60 Day FRN

28819

Federal Register / Vol. 84, No. 119 / Thursday, June 20, 2019 / Notices
As part of the questionnaire
development process, field testing will
be conducted prior to implementation of
new supplemental modules and call
back surveys, as well as new or
substantively revised questions for the
core module prior to a new phase. Field
testing will be conducted among women
with infants one year or younger in
health clinics to identify issues that may
affect implementation or quality of the
data collected. Field testing will only be

conducted for new or substantively
changed questions. Total time estimated
to complete the field testing process
inclusive of verbal consent, survey
administration and debriefing questions
is approximately 20 minutes.
The burden estimate for PRAMS
includes five types of information
collection: (1) Information collection
associated with the PRAMS data
collection for women with recent live
births (PRAMS core questions and state-

selected standard modules); (2)
supplemental modules for emerging
issues; (3) call back surveys; (4) PRAMS
data collection for women with recent
stillbirths; and (5) PRAMS field testing
data collection to inform questionnaire
development. Participation is voluntary
and there are no costs to respondents
other than their time. The total
estimated annualized burden hours are
29,765.

ESTIMATED ANNUALIZED BURDEN HOURS
Form name

Women who recently delivered a live birth ....

PRAMS Phase 8 (Core Questions plus state
selected standard modules).
Supplemental modules ...................................
Call Back Surveys ..........................................
Field Testing ...................................................
PRAMS Stillbirth Questionnaire .....................

Women who recently delivered a still birth .....

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2019–13053 Filed 6–19–19; 8:45 am]
BILLING CODE 4163–18–P

Centers for Disease Control and
Prevention
[60Day–19–19BDE; Docket No. CDC–2019–
0051]

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

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 and/or continuing
information collection, as required by
the Paperwork Reduction Act of 1995.
This notice invites comment on a
proposed information collection project
titled Maternal Mortality Review
Information Application (MMRIA).
MMRIA is a standardized data
collection system that allows Maternal
Mortality Review Committees (MMRCs)

SUMMARY:

VerDate Sep<11>2014

17:47 Jun 19, 2019

Jkt 247001

to abstract relevant data from a variety
of sources, document committee
decisions, and analyze data to better
understand the contributing factors and
preventability of maternal deaths in
order to develop recommendations for
prevention.
CDC must receive written
comments on or before August 19, 2019.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2019–
0051 by any of the following methods:
• Federal eRulemaking Portal:
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–D74, Atlanta,
Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. CDC will post, without
change, all relevant comments to
Regulations.gov.
Please note: Submit all comments
through the Federal eRulemaking portal
(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–
D74, Atlanta, Georgia 30329; phone:
404–639–7570; Email: [email protected].
SUPPLEMENTARY INFORMATION: Under the
Paperwork Reduction Act of 1995 (PRA)
DATES:

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

jbell on DSK3GLQ082PROD with NOTICES

Number of
respondents

Type of respondent

PO 00000

Frm 00032

Fmt 4703

Sfmt 4703

Number of
responses per
respondent

Average
burden per
response
(in hours)

52,076

1

26/60

61,230
3,961
150
160

1
1
1
1

5/60
30/60
20/60
25/60

(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; and
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:\FR\FM\20JNN1.SGM

20JNN1

28820

Federal Register / Vol. 84, No. 119 / Thursday, June 20, 2019 / Notices

e.g., permitting electronic submissions
of responses.
5. Assess information collection costs.
Proposed Project
The Maternal Mortality Review
Information Application (MMRIA)
–New—National Center for Chronic
Disease Prevention and Health
Promotion (NCCDPHP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The Centers for Disease Control and
Prevention (CDC) seeks OMB approval
to collect information through the
Maternal Mortality Review Information
Application (MMRIA) for three years.
MMRIA is a standardized data
collection system that allows Maternal
Mortality Review Committees (MMRCs)
across the country to abstract relevant
data (clinical and non-clinical) from a
variety of sources, document committee
decisions, and analyze data in order to
better understand the contributing
factors and preventability of maternal
deaths and thus to develop
recommendations for prevention.
About 700 women die each year in
the United States as a result of
pregnancy or delivery complications, a
chain of events initiated by pregnancy,
or the aggravation of an unrelated
condition by the physiologic effects of
pregnancy. Furthermore, considerable
racial disparities exist, with black
women almost four times more likely to
die from pregnancy-related
complications than white women.
Findings from MMRCs indicate that

from various sources, including death
certificates, autopsy reports, birth
certificates, prenatal care records,
emergency room visit records,
hospitalization records, records from
other medical office visits, medical
transport records, social and
environmental profiles, mental health
profiles, and informant interviews. Case
narratives for committee reviews are
auto-populated from the abstracted data
entered into MMRIA to facilitate
committee review, and committee
decisions will also be entered into
MMRIA.
The data collected in MMRIA will be
used to facilitate an understanding of
the drives of maternal mortality and
complications of pregnancy and
associated disparities; determine what
interventions at patient, provider,
facility, system, and community levels
will have the most impact; and
implement data driven
recommendations.
The burden estimates presented here
are applicable to the estimated 25
awardees of the cooperative agreement
Preventing Maternal Deaths: Supporting
Maternal Mortality Review Committees
(CDC–RFA–DP19–1908); these awardees
are required to compile a defined set of
information about maternal deaths into
MMRIA. It is estimated that information
will be collected for a total of 740
pregnancy-associated deaths on average,
annually, among the 25 awardees.
Burden is estimated based on each
awardee’s total staff time to enter the
abstracted data into MMRIA and enter
the committee decision.

more than half of maternal deaths are
preventable.
Maternal Mortality Review is a
process by which a multidisciplinary
committee at the jurisdiction level
identifies and reviews cases of maternal
death within one year of end of
pregnancy. Members of MMRCs
typically represent public health,
obstetrics and gynecology, maternalfetal medicine, nursing, midwifery,
forensic pathology, mental and
behavioral health, and other relevant
stakeholders. Through a partnership
among the MMRC, state vital records
office, and epidemiologists, deaths
among women of reproductive age are
examined to determine if they occurred
during pregnancy or within one year of
the end of pregnancy (i.e., pregnancyassociated deaths). Through this
process, potential cases of pregnancyrelated deaths (i.e., maternal death from
any cause related to or aggravated by
pregnancy or its management) are then
identified. Review committees access
multiple sources of clinical and nonclinical information to understand the
circumstances surrounding a maternal
death in order to develop
recommendations for action to prevent
similar deaths in the future.
MMRIA is a standardized data
collection system designed to collect
timely, accurate, and standardized
information about deaths to women
during pregnancy and within one year
of end of pregnancy, including
opportunities for prevention, within and
across jurisdictions. Data will be
abstracted and entered into MMRIA

ESTIMATED ANNUALIZED BURDEN HOURS
Form name

Awardees ..........................................

Data abstraction ...............................
Committee decision ..........................

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

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

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2019–13055 Filed 6–19–19; 8:45 am]

jbell on DSK3GLQ082PROD with NOTICES

BILLING CODE 4163–18–P

Number of
responses per
respondent

Average hours
per response
(in hours)

25
25

30
30

15
24/60

11,250
300

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

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

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

11,550

Number of
respondents

Types of respondents

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–19–1108]

Agency Forms Undergoing Paperwork
Reduction Act Review
In accordance with the Paperwork
Reduction Act of 1995, the Centers for
Disease Control and Prevention (CDC)
has submitted the information
collection request titled Paul Coverdell

VerDate Sep<11>2014

18:52 Jun 19, 2019

Jkt 247001

PO 00000

Frm 00033

Fmt 4703

Sfmt 4703

Total burden
hours

National Acute Stroke Program
(PCNASP) to the Office of Management
and Budget (OMB) for review and
approval. CDC previously published a
‘‘Proposed Data Collection Submitted
for Public Comment and
Recommendations’’ notice on February
7, 2019 to obtain comments from the
public and affected agencies. CDC did
not receive comments related to the
previous notice. This notice serves to
allow an additional 30 days for public
and affected agency comments.
CDC will accept all comments for this
proposed information collection project.

E:\FR\FM\20JNN1.SGM

20JNN1