[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
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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