60 Day FRN

Federal Register / Vol. 85, No. 198 / Tuesday, October 13, 2020 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–21–1129; Docket No. CDC–2020–
0103]

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 Improving Fetal Alcohol
Spectrum Disorders Prevention and
Practice through National Partnerships.
The purpose of this information
collection is to assess and address the
knowledge, attitude, skills and practice
behaviors of healthcare professionals to
prevent, identify, and treat fetal alcohol
spectrum disorders (FASDs).
DATES: CDC must receive written
comments on or before December 14,
2020.
SUMMARY:

You may submit comments,
identified by Docket No. CDC–2020–
0103 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,

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ADDRESSES:

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Centers for Disease Control and
Prevention, 1600 Clifton Road NE, MS–
D74, Atlanta, Georgia 30329; phone:
404–639–7118; Email: [email protected].
SUPPLEMENTARY INFORMATION: Under the
Paperwork Reduction Act of 1995 (PRA)
(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.g., permitting electronic submissions
of responses.
5. Assess information collection costs.
Proposed Project
Improving Fetal Alcohol Spectrum
Disorders Prevention and Practice
through National Partnerships (OMB
Control No. 0920–1129, Exp. 8/31/
2019)—Reinstatement with Change—
National Center for Birth Defects and
Developmental Disabilities (NCBDDD),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The National Center on Birth Defects
and Developmental Disabilities
(NCBDDD) seeks to collect training and
evaluation data from healthcare

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practitioners and staff in health systems
where FASD-related practice and
systems changes are implemented, and
from grantees of national partner
organizations related to prevention,
identification, and treatment of fetal
alcohol spectrum disorders (FASDs).
Prenatal exposure to alcohol is a
leading preventable cause of birth
defects and developmental disabilities.
The term fetal alcohol spectrum
disorders (FASD) 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 have lifelong
implications. The purpose of this
program is to build upon previous
efforts from FASD training programs
and shift the perspective from
individual training for practicing
healthcare professionals to one that
capitalizes on prevention opportunities
and the ability to impact health care
practice at the systems level.
Since 2002, CDC funded FASD
Regional Training Centers (RTCs) to
provide education and training to
healthcare professionals and students
about FASD prevention, identification,
and treatment. In July 2013, CDC
convened an expert review panel to
evaluate the effectiveness of the RTC
program overall and to make
recommendations about the program.
The panel highlighted several
accomplishments of the RTCs and
proposed several changes for future
programming: (1) The panel identified a
need for more comprehensive coverage
nationally with discipline-specific
trainings, increased use of technology,
greater collaboration with medical
societies, and stronger linkages with
national partner organizations to
increase the reach of training
opportunities, and (2) The panel
suggested that the training centers focus
on demonstrable practice change and
sustainability and place a stronger
emphasis on primary prevention of
FASDs. In addition, it was
recommended that future initiatives
have stronger evaluation components.
Based on the recommendations of the
expert review panel, CDC is placing
increased focus on prevention,
demonstrating practice change,
achieving national coverage, and
strengthening partnerships between
medical societies and national partner
organizations. While a major focus of

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Federal Register / Vol. 85, No. 198 / Tuesday, October 13, 2020 / Notices

the grantees’ work will be national,
regional approaches will be used to
develop new content and to test out
feasibility and acceptability of materials,
especially among healthcare providers
and medical societies.
CDC requests OMB approval to collect
program evaluation information from;
(1) healthcare practitioners from
disciplines targeted by each grantee,
including training participants, and (2)
health system staff.

Healthcare practitioners will complete
surveys to provide information on
whether project trainings impacted their
knowledge and practice behavior
regarding FASD
identification, prevention, and
treatment. The information will be used
to improve future trainings and assess
whether knowledge and practice
changes occurred. Some participants
will also complete qualitative key
informant interviews to gain additional

information on practice change. Health
system employees will be interviewed
or complete surveys as part of activities
to assess readiness of healthcare systems
to implement recommended practice
changes.
It is estimated that 16,938
respondents will participate in the
evaluation each year, for a total
estimated burden of 2,338 hours
annually. There are no costs to
respondents other than their time.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Average
burden per
response
(in hours)

Total
burden hours

Form name

Health Professionals .........................
FASD Core Training Participants .....

Health Professionals Survey ............
FASD Core Training Survey—PreTest.
FASD Core Training Survey—PostTest.
Health Professionals Survey (Nursing).
Key Informant Interviews with
Champions.
Medical Assistant—Pre-Test Survey

4013
4013

1
1

9/60
9/60

602
602

4013

1

5/60

335

667

1

9/60

101

14

2

45/60

21

334

1

10/60

56

Medical Assistant—Post-Test Survey.
Medical Assistants Change in Practice Survey.
Pre-Test Screening, Assessment,
and Diagnosis.
Post-Test Screening, Assessment,
and Diagnosis.
Pre-Test ND–PAE ............................
Post-Test ND–PAE ..........................
Pre-Test Treatment Across the Lifespan.
Post-Test Treatment Across the
Lifespan.
Social Work and Family Physicians
Pre-training Survey.
Social Work and Family Physicians
6-Month Follow Up Survey.
TCU Organizational Readiness Survey.

334

1

10/60

56

250

1

15/60

63

120

1

10/60

20

120

1

10/60

20

120
120
120

1
1
1

10/60
10/60
7/60

20
20
14

120

1

7/60

14

1167

1

8/60

156

1167

1

8/60

156

246

2

10/60

82

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

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

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

2,338

FASD Core Training Participants .....
Nurses ...............................................
Nurses ...............................................
Certified Medical Assistants and students.
Certified Medical Assistants and students.
Certified Medical Assistants and students.
Pediatricians ......................................
Pediatricians ......................................
Pediatricians ......................................
Pediatricians ......................................
Pediatricians ......................................
Pediatricians ......................................
Family medicine physicians, social
workers, social work students.
Family medicine physicians, social
workers, social work students.
Health Systems Professionals ..........
Total ...........................................

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

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2020–22492 Filed 10–9–20; 8:45 am]

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

BILLING CODE 4163–18–P

[60Day-21–0728; Docket No. CDC–2020–
0096]
khammond on DSKJM1Z7X2PROD with NOTICES

Number
responses
per
respondent

Type of respondents

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:

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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 The National Notifiable Diseases
Surveillance System (NNDSS). The
NNDSS is the nation’s public health
surveillance system that monitors the
occurrence and spread of diseases and

SUMMARY:

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