Att B - 60 day FRN

60DAY_FASD_RTC.pdf

Fetal Alcohol Spectrum Disorders Regional Training Centers

Att B - 60 day FRN

OMB: 0920-0954

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27067

Federal Register / Vol. 77, No. 89 / Tuesday, May 8, 2012 / Notices
consistency in operationally defining
AAT and its implementation, and the
poor to absent research methodology.
The present research study will focus
on the following questions.
1. Among assistance dog providers
sampled in the U.S., how many provide
services to Veterans?
2. Among assistance dog providers
that provide services to Veterans, what
are the specific strategies used or
services offered to address issues related
to Veterans and, specifically, return to
work?
3. From the perspective of assistance
dog providers, have the services or the
requests for services to assist Veterans
return to work increased, decreased, or
remained the same during the past 5
years.

businesses or non-profit organizations,
it is estimated that approximately 300 or
30% of the organizations contacted will
complete the survey.
Results of this survey will lead to
recommendations and guidance for
assistance dog providers, healthcare
professionals, researchers, and
policymakers pertaining to animalassisted interventions to help facilitate
the reintegration and reemployment of
Veterans. This survey is part of a larger
project that will identify priorities and
new opportunities for research, as well
as address policy implications
associated with public access rights
afforded to service dogs by the
Americans with Disabilities Act. There
are no costs to respondents other than
their time.

The purpose of the study is to
increase available information about
services provided to Veterans by
assistance dog training organizations.
Thus, the approach used in this study
is descriptive. The survey will be
primarily administered in a web-based
format, but it will also be administered
by mail or telephone for organizations
unable to complete the web-based
survey.
The information and the Internet link
to the web-based survey will be sent by
email to approximately 1000
organizations. This number of
organizations is estimated on the basis
of a partially completed Google search
that already identified hundreds of
assistance animal providers. On the
basis of similar surveys of small

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent

Avg. burden
per response
(in hrs)

Total burden
(in hrs)

Form name

Representatives of service dog provider agencies.

web-based survey ........

300

1

30/60

150

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

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

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

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

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

150

Kimberly S. Lane,
Deputy Director, Office of Scientific Integrity,
Office of the Associate Director for Science,
Office of the Director, Centers for Disease
Control and Prevention.
[FR Doc. 2012–11085 Filed 5–7–12; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day 0920–12IW]

Proposed Data Collections Submitted
for Public Comment and
Recommendations

srobinson on DSK4SPTVN1PROD with NOTICES

Number of
respondents

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
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–7570 and
send comments to Ron Otten, at CDC,
1600 Clifton Road, MS–D74, Atlanta,
GA 30333 or send an email to
[email protected].

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17:33 May 07, 2012

Jkt 226001

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
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
Fetal Alcohol Spectrum Disorders
Regional Training Centers—New—
National Center on Birth Defects and
Developmental Disabilities (NCBDDD),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
This program will collect program
evaluation data from participants of
trainings for medical and allied health
students and practitioners regarding
fetal alcohol spectrum disorders
(FASDs) conducted by the FASD
Regional Training Centers (RTCs)

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through a cooperative agreement with
the CDC.
Prenatal exposure to alcohol is a
leading preventable cause of birth
defects and developmental disabilities.
The term fetal alcohol spectrum
disorders (FASDs) describes the full
continuum of effects that can occur in
an individual exposed to alcohol in
utero. These effects include physical,
mental, behavioral, and learning
disabilities. All of these effects have
lifelong implications.
Health care professionals play a
crucial role in identifying women at risk
for an alcohol-exposed pregnancy and
in identifying effects of prenatal alcohol
exposure in individuals. However,
despite the data regarding alcohol
consumption among women of
childbearing age and the estimated
prevalence of FASDs, screening for
alcohol use among female patients of
childbearing age and screening for
FASDs are not yet common standards of
care. In addition, it is known from
surveys of multiple provider types that
although they might be familiar with the
teratology and clinical presentation of
FASDs, they report feeling less prepared
to identify for referral or to diagnose a
child and even less prepared to manage
and coordinate the treatment of children
with FASDs. Similarly, among
obstetrician-gynecologists, although
almost all report asking their patients

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Federal Register / Vol. 77, No. 89 / Tuesday, May 8, 2012 / Notices

about alcohol use during pregnancy, few
use a proper screening tool for alcohol
assessment.
There is a need for the training of
medical and allied health students and
practitioners in the prevention,
management, and identification of
FASDs, hence the recommendations
that have been put forward in this area.
As part of the fiscal year 2002
appropriations funding legislation, the
U.S. Congress mandated that the CDC,
acting through the NCBDDD Fetal
Alcohol Syndrome (FAS) Prevention
Team and in coordination with the
National Task Force on Fetal Alcohol
Syndrome and Fetal Alcohol Effect
(NTFFAS/FAE), other federally funded
FAS programs, and appropriate
nongovernmental organizations (NGOs),
would (1) develop guidelines for the
diagnosis of FAS and other negative
birth outcomes resulting from prenatal
exposure to alcohol; (2) incorporate
these guidelines into curricula for
medical and allied health students and

practitioners, and seek to have them
fully recognized by professional
organizations and accrediting boards;
and (3) disseminate curricula to and
provide training for medical and allied
health students and practitioners
regarding these guidelines. As part of
CDC’s response to this mandate, a total
of seven FASD RTCs have been
established since 2002 to train medical
and allied health students and
professionals regarding the prevention,
identification, and treatment of FAS and
related disorders, now known
collectively as FASDs. The FASD RTCs
have developed and implemented
ongoing FASD training programs and
courses throughout their regions
reaching medical and allied health
professionals and students. Trainings
are delivered in academic settings
(medical and allied health schools) and
via continuing education events for
practicing medical and allied health
professionals. Training delivery varies
by RTC depending on the target

audience and setting. Examples include
grand round presentations, a five-week
online course for practicing social work,
nursing, and substance abuse
professionals, a two-hour face-to-face
training for nursing and social work
students, and a train-the-trainer model
with 1- to 5-day trainings for trainers
who then deliver at least two trainings
per year to students and professionals.
CDC requests OMB approval to collect
program evaluation information from
training participants over a three-year
period. Training participants will be
completing program evaluation forms to
provide information on whether the
training met the educational goals. The
information will be used to improve
future trainings.
It is estimated that 15,640 participants
will be trained each year, for a total
estimated burden of 5,316 hours (2,658
hours annually). There are no costs to
respondents other than their time.

ESTIMATED ANNUALIZED BURDEN HOURS
Type of respondents

srobinson on DSK4SPTVN1PROD with NOTICES

Medical and allied
health professionals
and students.

Number of
responses per
respondent

Avg. burden/
rsponse

Total burden
(in hours)

Form name

Artic RTC ...................

Foundations Pre ...........
Foundations Post .........

30
30

1
1

15/60
15/60

8
8

Foundations Follow-Up
FASD 201 Pre ..............
FASD 201 Post ............
FASD 201 Follow-Up ...
Intro to FASDs Pre .......
Intro to FASDs Post .....
Intro to FASDs FollowUp.
Train-the-Trainer Pre ....
Train-the-Trainer Post ..
Train-the-Trainer Follow-Up.
Online I Pre ..................
Online I Post .................
Online II Pre .................
Online II Post ................
Online III Pre ................
Online III Post ...............
Classroom Post ............
Special Event Post .......

18
30
30
18
80
80
48

1
1
1
1
1
1
1

10/60
10/60
10/60
10/60
15/60
15/60
10/60

3
5
5
3
20
20
8

25
25
15

1
1
1

15/60
15/60
15/60

6
6
4

100
100
100
100
100
100
150
150

1
1
1
1
1
1
1
1

10/60
10/60
10/60
10/60
10/60
10/60
6/60
6/60

17
17
17
17
17
17
15
15

Pre-test .........................
Post-test .......................
Follow-up ......................
Pre-test .........................
Post-test .......................
Follow-up ......................
Pre-test .........................
Post-test .......................
Follow-up ......................
Pre-test .........................
Post-test .......................
Follow-up ......................
Pre-test .........................
Post-test .......................
Follow-up ......................

410
410
410
410
410
410
200
200
200
100
100
100
150
150
150

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

15/60
15/60
15/60
15/60
15/60
15/60
15/60
15/60
15/60
15/60
15/60
15/60
15/60
15/60
15/60

103
103
103
103
103
103
50
50
50
25
25
25
38
38
38

Nursing Students ..........

Frontier RTC ..............

Social Work Students ...

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

Allied Health Practitioners.

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

Training of Trainers Participants.

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

Academic Faculty/Students Online.

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

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Number of
respondents

Organization

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Federal Register / Vol. 77, No. 89 / Tuesday, May 8, 2012 / Notices

srobinson on DSK4SPTVN1PROD with NOTICES

ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Number of
respondents

Number of
responses per
respondent

Avg. burden/
rsponse

Total burden
(in hours)

Type of respondents

Organization

Form name

Practitioner Online ........

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

Pre-test .........................
Post-test .......................
Follow-up ......................

160
160
160

1
1
1

15/60
15/60
15/60

40
40
40

Medical and Allied
Health Care Providers
and Students.

Great Lakes RTC ......

Foundations/
QUALTRICS online
Pre.
Foundations/
QUALTRICS online
Post.
Foundations/
QUALTRICS online
6-Mo F/U.
SBI/QUALTRICS online
Pre.
SBI/QUALTRICS online
Post.
SBI/QUALTRICS online
6-Mo Follow-up.
ID and Treatment of
FASD/QUALTRICS
online Pre.
ID and Treatment of
FASD/QUALTRICS
online Post.
ID and Treatment of
FASD/QUALTRICS
online 6-Mo Follow-up.
FASD/QUALTRICS online Comprehensive
Pre.
FASD/QUALTRICS online Comprehensive
Post.
FASD/QUALTRICS online Comprehensive
6-Mo Follow-up.
Clinical Experience A ...
Clinical Experience B ...
Key Informant Interview
Key Informant Interview
Key Informant Interview

450

1

5/60

38

450

1

10/60

75

310

1

5/60

26

120

1

8/60

16

120

1

13/60

26

108

1

8/60

14

270

1

8/60

36

270

1

13/60

59

258

1

8/60

34

220

1

15/60

55

220

1

20/60

73

204

1

15/60

51

25
25
16
15
10

1
1
1
1
1

5/60
5/60
15/60
20/60
15/60

2
2
4
5
3

Harvard Minute Feedback.
Training Activity Reporting (TARF).

100

1

1/60

2

180

1

2/60

6

Knowledge Pre .............
Knowledge Post ...........
Knowledge Assessment
3 mo Follow-up.
Event Eval ....................
Continuing Education
Event, Pre.
Continuing Education
Event, Post.
Continuing Education
Event, 3 mo Followup.
Modified Index, Pre ......
Modified Index, 3 mo
Follow-up.
Utilization of FAS/FASD
Curriculum, Pre.
Utilization of FAS/FASD
Curriculum 3 mo Follow-up.

1080
1080
1080

1
1
1

7/60
7/60
7/60

126
126
126

1110
250

1
1

5/60
5/60

93
21

250

1

5/60

21

250

1

5/60

21

75
75

1
1

10/60
10/60

13
13

50

1

5/60

4

50

1

5/60

4

Medical Students and
Providers.

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

Medical and Allied
Health Care Providers
and Students.

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

Physicians and Medical
Students.
Training of Trainers Participants/Regional
State Training Partners/Advisory Committee Members.
Training of Trainer Participants.
Staff and Training of
Trainer Graduates.

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

Academic Faculty/
Health Professionals/
Professionals/Health
Profession Students.

Midwest RTC .............

Health Professionals .....

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

Academic Faculty .........

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

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

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

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Federal Register / Vol. 77, No. 89 / Tuesday, May 8, 2012 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued

Type of respondents
Medical and allied
health students and
residents.
Total .......................

Form name

Southeast RTC ..........

FASD Pre .....................
FASD Post ....................
FASD 3 Mo Follow-up ..

500
500
300

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

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

15,640

Dated: April 30, 2012.
Ron A. Otten,
Director, Office of Scientific Integrity, Office
of the Associate Director for Science (OADS),
Office of the Director, Centers for Disease
Control and Prevention.
[FR Doc. 2012–11082 Filed 5–7–12; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention

srobinson on DSK4SPTVN1PROD with NOTICES

Statement of Organization, Functions,
and Delegations of Authority
Part C (Centers for Disease Control
and Prevention) of the Statement of
Organization, Functions, and
Delegations of Authority of the
Department of Health and Human
Services (45 FR 67772–76, dated
October 14, 1980, and corrected at 45 FR
69296, October 20, 1980, as amended
most recently at 77 FR 14525—14527,
dated March 12, 2012) is amended to
reflect the reorganization of the Office
for State, Tribal, Local, and Territorial
Support, Centers for Disease Control
and Prevention.
Section C–B, Organization and
Functions, is hereby amended as
follows:
Delete in its entirety the title and
functional statements for the Office for
State, Tribal, Local and Territorial
Support (CQ) and insert the following:
Office for State, Tribal, Local and
Territorial Support (CQ). The mission of
the Office for State, Tribal, Local, and
Territorial Support (OSTLTS) is to
advance U.S. public health agency and
system performance, capacity, agility,
and resilience. To carry out its mission,
OSTLTS: (1) Establishes and maintains
productive relationships, partnerships,
and alliances with strategic
organizational elements of the public
health system; (2) increases
coordination among federal and state,
tribal, local, and territorial (STLT)
health agencies to develop more highly
functioning organizations and enable
evidence-based policy and decision

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respondents

Organization

17:33 May 07, 2012

Jkt 226001

making; (3) provides CDC-wide
guidance and strategic direction on
activities related to STLT health
agencies; (4) provides leadership in the
development and implementation of
evidence-based approaches for agency
and system management, evolution, and
transformation; (5) identifies and
evaluates gaps in the structure and
operation of public health agencies and
systems; (6) forecasts emerging
opportunities and challenges to
governmental public health agencies/
systems and collaborates to prioritize,
develop and pre-position essential
resources for optimal agency and
systems response; (7) provides guidance
and leadership in the development and
provision of training and cross-learning
opportunities to and with STLT health
partners; (8) provides guidance and
support for the recruitment,
development, and management of CDC
field staff for STLT agencies; (9)
develops and coordinates cross-agency
guidance to improve grants
administration and management; (10)
coordinates the assessment and
development of solutions to improve
technical assistance and service
delivery; and (11) enhances public
health policy, law, and practice through
shared leadership, communication,
collaboration, and coordination with
STLT agencies.
Office of the Director (CQA). (1)
Manages, directs, and coordinates the
strategy, operations, and activities of
OSTLTS; (2) coordinates cross-cutting
CDC activities related to STLT
components of the public health system;
(3) works with Federal and STLT
agencies, CDC programs, partners, and
other stakeholders to develop more
highly functioning organizations and to
enable evidence-based policy and
decision making; (4) provides
leadership in the development and
implementation of evidence-based
approaches for system management,
evolution, and transformation; (5)
facilitates STLT agency access to and
interaction with CDC information and
expertise; (6) provides guidance,
strategic direction, and oversight for the
investment of OSTLTS resources and

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Number of
responses per
respondent
1
1
1

Avg. burden/
rsponse
10/60
15/60
10/60

Total burden
(in hours)
83
125
50
2,658

assets; (7) establishes and maintains
productive relationships, partnerships,
and alliances with strategic
organizational components of the public
health system; (8) serves as a principal
CDC liaison to other federal agencies
and organizations concerning STLT
agencies and governments; (9)
communicates OSTLTS activities and
issues to internal and external
stakeholders; (10) tracks and analyzes
recent and proposed legislation and
policies for their impact on STLT
programs/activities and OSTLTS’
mission and programs; (11) develops,
supports, and assesses cross-agency
research and science relevant to
OSTLTS mission-critical activities and
program direction; (12) provides
guidance on policy, performance,
legislative issues, and long term
strategies for program development and
implementation; (13) responds to or
coordinates responses to executive,
congressional, departmental, CDC/CIO
and other external requests for
information; (14) responds to or
coordinates the response to issues
management tasks and clearance
activities for OSTLTS; (15) leads or
participates in cross-cutting strategic
planning, performance management,
and policy activities; (16) maintains
effective reciprocal communications
with STLT agencies; (17) develops and
implements strategies to enhance
STLT—CDC communications; (18)
provides leadership in using efficient
and transparent processes to
communicate decision-making
activities; (19) oversees and maintains
cooperative agreements with national
public health organization partners; (20)
identifies and supports critical crossCDC relationships and coordination as it
relates to the partnership cooperative
agreements; (21) provides leadership in
evaluating and improving the
performance of partnership cooperative
agreements; and (22) coordinates tribal
consultations and polices.
Public Health Law Office (CQA2). (1)
Provides support and consultation for,
and access to, public health law
expertise at state, local, territorial, and
tribal public health levels; (2) reviews,

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