[Federal Register Volume 86, Number 17 (Thursday, January 28, 2021)]
[Notices]
[Pages 7396-7397]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-01916]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-21-1129]


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 Improving Fetal Alcohol Spectrum Disorders 
Prevention and Practice through National Partnerships to the Office of 
Management and Budget (OMB) for review and approval. CDC previously 
published a ``Proposed Data Collection Submitted for Public Comment and 
Recommendations'' notice on October 13, 2020 to obtain comments from 
the public and affected agencies. CDC did not receive 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. Comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. 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

    Improving Fetal Alcohol Spectrum Disorders Prevention and Practice 
through National Partnerships (OMB Control No. 0920-1129, Exp. 8/31/
2019)--Reinstatement with Change--National Centrer 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 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.

[[Page 7397]]

The term ``fetal alcohol spectrum disorders'' 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 the grantees' work will be national, regional approaches will 
be used to develop new content and ``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.

                                        Estimated Annualized Burden Hours
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                                                                                     Number of    Average burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
Health Professionals..................  Health Professionals               4,013               1            9/60
                                         Survey.
FASD Core Training Participants.......  FASD Core Training                 4,013               1            9/60
                                         Survey--Pre-Test.
FASD Core Training Participants.......  FASD Core Training                 4,013               1            5/60
                                         Survey--Post-Test.
Nurses................................  Health Professionals                 667               1            9/60
                                         Survey (Nursing).
Nurses................................  Key Informant Interviews              14               2           45/60
                                         with Champions.
Certified Medical Assistants and        Medical Assistant--Pre-              334               1           10/60
 students.                               Test Survey.
Certified Medical Assistants and        Medical Assistant--Post-             334               1           10/60
 students.                               Test Survey.
Certified Medical Assistants and        Medical Assistants                   250               1           15/60
 students.                               Change in Practice
                                         Survey.
Pediatricians.........................  Pre-Test Screening,                  120               1           10/60
                                         Assessment, and
                                         Diagnosis.
Pediatricians.........................  Post-Test Screening,                 120               1           10/60
                                         Assessment, and
                                         Diagnosis.
Pediatricians.........................  Pre-Test ND-PAE.........             120               1           10/60
Pediatricians.........................  Post-Test ND-PAE........             120               1           10/60
Pediatricians.........................  Pre-Test Treatment                   120               1            7/60
                                         Across the Lifespan.
Pediatricians.........................  Post-Test Treatment                  120               1            7/60
                                         Across the Lifespan.
Family medicine physicians, social      Social Work and Family             1,167               1            8/60
 workers, social work students.          Physicians Pre-training
                                         Survey.
Family medicine physicians, social      Social Work and Family             1,167               1            8/60
 workers, social work students.          Physicians 6-Month
                                         Follow Up Survey.
Health Systems Professionals..........  TCU Organizational                   246               2           10/60
                                         Readiness Survey.
----------------------------------------------------------------------------------------------------------------


Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2021-01916 Filed 1-27-21; 8:45 am]
BILLING CODE 4163-18-P