Appx B_60d FRN_0743

Appx B_60d FRN_0743.pdf

Assessment & Monitoring of Breastfeeding-Related Maternity Care Practices in Intrapartum Care Facilities in the United States and Territories

Appx B_60d FRN_0743

OMB: 0920-0743

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25862

Federal Register / Vol. 75, No. 89 / Monday, May 10, 2010 / Notices

hypertension, Type 2 diabetes, stroke,
coronary heart disease, and
osteoarthritis. Beyond the human costs,
economic costs are extreme and are
climbing. One estimate is that medical
expenses related to this epidemic
accounted for 9.1% of total U.S. medical
expenditures in 1998, and the U.S.
Surgeon General has estimated that
direct and indirect costs related to
obesity totaled $117 billion in 2000.
Healthy People 2010 established goals
for obesity reduction, which included
targets of weight reduction of 15% for
adults and 5% for children and youth.
Targeting communities at risk of
overweight and obesity is an essential
step toward realizing the goal of
reversing current trends in obesity.
Community-based programs to reduce
risk of heart disease provide some
models; however, outcomes vary and
are affected by several confounding
conditions. A report on prevention of
childhood obesity, prepared by the
Institute of Medicine in 2007,
concluded that there are insufficient
studies to generate recommendations for
best practices in obesity prevention.
Instead, the report compiles promising
practices, including those set in
communities.

Information will also be collected
through an on-line questionnaire
administered on two occasions. The
questionnaire is designed to measure
the relative importance of various
proposals for policy and environmental
change, and whether change has
occurred in perceptions of roles and
responsibilities for obesity prevention.
The questionnaire will be administered
to the 250 discussion group participants
before the initial discussion group
meeting (‘‘pre-test’’), and again after all
four discussion groups have been
completed (‘‘post-test’’).
Finally, the on-line questionnaire will
be administered to a comparison group
of 700 respondents. The comparison
group will complete the questionnaire
on two occasions; however, this group
will not participate in the on-line
discussions or review the briefing
materials.
The information collection will be
used to identify key issues for
community obesity prevention
programs, to refine promising obesity
prevention practices for targeted
communities, and to facilitate the
dissemination of promising practices for
obesity prevention. There are no costs to
respondents other than their time.

CDC plans to apply methodology
recommended by the CDC Task Force
on Community Preventive Services to
improve the translation and
dissemination of promising practices
into community-based obesity
prevention programs. Information
necessary to this purpose will be
collected from the general public by a
contractor. Information will be collected
concerning respondents’ knowledge,
attitudes, and beliefs about obesity and
physical activity; the need for
community leaders to encourage
healthier diets and more physical
activity; and opportunities for
leveraging current community efforts.
Two hundred fifty respondents will
be recruited to participate in four online, small-group discussions over a
period of about one month. The
discussions will utilize Voice over
Internet Protocol technology and will be
facilitated by a moderator. Each
discussion will last one hour. In
preparation for the initial discussion,
respondents will receive a confirmation
e-mail and will be asked to review a
guide to on-line discussion groups. In
addition, discussion group participants
will be asked to review a set of briefing
materials prior to the first on-line group
meeting.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Total burden
(in hours)

Form name

General Public ..................................

Discussion
Group
Moderator’s
Guide.
Confirmation e-mail with Guide to
On-Line Discussions.
Briefing Materials .............................
On-Line Questionnaire .....................

250

4

1

1,000

250

1

10/60

42

250
950

1
2

10/60
30/60

42
950

...........................................................

........................

........................

........................

2,034

Total ...........................................

Date: May 4, 2010.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. 2010–11060 Filed 5–7–10; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60 Day–10–0743]

Proposed Data Collections Submitted
for Public Comment and
Recommendations
jlentini on DSKJ8SOYB1PROD with NOTICES

Average
burden per
response
(in hours)

Number of
responses per
respondent

Type of respondents

In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To

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request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–5960 or send
comments to Maryam I. Daneshvar, CDC
Acting Reports Clearance Officer, 1600
Clifton Road, MS D–74, Atlanta, GA
30333 or send an e-mail to
[email protected].
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and
clarity of the information to be

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Federal Register / Vol. 75, No. 89 / Monday, May 10, 2010 / Notices
collected; and (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology. Written comments should
be received within 60 days of this
notice.
Proposed Project
Assessment and Monitoring of
Breastfeeding-Related Maternity Care
Practices in Intra-partum Care Facilities
in the United States and Territories
(OMB Control No. 0920–0743, Exp.
10/31/2010)—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
health benefits of breastfeeding.
Breastfeeding mothers have lower risks
of breast and ovarian cancers and type
2 diabetes, and breastfeeding better
protects infants against infections,
chronic diseases like diabetes and
obesity, and even childhood leukemia
and sudden infant death syndrome
(SIDS). However, the groups that are at
higher risk for diabetes, obesity, and
poor health overall persistently have the
lowest breastfeeding rates.
Health professionals recommend at
least 12 months of breastfeeding, and
Healthy People 2010 establishes specific
national breastfeeding goals. In addition

Association of Birth Centers (AABC)
and the American Hospital Association
(AHA) Annual Survey of Hospitals. In
addition to all facilities that participated
in 2007 or 2009, the 2011 survey will
include those that were invited but did
not participate in 2007 or 2009 and any
that are new since then. All birth
centers and hospitals with ≥1 registered
maternity bed will be screened via a
brief phone call to assess their
eligibility, identify additional locations,
and identify the appropriate point of
contact. The extremely high response
rates to the 2007 mPINC survey of 82
percent and 81 percent to the 2009
iteration indicate that the methodology
is appropriate and also reflects
unusually high interest among the study
population.
As with the initial surveys, a major
goal of the 2011 follow-up survey is to
be fully responsive to their needs for
information and technical assistance.
CDC will provide direct feedback to
respondents in a customized benchmark
report of their results and identify and
document progress since 2007 on their
quality improvement efforts. National
and state reports will use de-identified
data to describe incremental changes in
practices and care processes over time at
the facility, state, and national levels.
Participation in the survey is
voluntary, and responses may be
submitted by mail or through a Webbased system. There are no costs to
respondents other than their time.

to increasing overall rates, a significant
public health priority in the U.S. is to
reduce variation in breastfeeding rates
across population subgroups. For
example, in 2005, nearly three-quarters
of white mothers started breastfeeding,
but only about half of black mothers did
so.
The health care system is one of the
most important and effective settings to
improve breastfeeding. In 2007, CDC
conducted the first national survey of
Maternity Practices in Infant Nutrition
and Care (known as the mPINC Survey)
in health care facilities (hospitals and
free-standing childbirth centers). This
survey was designed to provide baseline
information and to be repeated every
two years. The survey was conducted
again in 2009. The survey inquired
about patient education and support for
breastfeeding throughout the maternity
stay as well as staff training and
maternity care policies.
Prior to the fielding of the 2009
iteration, CDC was requested to provide
a report to OMB on the results of the
2007 collection. In this report, CDC
provided survey results by geographic
and demographic characteristics and a
summary of activities that resulted from
the survey.
Because the 2011 mPINC survey
repeats the prior iterations (2007 and
2009), the methodology, content, and
administration of it will match those
used before. The census design does not
employ sampling methods. Facilities are
identified by using the American

ESTIMATED ANNUALIZED BURDEN HOURS
Average burden per response
(in hours)

Number of
responses per
respondent

Total burden
(in hours)

Form name

AHA and AABC Facilities with either ≥1 birth or
≥1 registered maternity bed.

Screening call ...............

4,089

1

5/60

341

2011 mPINC .................

3,281

1

30/60

1,641

.......................................

........................

........................

........................

1,982

Total ...............................................................

Dated: May 4, 2010.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. 2010–11056 Filed 5–7–10; 8:45 am]
BILLING CODE 4163–18–P

jlentini on DSKJ8SOYB1PROD with NOTICES

Number of
respondents

Type of respondents

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Proposed Collection; Comment
Request; The Framingham Heart Study
(FHS)
SUMMARY: In compliance with the
requirement of section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995,
for opportunity for public comment on
proposed data collection projects, the
National Heart, Lung, and Blood
Institute (NHLBI), the National

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Institutes of Health (NIH) will publish
periodic summaries of proposed
projects to be submitted to the Office of
Management and Budget (OMB) for
review and approval.
Proposed Collection: Title: The
Framingham Heart Study. Type of
Information Request: Revision (OMB
No. 0925–0216). Need and Use of
Information Collection: The
Framingham Heart Study will conduct
examinations and morbidity and
mortality follow-up for the purpose of
studying the determinants of
cardiovascular disease. Examinations
will be conducted on the original,

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File Typeapplication/pdf
File TitleDocument
SubjectExtracted Pages
AuthorU.S. Government Printing Office
File Modified2010-05-07
File Created2010-05-07

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