[Federal Register Volume 84, Number 67 (Monday, April 8, 2019)]
[Notices]
[Pages 13924-13925]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-06816]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-19-19ACI; Docket No. CDC-2019-0023]
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 a 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 Sealant Efficiency Assessment for
Locals and States. This data will be collected from local school
sealant programs to generate efficiency performance measures, which
will allow CDC to identify feasible benchmarks and best practices
contributing to school sealant program efficiency.
DATES: CDC must receive written comments on or before June 7, 2019.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2019-
0023 by any of the following methods:
Federal eRulemaking Portal: Regulations.gov. Follow the
instructions for submitting comments.
Mail: Jeffrey M. Zirger, 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 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: To request more information on the proposed
project or to obtain a copy of the information collection plan and
instruments, contact Jeffrey M. Zirger, 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
[[Page 13925]]
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
Sealant Efficiency Assessment for States and Locals Data
Collection--Existing collection in use without an OMB Control Number--
National Center for Chronic Disease Prevention and Health Promotion,
Centers for Disease Control and Prevention (CDC).
Background and Brief Description
By age 19, 67% of U.S. adolescents living in poverty have
experienced tooth decay and 27% have at least one decayed tooth needing
treatment. School sealant programs (SSP) provide dental sealants, which
protect against 80% of cavities for two years, and continue to protect
against 50% of cavities for up to four years.
Little is known about school sealant program delivery logistics,
resource costs, or the quantity of resources used per unit of service
or per averted cavity. The previously mentioned economic model on the
cost-effectiveness of SSPs could find no recent studies on SSP cost in
the U.S. and relied on the findings from four studies, all published
before 2001. A systematic review of economic evaluations of SSPs
conducted further found wide variation in reported cost per child,
ranging from $33 to $163. Information on the cost and efficiency of
SSPs could help these programs become more efficient and provide more
services per dollar in their budget.
CDC requests information from states regarding children's cavity
risk, one-year sealant retention rate, sealant program services
delivered, and school sealant program cost and quantity of resources
used at each school event. This data will allow CDC and states to
monitor the performance and efficiency of their SSPs, which will
improve and extend program delivery to more children.
At the beginning of each school year, SSPs electronically enter a
list of schools they plan to serve (Add Schools), information about
their program delivery logistics (Program Options), and per unit
resource costs (Cost Options). Data from the previous funding period
suggest that one SSP typically serves 20 schools. At each school event,
SSPs enter information about resource use, children's risk for tooth
decay, and delivered services (Add Event). Information collected at
each school can be entered electronically onsite or collected on paper
form, and entered electronically at a later date. At the end of the
school year, SSPs enter administrative costs (e.g., office supplies,
rent, computers) electronically, and within 9 to 15 months after first
visiting the school, they enter information about sealant retention.
Effectiveness of resin-based sealants is directly tied to retention, in
that a retained sealant is 100% effective at preventing cavities.
Because of this, many SSPs sample a few children for retention when
they visit the school the next year to deliver services to new
students.
CDC proposes to conduct a benchmarking analysis to identify the set
of efficient SSPs and factors/practices associated with efficiency.
Findings from the CDC benchmarking analyses will be submitted for
publication in peer-reviewed journals and presented at the National
Oral Health Conference. Findings will also be shared with the
Association of State and Territorial Dental Directors (ASTDD), the oral
health divisions in HRSA and CMS, and the National Institutes of Dental
and Craniofacial Research. This information will inform entities
considering implementing SSPs; assist local SSPs and state oral health
departments to monitor efficiency and impact; identify best practices;
and document if and how SSPs are a good investment of public health
dollars.
CDC requests OMB clearance for three years. The total estimated
annualized burden hours is 1,388. 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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State Sealant Administrator... Add Program and 18 1 45/60 14
Add User.
SSP Local Administrator....... Add User and Add 162 1 43/60 116
School.
Program Options 162 1 46/60 124
and Cost
Options.
Add Event....... 162 20 21/60 1,134
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Total..................... ................ .............. .............. .............. 1,388
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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. 2019-06816 Filed 4-5-19; 8:45 am]
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