[Federal Register Volume 86, Number 52 (Friday, March 19, 2021)]
[Notices]
[Pages 14919-14921]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-05766]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-21-0743; Docket No. CDC-2021-0024]


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 Assessment and Monitoring of 
Breastfeeding-Related Maternity Care Practices in Intrapartum Care 
Facilities in the United States and Territories. The Maternity 
Practices in Infant Nutrition and Care (mPINC) survey is a census of 
maternity care hospitals in the United States and territories, that CDC 
has administered nearly every two years since 2007 in order to monitor 
and examine changes in breastfeeding-related maternity care over time.

DATES: CDC must receive written comments on or before May 18, 2021.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2021-
0024 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

[[Page 14920]]

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

    Assessment and Monitoring of Breastfeeding-Related Maternity Care 
Practices in Intrapartum Care Facilities in the United States and 
Territories (OMB Control No. 0920-0743, Exp. 10/31/2021)--Revision--
National Center for Chronic Disease Prevention and Health Promotion 
(NCCDPHP), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Substantial evidence demonstrates the social, economic, and health 
benefits of breastfeeding for both the mother and
    infant as well as for society in general. Health professionals 
recommend at least 12 months of breastfeeding, and Healthy People 2030 
establishes specific national breastfeeding goals. In addition to 
increasing overall rates, a significant public health priority in the 
U.S. is to reduce variation in breastfeeding rates across population 
subgroups. Although CDC surveillance data indicate that breastfeeding 
initiation rates in the United States are climbing, rates for duration 
and exclusivity continue to lag, and significant disparities persist 
between Black/African American and White women in breastfeeding rates.
    The health care system is one of the most important and effective 
settings to improve breastfeeding, and the birth hospital stay has a 
crucial influence on later breastfeeding outcomes. Every two years 
between 2007-2015, CDC conducted the national survey of Maternity 
Practices in Infant Nutrition and Care (mPINC survey) in hospitals and 
free-standing birth centers to better understand national 
breastfeeding-supportive maternity practices and changes in these 
practices over time. Breastfeeding supportive maternity care practices 
have changed rapidly in the past few years, and in 2018 CDC redesigned 
the survey items to reflect these practice changes. In 2018 and 2020, 
the revised survey was administered to hospitals that routinely provide 
maternity care. The survey asks hospital maternity staff to report 
information about patient education and support for breastfeeding 
provided to their patients throughout the maternity stay, as well as 
staff training and maternity care policies.
    The 2022 and 2024 mPINC survey methodology will closely match those 
previously administered. As an ongoing national census of hospitals in 
the United States and territories that provide maternity care, it does 
not employ sampling methods. CDC uses the American Hospital Association 
(AHA) Annual Survey of Hospitals to identify potential participating 
hospitals. Hospitals invited to participate in the survey include those 
that participated in previous iterations, those that received an 
invitation but did not participate in the previous iterations, and 
those that have become eligible since the most recent mPINC survey. CDC 
will screen all hospitals with one or more registered maternity beds 
via a brief phone call to assess their eligibility, identify the 
appropriate point of contact, and obtain business contact information 
for the person identified. The response rates for previous iterations 
of the mPINC survey range from 70%-83%. CDC will provide direct 
feedback to participating hospital in an individualized, hospital-
specific report of their results. CDC will also use information from 
the mPINC surveys to identify, document, and share information related 
to changes in practices over time at the hospital, state, and national 
levels. Researchers also use the data to better understand 
relationships between hospital characteristics, maternity-care 
practices, state level factors, and breastfeeding initiation and 
continuation rates. Participation in the survey is voluntary, and 
participants submit responses through a secure Web-based system. There 
are no costs to respondents other than their time. CDC requests OMB 
approval of 805 annual burden hours for three years to conduct the 2022 
and 2024 surveys.

                                        Estimated Annualized Burden Hours
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                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
      Type of respondent            Form name       respondents    responses per   response  (in      (in hr)
                                                                    respondent          hr)
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Maternity Hospital............  Screening Call             2,101               1            1/60              35
                                 Script Part A.
Maternity Hospital............  Screening Call             1,847               1            4/60             123
                                 Script Part B.
Maternity Hospital............  mPINC Hospital             1,293               1           30/60             647
                                 Survey.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............             805
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[[Page 14921]]

Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2021-05766 Filed 3-18-21; 8:45 am]
BILLING CODE 4163-18-P