[Federal Register Volume 85, Number 128 (Thursday, July 2, 2020)]
[Notices]
[Pages 39910-39911]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-14331]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-20-20PJ; Docket No. CDC-2020-0073]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part 
of its continuing effort to reduce public burden and maximize the 
utility of government information, invites the general public and other 
Federal agencies the opportunity to comment on a proposed and/or 
continuing information collection, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on a proposed 
information collection project titled ``Formative Research on 
Community-Level Factors that Promote the Primary Prevention of Adverse 
Childhood Experiences (ACEs) and Opioid Misuse Among Children, Youth, 
and Families in Tribal American Indian and Alaska Native (AI/AN) 
Communities.'' The proposed collection is designed to conduct formative 
qualitative studies to identify community-level protective factors and 
primary prevention strategies across a range of Tribal communities to 
prevent adverse childhood experiences (ACEs) and opioid misuse.

DATES: CDC must receive written comments on or before August 31, 2020.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2020-
0073 by any of the following methods:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments.
     Mail: Jeffrey M. Zirger, Information Collection Review 
Office, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE, MS-D74, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. CDC will post, without change, all relevant comments 
to http://www.regulations.gov.

    Please note: Submit all comments through the Federal eRulemaking 
portal (http://www.regulations.gov) or by U.S. mail to the address 
listed above.


FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact Jeffrey M. Zirger, Information Collection 
Review Office, Centers for Disease Control and Prevention, 1600 Clifton 
Road NE, MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: 
[email protected].

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. 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;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected; and
    4. 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 
submissions of responses.
    5. Assess information collection costs.

Proposed Project

Formative Research on Community-Level Factors That Promote the Primary 
Prevention of Adverse Childhood Experiences (ACEs) and Opioid Misuse 
Among Children, Youth, and Families in Tribal American Indian and 
Alaska Native (AI/AN) Communities--New--National Center for Injury 
Prevention and Control (NCIPC), Centers for Disease Control and 
Prevention (CDC)

Background and Brief Description
    Adverse childhood experiences (ACEs) are preventable, potentially 
traumatic events that occur in childhood (0-17 years) such as 
experiencing violence, abuse, or neglect; witnessing violence in the 
home; and having a family member attempt or die by suicide. There is a 
robust evidence base linking ACEs to a variety of poor health outcomes 
across the life span, including depression, alcohol and substance use 
disorder, and violence perpetration and victimization. The ongoing 
opioid epidemic is a complex and significant public health crisis that 
exposes children to opioid misuse, violence, and other ACEs, and 
challenges the ability of Health and Human Service (HHS) systems to 
mitigate the effects of opioid misuse and ACEs on children and families 
across the U.S. American Indian/Alaska Native (AI/AN) populations 
experience a disproportionate burden of opioid misuse and ACEs, and 
ACE-related

[[Page 39911]]

health outcomes, including opioid overdose, sexual assault, and suicide 
attempts. The nature and consequences of ACEs in Tribal communities is 
unique because of historical trauma and stark socioeconomic 
disparities. In addition, there are gaps in the provision of adequate 
healthcare.
    This collection addresses critical research gaps and extends 
efforts to prevent violence and other ACEs before they occur and to 
build evidence of effectiveness of community-level strategies and 
approaches at the outer levels of the social ecology to Tribal 
communities. Results from this data collection will be communicated to 
relevant public health officials and community stakeholders in the 
study locations. These local public health officials and community 
stakeholders will use the study results to guide strategies to further 
strengthen their local prevention efforts within their regions.
    Data collection methods used in this study include well-established 
qualitative methods, including in-depth open-ended individual 
interviews and focus groups. Quantitative methods include brief 
structured surveys. There will be a total of six Tribal communities 
(three urban and three rural) in regions identified with higher opioid 
overdose mortality rates relatively to other areas in Indian Country. 
Due to COVID-19, at the time of the focus groups/interviews, social 
distancing and public health safety measures will be implemented, 
including considerations for phone/virtual meetings instead of in-
person sessions.
    The total estimated annualized burden hours are 918. There are no 
costs to respondents other than their time.


                                        Estimated Annualized Burden Hours
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                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
     Type of  respondents        Data collection    respondents    responses per   response  (in    (in hours)
                                                                    respondent        hours)
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Adults 18 years or older        Information                  336               1            5/60              28
 affected by the opioid          Letter.                     336               1           20/60             112
 epidemic living in Tribal      Telephone                    252               1            3/60              13
 urban and rural communities.    screening.
                                Confirmation
                                 email/letter.
                                Reminder email..             252               1            2/60               9
                                Informed Consent             252               1           15/60              63
                                Survey..........             252               1           45/60             189
                                Focus group/                 252               1               2             504
                                 interview.
                                                 ---------------------------------------------------------------
        Total.................  ................  ..............  ..............  ..............             918
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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. 2020-14331 Filed 7-1-20; 8:45 am]
BILLING CODE 4163-20-P