[Federal Register Volume 84, Number 220 (Thursday, November 14, 2019)]
[Notices]
[Pages 61908-61909]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-24727]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-20-19ACI]


Agency Forms Undergoing Paperwork Reduction Act Review

    In accordance with the Paperwork Reduction Act of 1995, the Centers 
for Disease Control and Prevention (CDC) has submitted the information 
collection request titled Sealant Efficiency Assessment for Locals and 
States (SEALS) to the Office of Management and Budget (OMB) for review 
and approval. CDC previously published a ``Proposed Data Collection 
Submitted for Public Comment and Recommendations'' notice on April 8, 
2019 to obtain comments from the public and affected agencies. CDC did 
not receive comments related to the previous notice. This notice serves 
to allow an additional 30 days for public and affected agency comments.
    CDC will accept all comments for this proposed information 
collection project. The Office of Management and Budget is particularly 
interested in comments that:
    (a) 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;

[[Page 61909]]

    (b) Evaluate the accuracy of the agencies estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    (c) Enhance the quality, utility, and clarity of the information to 
be collected;
    (d) 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 submission of responses; and
    (e) Assess information collection costs.
    To request additional information on the proposed project or to 
obtain a copy of the information collection plan and instruments, call 
(404) 639-7570 or send an email to [email protected]. Direct written comments 
and/or suggestions regarding the items contained in this notice to the 
Attention: CDC Desk Officer, Office of Management and Budget, 725 17th 
Street NW, Washington, DC 20503 or by fax to (202) 395-5806. Provide 
written comments within 30 days of notice publication.

Proposed Project

    Sealant Efficiency Assessment for Locals and States (SEALS)--
Existing Collection in use without an OMB Control Number--National 
Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), 
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 nine 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
                                                                    respondents     respondent      (in hours)
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State Sealant Administrator...........  Add Program and Add User              18               1           45/60
SSP Local Administrator...............  Add User and Add School.             162               1           43/60
                                        Program Options and Cost             162               1           46/60
                                         Options.
                                        Add Event...............             162              20           21/60
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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. 2019-24727 Filed 11-13-19; 8:45 am]
BILLING CODE 4163-18-P