[Federal Register Volume 89, Number 79 (Tuesday, April 23, 2024)]
[Notices]
[Pages 30376-30377]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-08593]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-24-0909]


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 ``Diabetes Prevention Recognition Program 
(DPRP)'' 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 12/15/2023 
to obtain comments from the public and affected agencies. CDC received 
19 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 of: 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 the notice of 
publication.

Proposed Project

    CDC Diabetes Prevention Recognition Program (DPRP) (OMB Control No. 
0920-0909, Exp. 04/30/2024)--Revision--National Center for Chronic 
Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease 
Control and Prevention (CDC).

Background and Brief Description

    CDC's Division of Diabetes Translation (DDT) established and 
administers the National DPP's Diabetes Prevention Recognition Program 
(DPRP), which recognizes organizations that deliver a diabetes 
prevention program according to evidence-based requirements set forth 
in the Centers for Disease Control and Prevention's Diabetes Prevention 
Recognition Program Standards and Operating Procedures (DPRP 
Standards). Additionally, the Centers for Medicare & Medicaid Services 
(CMS) Medicare Diabetes Prevention Program (MDPP) expansion of CDC's 
National DPP was announced in early 2016, when the Secretary of Health 
and Human Services (HHS) determined that the Diabetes Prevention 
Program met the statutory criteria for inclusion in Medicare's expanded 
list of health care services for beneficiaries (https://cmmi.my.site.com/mdpp/). This was the first time a preventive service 
model from the CMS Innovation Center was expanded into Medicare. After 
extensive testing of this model in 17 sites across the U.S. in 2014-
2016, CMS proposed the MDPP in sections 1102 and 1871 of the Social 
Security Act (42 U.S.C. 1302 and 1395hh sec. 424.59), authorizing CDC-
recognized organizations to prepare for enrollment as MDPP suppliers 
beginning in January 2018 in order to bill CMS for these services. Only 
organizations in good standing with the CDC DPRP are eligible as MDPP 
suppliers. CDC continues to work with CMS to support the MDPP.
    CDC requests an additional three years of OMB approval to continue 
collecting the information needed to administer the DPRP and provide 
information needed by CMS to support the MDPP benefit. Based on 
experience with the DPRP from 2011-2023, including data analysis and 
feedback from applicant organizations and internal and external 
partners, CDC plans to revise the DPRP Standards and the associated 
information collection.
    Key changes are a direct result of DPRP data analyses, recent 
literature reviews, and discussion with national DPP stakeholders, 
including those serving socially vulnerable populations. Key changes to 
the evaluation data collection instrument allow for the collection of 
participant zip codes (for

[[Page 30377]]

aggregate reporting only; not to be reported for each individual 
participant); an OMB-recommended six-point disability variable (not 
tied to CDC recognition and with a variable option of `Participant 
chose not to respond'); a health equity-related social determinants of 
health (SDOH) variable set (to assess whether there was a social needs 
assessment conducted; key SDOH issues identified; and whether any 
action was taken; not tied to CDC recognition); a Middle Eastern or 
North African write-in option within the current race/ethnicity 
variable; and two new options for the current payersource variable.
    Key changes to the application data collection instrument allow for 
a yes/no drop-down question asking if an organization's zip code is in 
an area of high social vulnerability based on the Social Vulnerability 
Index, which would permit an in-person organization to be fast-tracked 
to Preliminary recognition status to allow the organization to apply to 
CMS to become an MDPP supplier; revisions to the combination delivery 
mode to include an option for in-person delivery with a distance 
learning component; and collection of a projected program start-date.
    During the period of this Revision, CDC estimates receipt of 
approximately 200 DPRP application forms per year from new 
organizations. The estimated burden per one-time application response 
is one hour (annualized to 200 hours). In addition, CDC estimates 
receipt of semi-annual evaluation data submissions from the same 200 
additional organizations per year, estimated at two hours per response. 
The total estimated average annualized evaluation burden for new 
respondents is 2,400 hours. This includes an estimate of the time 
needed to extract and compile the required data records and fields from 
an existing electronic database, review the data, and enter the data 
via the DPRP Data Portal. CDC also has 1,500 currently recognized 
organizations that will continue to submit semi-annual evaluation data. 
These organizations are reflected in Supporting Statement B within this 
OMB revision.
    The estimated burden per response is moderate, since the 
information requested for CDC recognition is routinely collected by 
most organizations that deliver the National DPP lifestyle change 
program for their own internal evaluation and possible insurance 
reimbursement purposes, including the MDPP benefit. Participation in 
the DPRP is voluntary, data are de-identified, no personally 
identifiable information (PII) is collected by CDC, and there are no 
costs to respondents other than their time. CDC is requesting a three-
year approval. The total estimated annualized burden is 7,800 hours.

                                        Estimated Annualized Burden Hours
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                                                                                     Number of      Avg. burden
          Type of respondent                    Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
Public sector organizations that        DPRP Application Form...              80               1               1
 deliver the National DPP lifestyle     DPRP Evaluation Data....             740               2               2
 change program.
Private sector organizations that       DPRP Application Form...             120               1               1
 deliver the National DPP lifestyle     DPRP Evaluation Data....           1,160               2               2
 change program.
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Public Health 
Ethics and Regulations, Office of Science, Centers for Disease Control 
and Prevention.
[FR Doc. 2024-08593 Filed 4-22-24; 8:45 am]
BILLING CODE 4163-18-P