[Federal Register Volume 88, Number 28 (Friday, February 10, 2023)]
[Notices]
[Pages 8864-8865]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-02951]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-23-22GR]


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 ``CDC's Milestone Tracker App User Surveys'' 
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 July 12, 2022 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.

[[Page 8865]]

    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

    CDC's Milestone Tracker App User Surveys--New--National Center on 
Birth Defects and Developmental Disabilities (NCBDDD), Centers for 
Disease Control and Prevention (CDC).

Background and Brief Description

    CDC's Learn the Signs. Act Early. (LTSAE) program promotes family-
engaged developmental monitoring of children and aims to improve early 
identification of autism and other developmental disabilities so that 
children and families receive the services and support they need. LTSAE 
encourages families and early childhood providers/professionals (e.g., 
doctors, therapists, childcare, etc.) to learn the signs of healthy 
development, monitor every child's early development, and act when 
there is a concern.
    The Milestone Tracker application (app) serves as a developmental 
monitoring, health education, and communication tool that facilitates 
developmental monitoring with interactive, illustrated, age-specific 
developmental milestone checklists for children ages two months--five 
years. The mobile app is available in both English and Spanish on 
Android and iPhone devices. The app provides families and early 
childhood providers/professionals with checklists, summaries of a 
child's development, activities to support development, tips if there 
are concerns, and appointment reminders.
    The Milestone Tracker app was first deployed in 2017 and as of 
October 2022 had been downloaded over 1.5 million times. However, no 
information has been collected on users' experience with the app or 
actions taken after interaction with the app. The goal of this project 
is to evaluate CDC's Milestone Tracker mobile app by assessing user 
satisfaction, usage patterns, and actions taken after a missed 
developmental milestone or developmental concern is identified. The 
evaluation will consist of three brief web surveys at three distinct 
times during the app user experience.
    First, all parents (or guardians) who download the app will be 
asked to complete the Milestone Tracker App Parent Survey 1. This 
survey requests information about whether a child has missed a 
developmental milestone, whether the parent has shared information 
about a child's developmental milestones with anyone, the parent's 
overall perceptions of the app, and how the parent plans to use the 
app. The estimated number of respondents is 200,000 per year and the 
estimated burden per response is five minutes. If a parent indicates 
that their child has missed a developmental milestone or has a 
developmental concern, the parent will be invited to complete the 
Milestone Tracker App Parent Survey 2. Because parents who download the 
app are more likely to have concerns about a child's development than 
parents in the general U.S. population, for purposes of burden 
calculation CDC is also estimating up to 200,000 responses per year to 
Parent Survey 2. The second survey requests information about actual 
usage of the app and outcomes of sharing information about the child's 
developmental milestones (e.g., referral to diagnostic testing or 
educational support services). The estimated burden per response is 
five minutes.
    The third survey is for providers that use the app, e.g., health 
care providers or specialists in early childhood education. Information 
will be collected about how they use the app and their satisfaction 
with it. The estimated number of annualized responses is 100,000 and 
the estimated burden per response is five minutes.
    The objectives of these three short surveys are to understand how 
the app is being used, if users like the app/find it helpful, if the 
app helped them to identify a possible developmental concern, if they 
plan to use it again, and what actions are taken after a missed 
developmental milestone or developmental concern is identified (e.g., 
talk to doctor, talk to family/friends, referral to specialist, etc.).
    OMB approval is requested for three years. Participation is 
voluntary and there are no costs to respondents other than their time. 
The total estimated annualized burden is 41,667 hours.

                                        Estimated Annualized Burden Hours
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                                                                                                      Average
                                                                     Number of        Number        burden per
          Type of respondents                   Form name           respondents    responses per   response  (in
                                                                                    respondent        hours)
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All parents using the Milestone         Milestone Tracker App            200,000               1            5/60
 tracker app.                            Parent Survey 1.
Parents using the Milestone Tracker     Milestone Tracker App            200,000               1            5/60
 App who have missed a milestone or      Parent Survey 2.
 identified a developmental concern.
Providers who use the Milestone         Provider Survey.........         100,000               1            5/60
 Tracker App.
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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. 2023-02951 Filed 2-9-23; 8:45 am]
BILLING CODE 4163-18-P