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