Appx B 60dyFRN_Extension

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Federal Register / Vol. 78, No. 29 / Tuesday, February 12, 2013 / Notices

collected from patients include (1) a
behavioral screener self-administered by
patients each time they have a primary
care visit. Patients complete the
screener in the waiting room before
seeing their primary care provider. (2)
CBI assessment items on demographic
factors, clinic attendance, ART status,
ART adherence, and sexual risk
behavior that are completed before

may have discussed with them at their
medical visit (e.g., adherence, clinic
attendance).
• Data collected from primary care
medical providers includes a quarterly
survey asking them to indicate the types
of topics/issues they discussed with
their HIV patients.
There are no costs to respondents other
than their time.

patients see the CBI videos. Patients
with detectable viral loads will be asked
to do the CBI three times, spaced
approximately three months apart.
Patients’ CBI responses are not shared
with their clinic providers. (3) On a
quarterly basis, 50 patients at each
clinic will be asked to complete a brief
exit survey after their medical exam,
asking about topics that the provider

ESTIMATED ANNUALIZED BURDEN HOURS
Form name

Data manager at clinic ..

Electronic transmittal of clinical variables
archived in clinic databases (no form).
Behavioral screener (patients with detectable or
undetectable VL; paper form).
CBI assessment items for patients with detectable VL (electronic form).
Patient exit survey (electronic form) ....................
Provider survey (electronic form) ........................
..............................................................................

Patient ............................
Patient ............................
Patient ............................
Primary care provider ....
Total ........................

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. 2013–03196 Filed 2–11–13; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60-Day–13–0743]

tkelley on DSK3SPTVN1PROD with NOTICES

Proposed Data Collections Submitted
for Public Comment and
Recommendations
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 or send
comments to Kimberly Lane, 1600
Clifton Road, MS D–74, Atlanta, GA
30333 or send an email 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

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Jkt 229001

Number of
responses per
respondent

Number of
respondents

Type of respondent

4

24

576

6,315

4

5/60

2,105

2,069

3

10/60

1,035

1,200
120
........................

1
4
........................

5/60
10/60
........................

100
80
3,896

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. 12/
31/2011)—Reinstatement—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
social, economic, and health benefits of
breastfeeding for both the mother and
infant as well as for society in general.
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.

Frm 00042

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Total burden
hours

6

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.

PO 00000

Average
burden per
response
(hours)

Sfmt 4703

Health professionals recommend at
least 12 months of breastfeeding, and
Healthy People 2020 establishes specific
national breastfeeding goals. In addition
to increasing overall rates, a significant
public health priority in the United
States (U.S.) is to reduce variation in
breastfeeding rates across population
subgroups. Although CDC surveillance
data indicate that breastfeeding
initiation rates in the U.S. are climbing,
rates for duration and exclusivity
continue to lag, and significant
disparities in breastfeeding rates persist
between African-American and white
women.
The health care system is one of the
most important and effective settings to
improve breastfeeding initiation rates
because hospital practices strongly
influence infant feeding outcomes. In
2003, CDC convened a panel of experts
in surveillance and monitoring of
hospital practices related to
breastfeeding to identify the most
effective way for CDC to address the
urgent public health need for nationally
representative data on these practices.
The Expert Panel’s consensus
recommendation was to establish an
ongoing, national system to monitor and
evaluate hospital practices related to
breastfeeding among all facilities that
routinely provide intrapartum care in
the United States. In response to this
input, CDC created 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 birth
centers). The mPINC survey was first

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Federal Register / Vol. 78, No. 29 / Tuesday, February 12, 2013 / Notices
launched in 2007. As it was designed to
provide baseline information and to be
repeated every two years, it was
conducted again in 2009 and 2011. The
survey inquired about patient education
and support for breastfeeding
throughout the maternity stay as well as
staff training and maternity care
practices.
OMB approval for the 2007 survey
included a request to CDC to provide,
prior to the fielding of the 2009
iteration, a report to the Office of
Management and Budget (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.
A summary of mPINC findings was also
the anchor of all activities related to the
CDC August 2011 Vital Signs activity,
marking the first time that CDC decided
to highlight improving hospital
maternity practices as the CDC-wide
public health priority for the month.
A major strength of the mPINC survey
design is its structure as an ongoing,
national census. The 2013 and 2015
mPINC surveys repeat the prior
iterations (2007, 2009, and 2011).
Ensuring that the methodology, content,
and administration of these will match

high interest among the respondent
population. The estimated burden for
the Telephone Screening Interview is
five minutes, and the estimated burden
for completing the mPINC Survey is 30
minutes.
As with the initial surveys, a major
goal of the 2013 and 2015 follow-up
surveys is to be fully responsive to
facilities’ 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. CDC will use
information from the mPINC surveys to
identify, document, and share
information related to incremental
changes in practices and care processes
over time at the hospital, state, and
national levels. Data will be also used
by researchers to better understand the
relationships between hospital
characteristics, maternity-care practices,
state level factors, and breastfeeding
initiation and continuation rates.
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.

those used before maximizes the utility
not only of the data to be collected in
the upcoming survey, but also that of
data already collected; fidelity to the
original design allows for analyses of
the wide spectrum of changes and
factors at the hospital, regional, state,
and national levels that affect any given
hospital’s practices. The census design
does not employ sampling methods.
Facilities are identified by using the
American Association of Birth Centers
(AABC) and the American Hospital
Association (AHA) Annual Survey of
Hospitals. Facilities that will be invited
to participate in the survey include
those that participated in previous
iterations and those that were invited
but did not participate in the previous
iterations, as well as those that have
become eligible since the most recent
mPINC survey. 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
previous iterations of the mPINC survey
(82% in 2007 and 2009, and 83% in
2011) indicate that the methodology is
appropriate and also reflects unusually

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent

Average
burden per
response
(in hours)

Total burden
(in hours)

Form name

AHA Hospitals with either > 1 birth or
> 1 registered maternity bed.

Telephone Screening Interview .......

2,398

1

5/60

200

mPINC Survey .................................
Telephone Screening Interview .......
mPINC Survey .................................
..........................................................

1,730
173
95
........................

1
1
1
........................

30/60
5/60
30/60
........................

865
14
48
1,127

AABC Birth Centers ..........................
Total ...........................................

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. 2013–03194 Filed 2–11–13; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
tkelley on DSK3SPTVN1PROD with NOTICES

Number of
respondents

Type of respondent

Advisory Council for the Elimination of
Tuberculosis Meeting (ACET)
In accordance with section 10(a)(2) of
the Federal Advisory Committee Act
(Pub. L. 92–463), the Centers for Disease
Control and Prevention (CDC)

VerD043

Fmt 4703

announces the following meeting of the
aforementioned committee:
Time and Date:
11:00 a.m.–2:30 p.m., March 5, 2013.
Place: This meeting is accessible by
Web conference. Toll-free +1 (888) 324–
9613, Toll +1 (312) 470–7151;
Participant Code: ACET
For Participants: URL: https://
www.mymeetings.com/nc/join/
Conference number: PW4516585
Audience passcode: ACET
Participants can join the event
directly at: https://
www.mymeetings.com/nc/
join.php?i=PW4516585&p=ACET&t=c.
Status: Open to the public limited
only by web conference. Participation
by web conference is limited by the
number of ports available (150).

Sfmt 4703

Purpose: This council advises and
makes recommendations to the
Secretary of Health and Human
Services, the Assistant Secretary for
Health, and the Director, CDC, regarding
the elimination of tuberculosis.
Specifically, the Council makes
recommendations regarding policies,
strategies, objectives, and priorities;
addresses the development and
application of new technologies; and
reviews the extent to which progress has
been made toward eliminating
tuberculosis.
Matters to Be Discussed: Agenda
items include the following topics: (1)
ACET Chair’s report to the Secretary; (2)
Roles and responsibilities for Federal
Advisory Committees; (3)
Recommendations of topics for the June
2013 ACET meeting; and (4) other

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Federal Register / Vol. 78, No. 77 / Monday, April 22, 2013 / Notices

of Columbia, Puerto Rico, and the
Pacific Islands jurisdictions. The
National Cancer Institute supports the
operations of CCR in the five remaining
states.
Through the NPCR, CDC provides
technical assistance and sets program
standards to assure that complete cancer
incidence data are available for
national- and state-level cancer control
and prevention activities and other
health planning activities. NPCR-funded
CCR are the primary source of cancer
surveillance data for United States
Cancer Statistics (USCS), which CDC
has published annually since 2002.
CDC has previously collected
information from NPCR awardees to
monitor their performance in meeting
the required NPCR Program Standards
(NPCR Program Evaluation Instrument,
OMB No. 0920–0706, exp. 12/31/2011).
The NPCR Program Evaluation
Instrument (PEI) is a secure, web-based
method of collecting information about

registry operations, including: staffing,
legislation, administration, reporting
completeness, data exchange, data
content and format, data quality
assurance, data use, collaborative
relationships, and advanced activities.
Since 2009, data collection had been
conducted on a biennial schedule in
odd-numbered years. The most recent
PEI reports were submitted to CDC in
2011. In late 2011, CDC discontinued
the NPCR PEI clearance in preparation
for a review of NPCR program
standards. At this time, CDC seeks OMB
approval to reinstate the NPCR PEI
clearance. Minor changes to the PEI will
be implemented based on the revised
NPCR standards. Additional changes
incorporated into the Reinstatement
request include a reduction in the
estimated number of NPCR awardees
(from 49 to 48) and an increase in the
estimated burden per response (from 1.5
hours to 2 hours).

Information will continue to be
collected electronically in oddnumbered years. OMB approval is
requested for three years to support data
collection in 2013 and 2015. The total
number of NPCR awardees is 48. For
two cycles of data collection over a
three-year period, the annualized
number of respondents is 32 (48+48/
3=32).
The NPCR–PEI data collection is
needed to evaluate, aggregate, and
disseminate NPCR program information.
CDC and the NPCR-funded registries
will use the data to monitor progress
toward meeting objectives and
established program standards; to
describe various attributes of the NPCRfunded registries; and to respond to
inquiries about the program.
There are no costs to respondents
except their time. The total estimated
annualized burden hours are 64.

ESTIMATED ANNUALIZED BURDEN HOURS
Type of respondents

Form name

Number of
respondents

Number of
responses per
respondent

Average
burden per
response
(in hr)

NPCR Awardees .............................................

PEI ..................................................................

32

1

2

Ron A. Otten,
Director, Office of Scientific Integrity, Office
of the Associate Director for Science, Office
of the Director, Centers for Disease Control
and Prevention.
[FR Doc. 2013–09360 Filed 4–19–13; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–13–0743]

tkelley on DSK3SPTVN1PROD with NOTICES

Proposed Data Collections Submitted
for Extension of Public Comment
Period
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. 12/
31/2011)—Reinstatement—National
Center for Chronic Disease Prevention
and Health Promotion (NCCDPHP),
Centers for Disease Control and
Prevention (CDC).
SUMMARY: The Centers for Disease
Control and Prevention (CDC),
Department of Health and Human

VerDate Mar<15>2010

17:03 Apr 19, 2013

Jkt 229001

Services (HHS), is reopening the
comment period, thus amending the due
date for responses to its Request for
Public Comments, published in Vol. 78,
No. 29, of the Federal Register on
February 12, 2013. The due date has
been extended to May 3, 2013, to allow
more time for review.
To request more information on the
proposed project or to obtain a copy of
the data collection plans and
instruments, call 404–639–7570 or send
comments to Kimberly Lane, 1600
Clifton Road, MS D–74, Atlanta, GA
30333 or send an email to [email protected].
Ron A. Otten,
Director, Office of Scientific Integrity, Office
of the Associate Director for Science, Office
of the Director, Centers for Disease Control
and Prevention.
[FR Doc. 2013–09367 Filed 4–19–13; 8:45 am]
BILLING CODE 4163–18–P

PO 00000

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–13–12RO]

Agency Forms Undergoing Paperwork
Reduction Act Review
The Centers for Disease Control and
Prevention (CDC) publishes a list of
information collection requests under
review by the Office of Management and
Budget (OMB) in compliance with the
Paperwork Reduction Act (44 U.S.C.
chapter 35). To request a copy of these
requests, call (404) 639–7570 or send an
email to [email protected]. Send written
comments to CDC Desk Officer, Office of
Management and Budget, Washington,
DC 20503 or by fax to (202) 395–5806.
Written comments should be received
within 30 days of this notice.
Proposed Project
Anniston Community Health Survey:
Follow-up and Dioxin Analyses (ACHS–
II)—New—Agency for Toxic Substances
and Disease Registry (ATSDR),
Department of Health and Human
Services (DHHS).

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