[Federal Register Volume 84, Number 246 (Monday, December 23, 2019)]
[Notices]
[Pages 70554-70555]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-27551]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-20-19BDE]


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 ``The Maternal Mortality Review Information 
Application (MMRIA)'' 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 
June 20, 2019 to obtain comments from the public and affected agencies. 
CDC received four 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;
    (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

    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.

[[Page 70555]]

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. The annual burden is estimated to be 
11,550 hours.

                                        Estimated Annualized Burden Hours
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                                                                                     Number of     Average hours
         Types of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
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Awardees..............................  Data abstraction........              25              30              15
                                        Committee decision......              25              30           24/60
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Jeffery M. Zirger,
Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2019-27551 Filed 12-20-19; 8:45 am]
 BILLING CODE 4163-18-P