Change Request_OMB Control No 0920-1333

Change Request

Proposed changes to the Feeding My Baby and Me: Infant Feeding Practices Study III

(OMB Control No. 0920-1333 Exp. Date 4/30/2024)

May 13, 2021

Summary

The Centers for Disease Control and Prevention (CDC) requests OMB approval for nonmaterial/non-substantive changes to the OMB approved information collection instrument, the Feeding My Baby and Me: Infant Feeding Practices Study III (FMB&M-IFPS III) Survey Instruments. Specifically, the CDC requests OMB approval for minor edits, specifically: (1) two questions were inadvertently left off of the prenatal survey and are needed to help characterize the study population; and (2) removal of one question on each survey because this question was determined immaterial for study and analytic purposes.

Attachments

• Attachment 4b - Prenatal survey (version with track changes)

• Attachment 4b - Prenatal survey-Revised (version incorporating proposed edits)

• Attachment 4d – Month 1 survey (version with track changes)

• Attachment 4d – Month 1 survey-Revised (version incorporating proposed edits)

• Attachment 4e – Month 2 survey (version with track changes)

• Attachment 4e – Month 2 survey-Revised (version incorporating proposed edits)

• Attachment 4f – Month 3 survey (version with track changes)

• Attachment 4f – Month 3 survey-Revised (version incorporating proposed edits)

• Attachment 4g – Month 4 survey (version with track changes)

• Attachment 4g – Month 4 survey-Revised (version incorporating proposed edits)

• Attachment 4h – Month 5 survey (version with track changes)

• Attachment 4h – Month 5 survey-Revised (version incorporating proposed edits)

• Attachment 4i – Month 6 survey (version with track changes)

• Attachment 4i – Month 6 survey-Revised (version incorporating proposed edits)

• Attachment 4j – Month 8 survey (version with track changes)

• Attachment 4j – Month 8 survey-Revised (version incorporating proposed edits)

• Attachment 4k – Month 10 survey (version with track changes)

• Attachment 4k – Month 10 survey-Revised (version incorporating proposed edits)

• Attachment 4l – Month 12 survey (version with track changes)

• Attachment 4l – Month 12 survey-Revised (version incorporating proposed edits)

• Attachment 4m – Month 15 survey (version with track changes)

• Attachment 4m – Month 15 survey-Revised (version incorporating proposed edits)

• Attachment 4n – Month 18 survey (version with track changes)

• Attachment 4n – Month 18 survey-Revised (version incorporating proposed edits)

• Attachment 4o – Month 21 survey (version with track changes)

• Attachment 4o – Month 21 survey-Revised (version incorporating proposed edits)

• Attachment 4p – Month 24 survey (version with track changes)

• Attachment 4p – Month 24 survey-Revised (version incorporating proposed edits)

Background and Justification

FMB&M- IFPS III is a longitudinal study that will follow pregnant women and their new baby for two years. The study aims to understand the current state of mothers’ intentions, behaviors, feeding decisions, and practices from pregnancy through their child’s first two years of life, assess how these change and their impact on feeding practices and health outcomes over the first two years of life. The data will be used to: fill research gaps on how feeding behaviors, patterns, and practices change over the first two years of life and the health-related impacts; inform multiple federal agency efforts targeting maternal and infant and toddler nutrition through work in hospitals, with health care providers, with early care and education providers, and outreach to families and caregivers; and provide context to policy level documents such as the U.S. Dietary Guidelines for Americans, which will include pregnant women and children birth to 24 months of age for the first time in 2020–2025.

Effect of Proposed Changes on Currently Approved Instruments and Attachments

OMB approved CDC to conduct FMB&M- IFPS III. As CDC prepared to move forward with implementation of this study, several nonmaterial/non-substantive changes were identified. CDC requests OMB approval to include two questions that were inadvertently left off of the prenatal survey, removal of one question on each monthly survey because it was determined to be immaterial for the study or analytic purposes, and addition of one question on each monthly survey to ensure the survey should continue to be sent to participants. If approved, these edits will be incorporated. There are no other proposed changes.

The following tables describe the requested changes (Table 1) and the attachments which have been updated as a result of nonmaterial/non-substantive changes to select items on the FMB&M-IFPS III survey instruments (Table 2). Edits are shown in track changes (red text). Clean versions with track changes accepted are provided in Attachment 4b - Prenatal survey-Revised, Attachment 4d – Month 1 survey-Revised, Attachment 4e – Month 2 survey-Revised, Attachment 4f – Month 3 survey-Revised, Attachment 4g – Month 4 survey-Revised, Attachment 4h – Month 5 survey-Revised, Attachment 4i – Month 6 survey-Revised, Attachment 4j – Month 8 survey-Revised, Attachment 4k – Month 10 survey-Revised, Attachment 4l – Month 12 survey-Revised, Attachment 4m – Month 15 survey-Revised, Attachment 4n – Month 18 survey-Revised, Attachment 4o – Month 21 survey-Revised, and Attachment 4p – Month 24 survey-Revised.

Table 1. List of Requested Changes to the FMB&M -IFPS III monthly surveys

Form	Current Question	Requested Change	Reason for Change
Prenatal Survey	These questions are not currently included on the prenatal survey	Add the following questions: (1) Counting yourself, how many people live in your household? Include all members who live in your household for at least 9 months of the year. _____People < 17 years of age _____People 18 and older (2) Which income range category represents the total combined income of all members of your household during the past 12 months? Please include any income from all sources (employment, pensions, social security, etc.). Less than $5,000 $5,000 to $7,499 $7,500 to $9,999 $10,000 to $12,499 $12,500 to $14,999 $15,000 to $19,999 $20,000 to $24,999 $25,000 to $29,999 $30,000 to $34,999 $35,000 to $39,999 $40,000 to $49,999 $50,000 to $59,999 $60,000 to $74,999 $75,000 to $99,999 $100,000 to $149,999 $150,000 or more	Questions were inadvertently left off and are needed to characterize the study population
Months 1 – 6, 8, 10, 12, 15, 18, 21, and 24	A10. Does {CHILD'S NAME} currently live with you? Yes No	Remove question	Question is not necessary for study or analytic purposes.

Table 2. Effect of Proposed Changes on the Currently Approved Instrument and Attachment

Previous Attachment IC Title	Change Request Attachment Title
Att.4b-Prenatal Survey	Att.4b-Prenatal Survey-Revised
Att.4d-Month 1 Survey	Att.4d-Month 1 Survey-Revised
Attachment 4e – Month 2 survey	Attachment 4e – Month 2 survey- Revised
Attachment 4f – Month 3 survey	Attachment 4f – Month 3 survey-Revised
Attachment 4g – Month 4 survey	Attachment 4g – Month 4 survey-Revised
Attachment 4h – Month 5 survey	Attachment 4h – Month 5 survey-Revised
Attachment 4i – Month 6 survey	Attachment 4i – Month 6 survey-Revised
Attachment 4j – Month 8 survey	Attachment 4j – Month 8 survey-Revised
Attachment 4k – Month 10 survey	Attachment 4k – Month 10 survey-Revised
Attachment 4l – Month 12 survey	Attachment 4l – Month 12 survey-Revised
Attachment 4m – Month 15 survey	Attachment 4m – Month 15 survey-Revised
Attachment 4n – Month 18 survey	Attachment 4n – Month 18 survey-Revised
Attachment 4o – Month 21 survey	Attachment 4o – Month 21 survey-Revised
Attachment 4p – Month 24 survey	Attachment 4p – Month 24 survey-Revised

Effect of Proposed Changes on the Burden Estimate

No changes are anticipated in estimated annualized burden hours to respondents due to the nonmaterial/non-substantive changes. Approved and requested burden hours are presented in Table 3.

Table 3: Effect of proposed changes to burden estimates: approved and requested burden*

Form Name	Approved Burden	Requested Burden
Study Screener	125	125
Study Consent	131	131
Prenatal Survey	471	471
24-Hour Dietary Recall - Prenatal	367	367
Replicate 24-Hour Dietary Recall - Prenatal	36	36
Request for notification of child's birth	47	47
Birth Screener	46	46
1-Month Survey	410	410
2-Month Survey	298	298
3-Month Survey	288	288
24-Hour Dietary Recall - Month 3	300	300
Replicate 24-Hour Dietary Recall - Month 3	29	29
4-Month Survey	279	279
5-Month Survey	270	270
6-Month Survey	262	262
8-Month Survey	253	253
10-Month Survey	327	327
12-Month Survey	237	237
15-Month Survey	230	230
18-Month Survey	222	222
21-Month Survey	215	215
24-Month Survey	208	208
Total	5,051	5,051

*Forms that are highlighted indicate a change has been made to this instrument.