14018 Federal Register / Vol. 76, No. 50 / Tuesday, March 15, 2011 / Notices 

Correction 

In the Federal Register of March 4, 

2011, Vol. 76, No. 43, on page 12118, in 

the first column, correct the ADDRESSES

caption to read: 

(1) The draft report and 

recommendations are available on the 

Web at http://www.hhs.gov/nvpo/nvac/

subgroups/adultimmunization.html. 

Dated: March 9, 2011. 

Bruce Gellin, 

Director, National Vaccine Program Office. 

[FR Doc. 2011–5851 Filed 3–14–11; 8:45 am] 

BILLING CODE 4150–44–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day-11–11DE] 

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 404–639–5960 and 

send comments to Carol E. Walker, CDC 

Acting Reports Clearance Officer, 1600 

Clifton Road, MS–D74, Atlanta, GA 

30333 or send an email to omb@cdc.gov. 

Comments are invited on: (1) 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) 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) 

the quality, utility, and clarity of the 

information to be collected; and (4) the 

burden of the collection of information 

on those who are to respond, including 

the use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology. 

Written comments should be received 

within 60 days of this notice. 

Proposed Collection 

Communication Research on Folic 

Acid to Support the Division of Birth 

Defects and Developmental 

Disabilities—New—National Center on 

Birth Defects and Developmental 

Disabilities (NCBDDD), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

Since mandatory folic acid 

fortification of cereal grain products was 

mandated in 1998, rates of folic acidpreventable neural tube defects (NTDs) 

have declined. Disparities in rates 

remain, however, with NTD prevalence 

being highest among Hispanic women of 

childbearing age. Efforts to increase 

consumption of vitamin supplements 

containing folic acid among women in 

this ethnic group have been ongoing, 

however, due to differences in diet, 

many of these women have not 

benefitted from food fortification to the 

extent that other race/ethnic groups 

have. A performance goal for NCBDDD 

focuses specifically on the reduction of 

these disparities: Reduce health 

disparities in the occurrence of folic 

acid-preventable spina bifida and 

anencephaly by reducing the birth 

prevalence of these conditions. 

Moreover, Healthy People 2010 

objectives refer to the reduction of NTD 

rates and increase of folic acid 

consumption for all women of 

childbearing age: (1) Reduce the 

occurrence of spina bifida and other 

NTDs; (2) Increase the proportion of 

pregnancies begun with an optimum 

folic acid level by increasing the 

consumption of at least 400 mcg of folic 

acid each day from fortified foods or 

dietary supplements by nonpregnant 

women aged 15 to 44 and increasing the 

median red blood cell folate level 

among nonpregnant women aged 15 to 

44 years. The 2009 congressional 

omnibus appropriations language 

includes reference to reducing health 

disparities: ‘‘There is significant concern 

about disparity in the rates of folic acid 

intake and neural tube defects, 

particularly in the Hispanic population. 

Within the funds provided for folic acid, 

CDC is encouraged to provide increased 

funding to expand the folic acid 

education campaign to inform more 

women and healthcare providers about 

the benefits of folic acid * * *’’. Finally, 

CDC partners are working to develop a 

food additive petition that will be 

submitted for approval to the FDA. This 

petition would allow for the addition of 

folic acid to corn masa flour and corn 

masa flour products. Knowing the 

consumer attitudes toward this 

endeavor is important to the overall 

success of the effort. Although up to 

70% of neural tube defects can be 

prevented if a woman consumes folic 

acid before and during the first weeks of 

pregnancy, many women are still 

unaware of folic acid until they are 

already pregnant. Because half of all 

pregnancies in the U.S. are unplanned, 

reaching women with the folic acid 

message prior to pregnancy is critical. 

NCBDDD currently has several folic acid 

educational brochures, tip sheets, and 

booklets available in both English and 

Spanish. Since 2000, over 12 million 

folic acid materials have been 

distributed. Providing our partners, 

health care providers, and the public 

with evidence-based information in a 

format that is easy to read and visually 

appealing is important to the mission of 

the Prevention Research team. We want 

to ensure that the materials we currently 

have available still meet the needs of the 

intended audience. 

CDC, with contract support from 

Battelle Centers for Public Health 

Research and Evaluation, is conducting 

research to inform efforts to promote 

folic acid consumptions among women 

of child-bearing age through two 

closely-related data collection efforts: 

(1) Exploratory Research of Hispanic 

Women’s Reactions to and Beliefs About 

Folic Acid Fortification of Corn Masa 

Flour, and (2) Exploratory Research of 

Childbearing Age Women’s Folic Acid 

Awareness and Knowledge, and their 

Reactions to Existing CDC Folic Acid 

Educational Materials. The purpose of 

the first proposed primary data 

collection effort is to better understand 

consumer acceptance of fortifying corn 

masa flour, a staple product in many 

traditional Latino, and in particular 

Mexican, foods. The purpose of the 

second proposed primary data 

collection effort is to determine whether 

educational materials developed over 10 

years ago to promote folic acid 

consumption continue to be appealing 

and resonate with the target audience 

today. To address these two purposes 

and support the folic acid education 

efforts of CDC, focus groups with the 

target audience are needed. 

For the first data collection activity 

phase, participants will be English and 

Spanish-speaking women 18–44 years 

who self identify as Mexican or Mexican 

American, or Central American. 

Participants will be segmented into 

groups based on whether they consume 

corn masa flour less than 4 times per 

day or 4 or more times per day. The 

contractor will conduct sixteen (16) 

focus groups with five (5) participants 

in each focus group. It is estimated that 

320 respondents will have to be 

screened in order to recruit 80 focus 

group participants. Each screening will 

take approximately 6 minutes. The 

estimated response burden for the 

screening process is 32 hours. The focus 

group session will be structured to 


srobinson on DSKHWCL6B1PROD with NOTICES
Federal Register / Vol. 76, No. 50 / Tuesday, March 15, 2011 / Notices 14019 

identify women’s general awareness and 

knowledge about folic acid and its role 

in NTD prevention, perception of their 

risk for having an affected pregnancy, 

awareness and knowledge about 

fortification of cereal grain products, 

whether fortification of corn masa flour 

products would change their current 

reported use of these products, and 

overall reaction to potential folic acid 

fortification of these products. 

For the second data collection activity 

phase, focus group participants will be 

women 18–44 years of age who are not 

pregnant at the time of the focus groups, 

who do not have a child with a birth 

defect such as spina bifida or 

anencephaly. The contractor will 

conduct sixteen (16) focus groups with 

five (5) participants in each focus group. 

It is estimated that 320 respondents will 

have to be screened in order to recruit 

80 focus group participants. Each 

screening will take approximately 6 

minutes. The estimated response burden 

for the screening process is 32 hours. 

Participants will be segmented into 

groups based on whether they selfidentify as either vitamin users (take a 

vitamin containing folic acid 4–7 days 

per week) or non-users (take a vitamin 

containing folic acid less than 4 days 

per week). The focus group session shall 

be structured to identify women’s 

awareness and knowledge about folic 

acid, and how they would like to see 

folic acid information portrayed in a 

written format. Focus group participants 

shall be shown written educational 

materials that are currently being used 

and asked questions designed to address 

whether the materials are effective in 

getting the folic acid message across to 

the audience, whether the visual images 

portrayed in the materials resonate with 

the audience, and how the materials 

could be improved. Also, differences 

based on pregnancy contemplation 

status shall be explored through 

segmentation of the focus groups. 

Sixteen focus groups will be 

conducted in both phase one and phase 

two, with a total of 80 participants in 

each phase. The focus groups will have 

five participants each. Each respondent 

will participate in a 1.5-hour focus 

group, for a total burden of 120 hours. 

Data collection materials will be 

available in both English and Spanish. 

This request is being submitted to 

obtain OMB clearance for one (1) year. 

There are no costs to respondents except 

for their time to participate. 

ESTIMATED ANNUALIZED BURDEN TABLE

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average burden 

per response 

(in hours) 

Annual burden 

(in hours) 

Women 18–44, Mexican or Central American heritage; English and Spanish 

speakers.

Phase One Screener.320 1 6/60 32 

Women 18–44, Mexican or Central American heritage; English and Spanish 

speakers.

Phase One Focus 

Group Guide.

80 1 1 .5 120 

Women 18–44 (English speakers) ........... Phase Two Screener.320 1 6/60 32 

Women 18–44 (English speakers) ........... Phase Two Focus 

Group Guide.

80 1 1 .5 120 

Total ................................................... ................................. ............................ ............................ .............................. 304 

Dated: March 9, 2011. 

Carol E. Walker, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 2011–5922 Filed 3–14–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–11–0109] 

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 404–639–5960 and 

send comments to Carol E. Walker, CDC 

Acting Reports Clearance Officer, 1600 

Clifton Road, MS–D74, Atlanta, GA 

30333 or send an e-mail to 

omb@cdc.gov. 

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 

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. 

Proposed Project 

Respiratory Protective Devices—42 

CFR part 84—Regulation—(0920– 

0109)—Extension—National Institute 

for Occupational Safety and Health 

(NIOSH), of the Centers for Disease 

Control and Prevention (CDC). 

Background and Brief Description 

This data collection was formerly 

named Respiratory Protective Devices 

30 CFR part 11 but in 1995, the 

respirator standard was moved to 42 

CFR part 84. The regulatory authority 

for the National Institute for 

Occupational Safety and Health 

(NIOSH) certification program for 

respiratory protective devices is found 

in the Mine Safety and Health 

Amendments Act of 1977 (30 U.S.C. 

577a, 651 et seq., and 657(g)) and the 

Occupational Safety and Health Act of 

1970 (30 U.S.C. 3, 5, 7, 811, 842(h), 

844). These regulations have as their 

basis the performance tests and criteria 

for approval of respirators used by 

millions of American construction 

workers, miners, painters, asbestos 


srobinson on DSKHWCL6B1PROD with NOTICES