[Federal Register Volume 84, Number 119 (Thursday, June 20, 2019)]
[Notices]
[Pages 28819-28820]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-13055]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-19-19BDE; Docket No. CDC-2019-0051]
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 Maternal Mortality Review
Information Application (MMRIA). MMRIA is a standardized data
collection system that allows Maternal Mortality Review Committees
(MMRCs) to abstract relevant data from a variety of sources, document
committee decisions, and analyze data to better understand the
contributing factors and preventability of maternal deaths in order to
develop recommendations for prevention.
DATES: CDC must receive written comments on or before August 19, 2019.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2019-
0051 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 CONTACT: 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 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,
[[Page 28820]]
e.g., permitting electronic submissions of responses.
5. Assess information collection costs.
Proposed Project
The Maternal Mortality Review Information Application (MMRIA) -
New--National Center for Chronic Disease Prevention and Health
Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
The Centers for Disease Control and Prevention (CDC) seeks OMB
approval to collect information through the Maternal Mortality Review
Information Application (MMRIA) for three years. MMRIA is a
standardized data collection system that allows Maternal Mortality
Review Committees (MMRCs) across the country to abstract relevant data
(clinical and non-clinical) from a variety of sources, document
committee decisions, and analyze data in order to better understand the
contributing factors and preventability of maternal deaths and thus to
develop recommendations for prevention.
About 700 women die each year in the United States as a result of
pregnancy or delivery complications, a chain of events initiated by
pregnancy, or the aggravation of an unrelated condition by the
physiologic effects of pregnancy. Furthermore, considerable racial
disparities exist, with black women almost four times more likely to
die from pregnancy-related complications than white women. Findings
from MMRCs indicate that more than half of maternal deaths are
preventable.
Maternal Mortality Review is a process by which a multidisciplinary
committee at the jurisdiction level identifies and reviews cases of
maternal death within one year of end of pregnancy. Members of MMRCs
typically represent public health, obstetrics and gynecology, maternal-
fetal medicine, nursing, midwifery, forensic pathology, mental and
behavioral health, and other relevant stakeholders. Through a
partnership among the MMRC, state vital records office, and
epidemiologists, deaths among women of reproductive age are examined to
determine if they occurred during pregnancy or within one year of the
end of pregnancy (i.e., pregnancy-associated deaths). Through this
process, potential cases of pregnancy-related deaths (i.e., maternal
death from any cause related to or aggravated by pregnancy or its
management) are then identified. Review committees access multiple
sources of clinical and non-clinical information to understand the
circumstances surrounding a maternal death in order to develop
recommendations for action to prevent similar deaths in the future.
MMRIA is a standardized data collection system designed to collect
timely, accurate, and standardized information about deaths to women
during pregnancy and within one year of end of pregnancy, including
opportunities for prevention, within and across jurisdictions. Data
will be abstracted and entered into MMRIA from various sources,
including death certificates, autopsy reports, birth certificates,
prenatal care records, emergency room visit records, hospitalization
records, records from other medical office visits, medical transport
records, social and environmental profiles, mental health profiles, and
informant interviews. Case narratives for committee reviews are auto-
populated from the abstracted data entered into MMRIA to facilitate
committee review, and committee decisions will also be entered into
MMRIA.
The data collected in MMRIA will be used to facilitate an
understanding of the drives of maternal mortality and complications of
pregnancy and associated disparities; determine what interventions at
patient, provider, facility, system, and community levels will have the
most impact; and implement data driven recommendations.
The burden estimates presented here are applicable to the estimated
25 awardees of the cooperative agreement Preventing Maternal Deaths:
Supporting Maternal Mortality Review Committees (CDC-RFA-DP19-1908);
these awardees are required to compile a defined set of information
about maternal deaths into MMRIA. It is estimated that information will
be collected for a total of 740 pregnancy-associated deaths on average,
annually, among the 25 awardees. Burden is estimated based on each
awardee's total staff time to enter the abstracted data into MMRIA and
enter the committee decision.
Estimated Annualized Burden Hours
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Number of Average hours
Types of respondents Form name Number of responses per per response Total burden
respondents respondent (in hours) hours
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Awardees...................... Data abstraction 25 30 15 11,250
Committee 25 30 24/60 300
decision.
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Total..................... ................ .............. .............. .............. 11,550
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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. 2019-13055 Filed 6-19-19; 8:45 am]
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