[Federal Register Volume 86, Number 199 (Tuesday, October 19, 2021)]
[Notices]
[Pages 57833-57834]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-22698]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-22-0743]


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 Assessment and Monitoring of Breastfeeding-
Related Maternity Care Practices in Intrapartum Care Facilities in the 
United States and Territories 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 March 19, 2021 to obtain comments from the public and 
affected agencies. CDC received two 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

    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

[[Page 57834]]

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 hospitals 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 the 
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 for an 
estimated 805 annual burden hours for three years to conduct the 2022 
and 2024 surveys.

                                        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)
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Maternity Hospital....................  Screening Call Script              2,101               1            1/60
                                         Part A.
Maternity Hospital....................  Screening Call Script              1,847               1            4/60
                                         Part B.
Maternity Hospital....................  mPINC Hospital Survey...           1,293               1           30/60
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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. 2021-22698 Filed 10-18-21; 8:45 am]
BILLING CODE 4163-18-P