[Federal Register Volume 84, Number 172 (Thursday, September 5, 2019)]
[Notices]
[Pages 46733-46735]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-19083]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60-Day-19-1156; Docket No. CDC-2019-0078]


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 Performance 
Monitoring of Working

[[Page 46734]]

with Publicly Funded Health Centers to Reduce Teen Pregnancy among 
Youth from Vulnerable Populations (OMB Control No. 0920-1156, Exp. 01/
30/2020). A Revision is requested to continue collecting data through 
the end of the funding period and to develop systematic approaches to 
referring youth at risk for a teen pregnancy to reproductive health 
care.

DATES: CDC must receive written comments on or before November 4, 2019.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2019-
0078 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, e.g., permitting electronic 
submissions of responses.
    5. Assess information collection costs.

Proposed Project

    Performance Monitoring of Working with Publicly Funded Health 
Centers to Reduce Teen Pregnancy among Youth from Vulnerable 
Populations--Revision--Division of Reproductive Health (DRH), Centers 
for Disease Control and Prevention (CDC).

Background and Brief Description

    Although the 2017 US rate of 18.8 births per 1,000 female teens 
aged 15-19 years represents a continued decline, the United States has 
one of the highest teen birth rates of all Western industrialized 
countries. Access to reproductive health services and the most 
effective types of contraception has been shown to reduce the 
likelihood that teens become pregnant. Nevertheless, recent research 
and lessons learned through a previous teen pregnancy prevention 
project implemented through CDC in partnership with the Office of 
Adolescent Health (2010-2015; OMB No. 0920-0952, Exp. 12/31/2015), 
demonstrate that many health centers serving teens do not engage in 
youth-friendly best practices that may enhance access to care and to 
the most effective types of contraception. Furthermore, youth at 
highest risk of experiencing a teen pregnancy are often not connected 
to the reproductive health care that they need, even when they are part 
of a population that is known to be at high risk for a teen pregnancy. 
Significant racial, ethnic and geographic disparities in teen birth 
rates persist and continue to be a focus of public health efforts.
    To address these challenges, CDC has provided funding to three 
organizations to strengthen partnerships and processes that improve 
reproductive health services for teens. These awardees are working with 
25 publicly funded health centers to support implementation of 
evidence-based recommendations for health centers and providers to 
improve adolescent access to reproductive health services. In addition, 
awardees have worked with approximately 30 youth-serving organizations 
(YSO) to provide staff training and develop systematic approaches to 
identifying youth who are at risk for a teen pregnancy and referring 
those youth to reproductive health care services. Finally, awardees 
have developed communication campaigns that increase awareness of the 
partner health centers' services for teens. Activities are expected to 
result in changes to health center and YSO partners' policies, to staff 
practices, and to youth health care seeking and teen pregnancy 
prevention behaviors.
    The best practices to improve adolescent access to reproductive 
health services included in this program are supported by evidence in 
the literature and recommended by major medical associations. Each of 
the components of the current project has been implemented as part of 
past teen pregnancy prevention efforts. Consistent with CDC's mission 
of using evidence to improve public health programs, conducting an 
evaluation of combined best practices, in concert with community-
clinical linkage of youth to services to increase their access to 
reproductive health care, can provide further information to inform 
future teen pregnancy prevention efforts.
    CDC has been collecting the information needed to assess these 
efforts under Performance Monitoring of Working with Publicly Funded 
Health Centers to Reduce Teen Pregnancy among Youth from Vulnerable 
Populations (OMB Control No. 0920-1156, Exp. 1/31/2020). CDC is using 
the information to determine the types of training and technical 
assistance that may be needed to monitor whether awardees meet 
objectives related to health center and YSO partners' policies and 
staff practices, to support a data-driven quality improvement process 
for adolescent sexual and reproductive health care services and 
referrals, and to assess whether the project model was effective in 
increasing the utilization of services by youth.
    A Revision of the currently approved information collection is 
being requested through 9/30/2020 in order to continue data collection 
until the end of the project. Remaining information collection 
activities will include awardees, health center partner organizations, 
and providers at the health center partners; information collection 
during the extension period

[[Page 46735]]

will not include YSOs or youths being served by health centers, as 
significant changes are not expected to be found for YSOs in the final 
year and that the youth survey will not need to be conducted beyond 
late 2019. Participation in the organizational assessment activities is 
required for awardees and partner organizations. Participation in a 
survey of health center providers is voluntary. The total estimated 
burden hours for the extension period are 485 hours.

                                                            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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Private Sector.................................  Health Center Organizational Assessment              21               1               2              42
                                                 Quarterly Health Center Performance                  21               2               4             168
                                                  Reporting Tool.
                                                 Annual Health Center Performance                     21               1               6             126
                                                  Measure Reporting Tool.
                                                 Health Center Provider Survey..........              84               1           20/60              28
                                                 Awardee Training and Technical                        3               8               2              48
                                                  Assistance Tool.
                                                 Awardee Performance Measure Reporting                 3               1               1               3
                                                  Tool.
State and Local Government.....................  Health Center Organizational Assessment               4               1               2               8
                                                 Quarterly Health Center Performance                   4               2               4              32
                                                  Measure Reporting Tool.
                                                 Annual Health Center Performance                      4               1               6              24
                                                  Measure Reporting Tool.
                                                 Health Center Provider Survey..........              16               1           20/60               6
                                                                                         ---------------------------------------------------------------
    Total......................................  .......................................  ..............  ..............  ..............             485
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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. 2019-19083 Filed 9-4-19; 8:45 am]
 BILLING CODE 4163-18-P