[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
                                                 ---------------------------------------------------------------
    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]
 BILLING CODE 4163-18-P