (MDPP). As of April 1, 2018, the MDPP Expanded Model provides 
coverage for the National DPP lifestyle change program for eligible 
Medicare beneficiaries.
    Despite the fact that over 1,700 CDC-recognized organizations in 50 
states, the District of Columbia, Puerto Rico, the Virgin Islands, and 
other U.S.-affiliated island jurisdictions/territories offer the 
National DPP lifestyle change program, there are still many geographic 
areas with few, or no, in-person delivery programs. In addition, some 
populations, including Medicare beneficiaries, men, African-Americans, 
Asian-Americans, Hispanics, American Indians, Alaska Natives, Pacific 
Islanders, and people with visual impairment or physical disabilities, 
are under-enrolled relative to their estimated numbers and disease 
burden. To address these gaps, CDC funded a new, five-year cooperative 
agreement with ten new national organizations in September 2017, 
``Scaling the National DPP in Underserved Areas'' (DP17-1705). CDC 
funded 10 national organizations with affiliate program delivery sites 
in at least three states, each to start new CDC-recognized 
organizations in underserved areas and to enroll both general and 
priority populations in new or existing CDC-recognized organizations. 
The DP17-1705 grantees will work on activities designed to accomplish 
three main goals:
    (1) Build the infrastructure in underserved areas necessary to 
deliver the National DPP lifestyle change program to the general 
population and to priority populations, including Medicare 
beneficiaries, men, African-Americans, Asian-Americans, Hispanics, 
American Indians, Alaska Natives, Pacific Islanders, and non-
institutionalized people with visual or physical disabilities;
    (2) Tailor and adapt the program to address the unique needs and 
challenges of the enrolled participants; and
    (3) Provide participants with specialized support needed to 
successfully complete the program and achieve 5-7% weight loss. Through 
this new cooperative agreement, it is anticipated that enrollment, 
retention, and achievement of 5-7% weight loss in the targeted 
populations will increase.
    At this time, CDC requests an additional three years of OMB 
approval to continue collecting information needed to evaluate the 
effectiveness of CDC's funding for the new grantees. The data 
collection will allow CDC to continue to provide data-driven, tailored 
programmatic technical assistance to ensure continuous quality 
improvement for each year of the cooperative agreement. A number of 
additional changes to the evaluation forms are proposed based on the 
public comments received from the previously published notice on 
October 4, 2018 to reduce burden on respondents. Evaluation data 
elements have been modified accordingly to ensure that reporting and 
evaluation requirements are consistent with the aims of the new 
cooperative agreement and reflect lessons learned from the original 
funded national organizations and their affiliate delivery sites. Also, 
the method of data collection has changed from an Excel spreadsheet to 
a web-based data system to allow for real-time feedback and technical 
assistance. The estimated reporting burden has increased and is 
expected to vary between three and five hours with an average of four 
hours per grantee response (increased from average of three hours in 
the previous notice), and between five and seven hours with an average 
of six hours per affiliate delivery site response (increased from an 
average of five hours in the previous notice). These estimated burden 
hours include the time for reviewing instructions, searching existing 
data sources, gathering and maintaining the data needed, and entering 
data in the web-based data system. The number of respondents will 
increase with the increased number of grantees. These changes result in 
a net increase of 478 annualized burden

[[Page 10093]]

hours. There are no costs to respondents other than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
National DPP Affiliate Delivery Sites.  Evaluation Form for                  100               1               6
                                         Sites.
National DPP Grantees.................  Evaluation Form for                   10               1               4
                                         Grantees.
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2019-05155 Filed 3-18-19; 8:45 am]
BILLING CODE 4163-18-P