Justification for Change

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

(OMB no. 0920-0743, approved 12/05/2010, exp. date 12/31/2011)

Justification for Non-Substantive Change

May 27, 2011

Summary

Information collection for Assessment & Monitoring of Breastfeeding-Related Maternity Care Practices in Intrapartum Care Facilities in the United States and Territories consists of:

(1) a telephone screening interview to verify facility eligibility, and

(2) a survey administered to all facilities identified through the telephone screening call as eligible to provide information on behalf of their facility.

We request OMB approval of revisions in text provided in the interior cover of the survey instrument (Appendices H-1 and H-2 of the Information Collection Request) as follows:

• Update name to reflect change in contractor staff personnel.

• Add one sentence to clarify how information will be used.

Effect of Proposed Changes on Burden Estimate

None.

Justification for Revised Consent Language

We seek OMB approval of update to the name of the person to call if the respondent has questions about how to complete the survey. The currently approved language is as follows:

Jennifer Cohen, Ph.D., MPH.

This person no longer serves as the Task Leader at Battelle. We propose the following substitution:

Jaime Liesmann, M.S., R.D.

We also seek OMB approval to add a sentence to clarify how information will be used. Currently, the paragraph describing how information will be used is as follows:

Your responses will be treated in a secure manner and will not be disclosed unless required by law. Your name, facility name, and any other personal identifiers will not be included in either oral or written presentation of study results. Responses will be reported only in summary form so individual responses cannot be identified. Data may be released for additional approved research purposes. Your participation in the study is completely voluntary. Data collection will be managed by Battelle, Centers for Public Health Research and Evaluation, a national survey and research organization with extensive experience in collection of health data.

While providing technical assistance and support to partners in state health departments that are developing public health programs to improve the practices measured in the information collection survey, CDC has received questions and heard concerns from states/territories regarding the interpretation of the term “research” within their agencies, and interpretations of “research” as not including activities such as program evaluation and improvement has impaired their ability to carry out important and appropriate efforts to improve maternity care in their states and to work effectively with partners. Although the current language is accurate, it may not provide adequate assurance to partners that their uses of these survey data are appropriate and valid. This appears to be serving as an inadvertent barrier to respondents’ and partners’ appropriate use of their own data.

The purpose of the revised consent language is to respond to these questions and concerns, provide further clarification about the appropriate nature of use of the data, and provide reassurance to respondents and partners about the permissions they are afforded. As such, we propose the following highlighted addition to the currently approved language:

Your responses will be treated in a secure manner and will not be disclosed unless required by law. Your name, facility name, and any other personal identifiers will not be included in either oral or written presentation of study results. Responses will be reported only in summary form so individual responses cannot be identified. Data may be released for additional approved research purposes and may be shared with state health departments for the development of public health programs. Your participation in the study is completely voluntary. Data collection will be managed by Battelle, Centers for Public Health Research and Evaluation, a national survey and research organization with extensive experience in collection of health data.

Effect of Proposed Changes on Currently Approved Instruments and Attachments

Title of IC: 2011 mPINC Survey for Hospitals

Relevant Attachments: See Attachment H-1, “2011 mPINC Survey for Hospitals.docx” approved by OMB 12-05-2010

Replace with new Attachment H-1, “2011 mPINC Survey for Hospitals REVISED 5 27 2011.docx”

Title of IC: 2011 mPINC Survey for Birth Centers

Relevant Attachments: See Attachment H-2, “2011 mPINC Survey for Birth Centers.docx” approved by OMB 12-05-2010

Replace with new Attachment H-2, “2011 mPINC Survey for Birth Centers REVISED 5 27 2011.docx”

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