[Federal Register Volume 89, Number 139 (Friday, July 19, 2024)]
[Notices]
[Pages 58739-58740]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-15968]



[[Page 58739]]

-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-24-24GO; Docket No. CDC-2024-0052]


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.

-----------------------------------------------------------------------

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 information 
collection, as required by the Paperwork Reduction Act of 1995. This 
notice invites comment on a proposed information collection project 
titled Formative Research on Adverse and positive childhood 
experiences, social determinants of health, and health equity among 
young adults in the U.S. This data collection is designed to allow CDC 
to better understand the relationship between childhood experiences and 
health outcomes among young adults from populations that have been 
socially and economically marginalized.

DATES: CDC must receive written comments on or before September 17, 
2024.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2024-
0052 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 
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;
    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

    Formative Research on Adverse and positive childhood experiences, 
social determinants of health, and health equity among young adults in 
the U.S.--New--National Center for Injury Prevention and Control 
(NCIPC), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    CDC requests OMB approval for a new data collection for the study 
titled Formative research on adverse and positive childhood 
experiences, social determinants of health, and health equity among 
young adults in the U.S. This study will help CDC to better understand 
the relationship between adverse childhood experiences (ACEs), positive 
childhood experiences (PCEs), social determinants of health (SDOH), and 
health outcomes among young adults from populations that have been 
socially and economically marginalized. This is a group at high risk 
for experiencing childhood adversity and has been historically 
underrepresented in research studies.
    CDC is seeking approval to conduct a one-time information 
collection effort, with data collection occurring over a 12-month 
period. The study will include 6,000 young adults ages 18-24 living in 
the U.S. Primary data collection, in English and Spanish, via a 
probability-based web panel survey, will obtain new data on 
retrospective assessments of ACEs and other potentially traumatic 
experiences, PCEs, SDOHs, and health and violence outcomes. Sampling 
frameworks will be designed to ensure overrepresentation of some 
populations that are disproportionately impacted by ACEs. as well as 
underrepresented in research and violence prevention programming, 
including individuals with disabilities; individuals from racial and 
ethnic minority groups; and individuals who identify as sexual or 
gender minority.
    This project expands the existing evidence base and addresses 
several gaps in extant data collection systems in the following three 
ways. First, this study expands how ACEs are measured. Traditional ACEs 
research has measured eight to 10 highly interconnected, household-
level childhood stressors. These include sexual abuse, physical abuse, 
emotional abuse, emotional neglect, physical neglect, witnessing 
intimate partner violence, parent separation/divorce, and living in a 
home with exposure to mental illness, substance misuse, and 
incarceration (hereafter referred to as traditional ACEs). However, 
most ACE research does not account for a wide array of other 
potentially traumatic experiences that can exist across all levels of 
the social ecology, including stressors that uniquely impact 
populations that are socially and economically marginalized (e.g., fear 
of deportation; experiences of transphobia; exposure to neighborhood or 
community violence). These potentially traumatic experiences may have 
an additive or multiplicative effect on risk for poor outcomes, or may 
have a greater effect on risk relative to the conventional ACEs 
categories.
    Second, this study will create a diverse sample which is 
statistically powered to answer questions on how to

[[Page 58740]]

prevent ACEs and mitigate the impact of specific and cumulative ACEs 
exposures among communities that have been traditionally socially and 
economically marginalized. Most samples used in prior surveillance and 
research studies do not sufficiently oversample under-represented 
communities to allow for disaggregation of results by sub-group. Thus, 
there is a need for data samples that allow for disaggregated analysis 
and results.
    Third, this study will link individual level data to community-
level variables. While ACEs are individual experiences, they are 
influenced by the contexts in which children and families live. SDOH 
are the conditions in which people are born, grow, live, work, and age 
that are shaped by the distribution of money, power, and resources. 
SDOH contribute to health and social inequities for groups with 
disparities in access to money, power and resources. Many existing ACEs 
datasets involving individual-level respondents cannot be linked to 
community-level variables. This formative study will link survey data 
with publicly available data on structural factors (e.g., minimum wage; 
generosity of unemployment benefits) via zip code or other geographic 
indicators.
    It is estimated that up to 6,000 young adults will complete the 
one-time questionnaire. On average, the web-based surveys are estimated 
to take 30 minutes to complete. These estimates were informed by 
consultations with individuals with lived experiences and individuals 
who participated in cognitive interviews. The study team engaged three 
consultants with lived experience across the three main areas of 
interest (individuals with a disability, individuals who identify as 
sexual and gender minorities, and individuals who identify as racial/
ethnic minorities) to inform the development and administration of the 
instrument. The study team also engaged up to nine individuals, in 
cognitive testing to ensure the relevance, validity, and equitable 
nature of the survey instrument. These cognitive interviews were a key 
component for developing a final draft of the instrument that 
accurately and reliably reflects the experiences and perspectives of a 
diverse range of individuals, families, and communities. Using a 
standard estimated time for question completion, the project team 
calculated the burden by averaging the time to complete the minimum and 
maximum number of survey items a respondent could be asked based on 
varying skip patterns. The estimated annualized burden is 3,985 hours. 
There is no cost to respondents other than their time to participate.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of       Number of      burden per     Total annual
      Type of respondent            Form name       respondents    responses per   response  (in    burden  (in
                                                                    respondent        hours)          hours)
----------------------------------------------------------------------------------------------------------------
18-24-year-old Survey           Recruitment                5,908               1            5/60             493
 Respondents.                    Email.
                                Follow up                  5,907               1            5/60             492
                                 Recruitment
                                 Email--Non-
                                 panel.
                                Web Survey--               5,700               1           30/60           2,850
                                 English.
                                Web Survey--                 300               1           30/60             150
                                 Spanish.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           3,985
----------------------------------------------------------------------------------------------------------------


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. 2024-15968 Filed 7-18-24; 8:45 am]
BILLING CODE 4163-18-P