[Federal Register Volume 85, Number 128 (Thursday, July 2, 2020)]
[Notices]
[Pages 39911-39913]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-14332]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-20-20PM; Docket No. CDC-2020-0072]


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 Oral Health Basic Screening 
Survey for Children. The project provides state-specific data on dental 
caries (tooth decay) and dental sealants from a state-representative 
sample of elementary school children or children enrolled in Head Start 
programs and has been used by states to monitor oral health status of 
children and evaluate public health programs and policies.

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

ADDRESSES: You may submit comments, identified by Docket No. CDC-2020-
0072 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

[[Page 39912]]

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

Oral Health Basic Screening Survey for Children--Existing Collection in 
Use Without an OMB Control Number--National Center for Chronic Disease 
Prevention and Health Promotion (NCCDPHP), Centers for Disease Control 
and Prevention (CDC)

Background and Brief Description
    Dental caries (tooth decay) is one of the most common chronic 
diseases among children in the United States and can lead to pain, 
infection, and diminished quality of life throughout the lifespan. 
Dental sealants are a cost-effective measure to prevent caries but 
remain underutilized.
    To address states' critical need for state-level oral health 
surveillance data on dental caries and sealants, the Association of 
State and Territorial Dental Directors (ASTDD) developed and released 
an oral health screening survey protocol referred to as the Basic 
Screening Survey (BSS) in 1999 in collaboration with the Ohio 
Department of Health and with technical assistance from the CDC's 
Division of Oral Health.
    BSS is a non-invasive visual observation of the mouth performed by 
trained screeners including dental and non-dental health professionals 
(e.g., dentists, hygienists, school nurses). The BSS data collection is 
not duplicative of any other federal collection. Though the National 
Health and Nutrition Examination Survey (NHANES) collects national data 
on oral health status including dental caries and sealants based on 
clinical examination, it is not designed to provide state-level data. 
BSS is designed to be easy to perform, while being consistent and 
aligned with the oral health Healthy People objectives, which are based 
on NHANES measures. BSS is the only data source that provides state-
representative data on oral health status based on clinical 
examination. BSS is also used to monitor state progress toward key 
national oral health objectives.
    The BSS is a state-tailored survey administered and conducted by 
individual states. CDC has supported some of the 50 states to build and 
maintain their oral health surveillance system and ASTDD to provide 
technical assistance to states through state and partner cooperative 
agreements since 2001. Conducting BSS for third graders is a key 
component of that support.
    The target populations include school children in grades K-3 and 
children enrolled in Head Start in 50 states and Washington, DC. ASTDD 
and CDC recommend that states conduct BSS at minimum for third graders 
at least once every five years. Individual states determine how often 
to conduct BSS and which grade or grades to target based on their 
program needs and available resources. Forty-seven states have 
conducted BSS for children, and all 47 conducted third grade BSS. 
Thirty-two states also have conducted BSS in one or more other grades 
(K-2) or in Head Start. CDC estimates that approximately 34 states, 
including 20 states currently funded by CDC, will conduct one BSS, at 
least for third grade, during the period for which this approval is 
being sought.
    State health departments administer the survey by determining 
probability samples, arranging logistics with selected schools or Head 
Start sites, gaining consent, obtaining demographic data, training 
screeners, conducting the oral health screening at schools or Head 
Start sites. Screeners record four data points either electronically or 
on a paper form: (1) Presence of treated caries, (2) presence of 
untreated tooth decay, (3) urgency of need for treatment, and (4) 
presence of dental sealants on at least one permanent molar tooth.
    State programs enter, clean and analyze the data; de-identify it; 
and respond to ASTDD's annual email request for state-aggregated 
prevalence of dental caries and sealants. ASTDD reviews the data to 
ensure that both survey design and data meet specific criteria before 
sending it to CDC for publication on the CDC's public-facing Oral 
Health Data website (http://www.cdc.gov/oralhealthdata).
    BSS for children serves as a key state oral health surveillance 
data source and facilitates state capacity to (1) monitor children's 
oral health status, trends, and disparities, and compare with other 
states; (2) inform planning, implementation and evaluation of effective 
oral health programs and policies; (3) measure state progress toward 
Healthy People objectives; and (4) educate the public and policy makers 
regarding cross-cutting public health programs. CDC also uses the data 
to evaluate performance of CDC oral health funding recipients.
    There are no costs to children respondents except their time. The 
estimated total annualized burden hours for the survey across the 34 
states over the three years of this request are 40,207 with an average 
of 1,183 per state.

                                        Estimated Annualized Burden Hours
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                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
      Type of respondents           Form name       respondents    responses per   response  (in    (in hours)
                                                                    respondent        hours)
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Child.........................  Screening form..         150,370               1            5/60          12,531
Parent/caretaker..............  Consent.........         150,370               1            1/60           2,506
Screener......................  Screening form..             301               1          666/60           3,341
School/site...................  Participation              2,890               1           68/60           3,275
                                 form.
State Official................  Data Submission               34               1       32,742/60          18,554
                                 form.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............          40,207
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[[Page 39913]]

Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2020-14332 Filed 7-1-20; 8:45 am]
BILLING CODE 4163-18-P