[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
----------------------------------------------------------------------------------------------------------------
                                                                                                      Average
                                                                     Number of       Number of      burden per
          Type of respondents                   Form name           respondents    responses per   response  (in
                                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
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.
----------------------------------------------------------------------------------------------------------------


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