[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
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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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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