Proposed Data Collection Submitted for Public Comment and Recommendations, 28819-28820 [2019-13055]

Download as PDF 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: omb@cdc.gov. 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

Agencies

[Federal Register Volume 84, Number 119 (Thursday, June 20, 2019)]
[Notices]
[Pages 28819-28820]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-13055]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-19-19BDE; Docket No. CDC-2019-0051]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

-----------------------------------------------------------------------

SUMMARY: 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) 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.

DATES: 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) (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,

[[Page 28820]]

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 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, maternal-
fetal 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., pregnancy-associated deaths). Through this 
process, potential cases of pregnancy-related 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 non-clinical 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 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.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of     Average hours
     Types of respondents           Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)         hours
----------------------------------------------------------------------------------------------------------------
Awardees......................  Data abstraction              25              30              15          11,250
                                Committee                     25              30           24/60             300
                                 decision.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............          11,550
----------------------------------------------------------------------------------------------------------------


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]
 BILLING CODE 4163-18-P


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