[Federal Register Volume 85, Number 15 (Thursday, January 23, 2020)]
[Notices]
[Pages 3921-3922]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-01049]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-20-1156]
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 Performance Monitoring of ``Working with
Publicly Funded Health Centers to Reduce Teen Pregnancy among Youth
from Vulnerable Populations'' (OMB# 0920-1156, Exp. 01/31/2020) to the
Office of Management and Budget (OMB) for review and approval. A
revision is requested to reduce burden hours and extend data collection
through the end of the funding period (09/30/2020). CDC previously
published a ``Proposed Data Collection Submitted for Public Comment and
Recommendations'' notice on September 5, 2019 to obtain comments from
the public and affected agencies. CDC received three 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
Performance Monitoring of ``Working with Publicly Funded Health
Centers to Reduce Teen Pregnancy among Youth from Vulnerable
Populations''--Revision--National Center for Chronic Disease Prevention
and Health Promotion (NCCDPHP), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
Although the 2017 U.S. 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
[[Page 3922]]
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 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 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 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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Average
Number of Number of burden per
Type of respondents Form name respondents responses per response (in
respondent hours)
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Private Sector........................ Health Center 21 1 2
Organizational
Assessment.
Quarterly Health Center 21 2 4
Performance Reporting
Tool.
Annual Health Center 21 1 6
Performance Measure
Reporting Tool.
Health Center Provider 84 1 20/60
Survey.
Awardee Training and 3 8 2
Technical Assistance
Tool.
Awardee Performance 3 1 1
Measure Reporting Tool.
State and Local Government............ Health Center 4 1 2
Organizational
Assessment.
Quarterly Health Center 4 2 4
Performance Measure
Reporting Tool.
Annual Health Center 4 1 6
Performance Measure
Reporting Tool.
Health Center Provider 16 1 20/60
Survey.
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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. 2020-01049 Filed 1-22-20; 8:45 am]
BILLING CODE 4163-18-P