[Federal Register Volume 85, Number 198 (Tuesday, October 13, 2020)]
[Notices]
[Pages 64469-64470]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-22492]



[[Page 64469]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-21-1129; Docket No. CDC-2020-0103]


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 Improving Fetal Alcohol Spectrum 
Disorders Prevention and Practice through National Partnerships. The 
purpose of this information collection is to assess and address the 
knowledge, attitude, skills and practice behaviors of healthcare 
professionals to prevent, identify, and treat fetal alcohol spectrum 
disorders (FASDs).

DATES: CDC must receive written comments on or before December 14, 
2020.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2020-
0103 by any of the following methods:
     Federal eRulemaking Portal: 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 Regulations.gov.
    Please note: Submit all comments through the Federal eRulemaking 
portal (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: 404-639-7118; 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

    Improving Fetal Alcohol Spectrum Disorders Prevention and Practice 
through National Partnerships (OMB Control No. 0920-1129, Exp. 8/31/
2019)--Reinstatement with Change--National Center for Birth Defects and 
Developmental Disabilities (NCBDDD), Centers for Disease Control and 
Prevention (CDC).

Background and Brief Description

    The National Center on Birth Defects and Developmental Disabilities 
(NCBDDD) seeks to collect training and evaluation data from healthcare 
practitioners and staff in health systems where FASD-related practice 
and systems changes are implemented, and from grantees of national 
partner organizations related to prevention, identification, and 
treatment of fetal alcohol spectrum disorders (FASDs).
    Prenatal exposure to alcohol is a leading preventable cause of 
birth defects and developmental disabilities. The term fetal alcohol 
spectrum disorders (FASD) describes the full continuum of effects that 
can occur in an individual exposed to alcohol in utero. These effects 
include physical, mental, behavioral, and learning disabilities. All of 
these have lifelong implications. The purpose of this program is to 
build upon previous efforts from FASD training programs and shift the 
perspective from individual training for practicing healthcare 
professionals to one that capitalizes on prevention opportunities and 
the ability to impact health care practice at the systems level.
    Since 2002, CDC funded FASD Regional Training Centers (RTCs) to 
provide education and training to healthcare professionals and students 
about FASD prevention, identification, and treatment. In July 2013, CDC 
convened an expert review panel to evaluate the effectiveness of the 
RTC program overall and to make recommendations about the program. The 
panel highlighted several accomplishments of the RTCs and proposed 
several changes for future programming: (1) The panel identified a need 
for more comprehensive coverage nationally with discipline-specific 
trainings, increased use of technology, greater collaboration with 
medical societies, and stronger linkages with national partner 
organizations to increase the reach of training opportunities, and (2) 
The panel suggested that the training centers focus on demonstrable 
practice change and sustainability and place a stronger emphasis on 
primary prevention of FASDs. In addition, it was recommended that 
future initiatives have stronger evaluation components.
    Based on the recommendations of the expert review panel, CDC is 
placing increased focus on prevention, demonstrating practice change, 
achieving national coverage, and strengthening partnerships between 
medical societies and national partner organizations. While a major 
focus of

[[Page 64470]]

the grantees' work will be national, regional approaches will be used 
to develop new content and to test out feasibility and acceptability of 
materials, especially among healthcare providers and medical societies.
    CDC requests OMB approval to collect program evaluation information 
from; (1) healthcare practitioners from disciplines targeted by each 
grantee, including training participants, and (2) health system staff.
    Healthcare practitioners will complete surveys to provide 
information on whether project trainings impacted their knowledge and 
practice behavior regarding FASD
    identification, prevention, and treatment. The information will be 
used to improve future trainings and assess whether knowledge and 
practice changes occurred. Some participants will also complete 
qualitative key informant interviews to gain additional information on 
practice change. Health system employees will be interviewed or 
complete surveys as part of activities to assess readiness of 
healthcare systems to implement recommended practice changes.
    It is estimated that 16,938 respondents will participate in the 
evaluation each year, for a total estimated burden of 2,338 hours 
annually. There are no costs to respondents other than their time.

                                        Estimated Annualized Burden Hours
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                                                                                      Average
                                                     Number of        Number        burden per     Total burden
      Type of respondents           Form name       respondents   responses  per   response  (in       hours
                                                                     respondent       hours)
----------------------------------------------------------------------------------------------------------------
Health Professionals..........  Health                      4013               1            9/60             602
                                 Professionals
                                 Survey.
FASD Core Training              FASD Core                   4013               1            9/60             602
 Participants.                   Training
                                 Survey--Pre-
                                 Test.
FASD Core Training              FASD Core                   4013               1            5/60             335
 Participants.                   Training
                                 Survey--Post-
                                 Test.
Nurses........................  Health                       667               1            9/60             101
                                 Professionals
                                 Survey
                                 (Nursing).
Nurses........................  Key Informant                 14               2           45/60              21
                                 Interviews with
                                 Champions.
Certified Medical Assistants    Medical                      334               1           10/60              56
 and students.                   Assistant--Pre-
                                 Test Survey.
Certified Medical Assistants    Medical                      334               1           10/60              56
 and students.                   Assistant--Post-
                                 Test Survey.
Certified Medical Assistants    Medical                      250               1           15/60              63
 and students.                   Assistants
                                 Change in
                                 Practice Survey.
Pediatricians.................  Pre-Test                     120               1           10/60              20
                                 Screening,
                                 Assessment, and
                                 Diagnosis.
Pediatricians.................  Post-Test                    120               1           10/60              20
                                 Screening,
                                 Assessment, and
                                 Diagnosis.
Pediatricians.................  Pre-Test ND-PAE.             120               1           10/60              20
Pediatricians.................  Post-Test ND-PAE             120               1           10/60              20
Pediatricians.................  Pre-Test                     120               1            7/60              14
                                 Treatment
                                 Across the
                                 Lifespan.
Pediatricians.................  Post-Test                    120               1            7/60              14
                                 Treatment
                                 Across the
                                 Lifespan.
Family medicine physicians,     Social Work and             1167               1            8/60             156
 social workers, social work     Family
 students.                       Physicians Pre-
                                 training Survey.
Family medicine physicians,     Social Work and             1167               1            8/60             156
 social workers, social work     Family
 students.                       Physicians 6-
                                 Month Follow Up
                                 Survey.
Health Systems Professionals..  TCU                          246               2           10/60              82
                                 Organizational
                                 Readiness
                                 Survey.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           2,338
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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. 2020-22492 Filed 10-9-20; 8:45 am]
BILLING CODE 4163-18-P