[Federal Register Volume 87, Number 224 (Tuesday, November 22, 2022)]
[Notices]
[Pages 71329-71330]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-25400]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-23-23AX; Docket No. CDC-2022-0132]


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), within 
the Department of Health and Human Services, 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 information collection, as 
required by the Paperwork Reduction Act of 1995. This notice invites 
comment on a proposed information collection project titled Assessing 
Knowledge, Attitudes, and Practices (KAPs) of Hispanic/Latina Women of 
Reproductive Age about Folic Acid Fortification and Supplementation. 
The data collection will involve focus groups of Hispanic/Latina 
populations to understand knowledge, awareness, and practices about use 
of folic acid and fortified food for neural tube defect (NTD) 
prevention.

DATES: CDC must receive written comments on or before January 23, 2023.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2022-
0132 by either of the following methods:
     Federal eRulemaking Portal: 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 H21-8, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. CDC will post, without change, all relevant comments 
to www.regulations.gov.
    Please note: Submit all comments through the Federal eRulemaking 
portal (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 H21-8, Atlanta, Georgia 30329; Telephone: 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

[[Page 71330]]

proposed collection, each proposed extension of an existing collection 
of information, and each reinstatement of a 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;
    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; and
    5. Assess information collection costs.

Proposed Project

    Assessing Knowledge, Attitudes, and Practices (KAPs) of Hispanic/
Latina Women of Reproductive Age (WRA) about Folic Acid Fortification 
and Supplementation--New--National Center on Birth Defects and 
Developmental Disabilities (NCBDDD), Centers for Disease Control and 
Prevention (CDC).

Background and Brief Description

    A contemporary understanding of cultural factors in the decision-
making process and how certain populations of women obtain information 
is needed for Hispanic/Latina women of reproductive age (WRA) to 
increase their knowledge and intake of folic acid to prevent neural 
tube defects (NTD).
    Previous research highlighted important nuances in potential 
cultural beliefs regarding folic acid. A study of Spanish-speaking, 
Hispanic/Latina women in the southwest United States found no cultural 
barriers to incorporating folic-acid rich foods into their diets; 
however, focus groups of Mexican-American women within the study found 
several cultural barriers. These included: misperception of the term 
folic acid as an illegal substance (as the word ``acid'' is sometimes 
used to describe the drug LSD); the importance of folic acid in 
preventing NTDs since their healthcare providers did not talk to them 
about folic acid; the absence of folic acid in injectable form at the 
pharmacy; and mistaken beliefs that birth defects are not preventable 
(resulting from an act of God). Other studies also present 
contradictory findings suggesting that Spanish-speaking, Mexican-
American women have increased awareness of the association between 
folate and birth defects compared to English-speaking, Mexican-American 
women. Although several studies have examined beliefs and best 
practices for promoting folic acid consumption, more research is needed 
to determine cultural factors in the decision-making process around 
folic acid intake for Hispanic/Latina WRA.
    The objective of this project is to conduct formative research with 
Hispanic/Latina WRA and leadership from key organizations that serve 
Hispanic/Latina populations to understand the following: (1) knowledge 
and awareness about folic acid and fortified food for NTD prevention; 
(2) practices around consumption of fortified foods as well as 
traditional food items that may or may not be fortified and supplement 
use; and (3) appropriate messages and dissemination channels to improve 
folic acid intake from supplements and folic acid fortified foods among 
Hispanic/Latina WRA.
    This information collection will involve focus groups with 
Hispanic/Latina WRA. CDC requests OMB approval for an estimated 63 
annual burden hours. There are no costs to respondents other than their 
time to participate.

                                        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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Hispanic/Latina Women of        Knowledge,                    63               1               1              63
 Reproductive Age (WRA).         Attitudes, and
                                 Practices
                                 (KAPs) of
                                 Hispanic/Latina
                                 WRA: Focus
                                 Group Moderator
                                 Guide.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............              63
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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. 2022-25400 Filed 11-21-22; 8:45 am]
BILLING CODE 4163-18-P