[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]
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