[Federal Register Volume 86, Number 17 (Thursday, January 28, 2021)]
[Notices]
[Pages 7386-7387]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-01915]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-21-0909]


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 CDC Diabetes Prevention Recognition Program 
(DPRP) 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 June 15, 
2020, to obtain comments from the public and affected agencies. CDC 
received 30 unique sets of public comments. Within the 30 sets of 
comments, there were 126 questions/comments answered by CDC. 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. The Office of Management and Budget is particularly 
interested in comments that:
    (a) 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;
    (b) Evaluate the accuracy of the agencies estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    (c) Enhance the quality, utility, and clarity of the information to 
be collected;
    (d) 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 submission of responses; and
    (e) Assess information collection costs.
    To request additional information on the proposed project or to 
obtain a copy of the information collection plan and instruments, call 
(404) 639-7570. Comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Direct 
written comments and/or suggestions regarding the items contained in 
this notice to the Attention: CDC Desk Officer, Office of Management 
and Budget, 725 17th Street NW, Washington, DC 20503 or by fax to (202) 
395-5806. Provide written comments within 30 days of notice 
publication.

Proposed Project

    CDC Diabetes Prevention Recognition Program (DPRP) (OMB Control No. 
0920-0909, Exp. 02/28/2021)--Revision--National Center for Chronic 
Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease 
Control and Prevention (CDC).

Background and Brief Description

    CDC's Division of Diabetes Translation (DDT) established and 
administers the National Diabetes Prevention Program's (National DPP) 
Diabetes Prevention Recognition Program (DPRP), which recognizes 
organizations that deliver diabetes prevention programs according to 
evidence-based requirements set forth in the `Centers for Disease 
Control and Prevention Diabetes Prevention Recognition Program 
Standards and Operating Procedures' (DPRP Standards). Additionally, the 
Centers for Medicare and Medicaid Services (CMS) Medicare Diabetes 
Prevention Program (MDPP) expansion of CDC's National DPP was announced 
in early 2016, when the Secretary of Health and Human Services 
determined that the Diabetes Prevention Program met the statutory 
criteria for inclusion in Medicare's expanded list of healthcare 
services for beneficiaries (https://innovation.cms.gov/initiatives/medicare-diabetes-prevention-program/). This is the first time a 
preventive service model from the CMS Innovation (CMMI) Center has been 
expanded. After extensive testing of the DPP model in 17 sites across 
the U.S. in 2014-2016, CMS proposed the MDPP in Sections 1102 and 1871 
of the Social Security Act (42 U.S.C. 1302 and 1395hh Sec.  424.59), 
authorizing CDC-recognized organizations to prepare for enrollment as 
MDPP suppliers beginning in January 2018 in order to bill CMS for these 
services. Only organizations in good standing with the CDC DPRP are 
eligible as MDPP suppliers. CDC continues to work with CMS to support 
the MDPP.
    CDC requests an additional three years of OMB approval to continue 
collecting the information needed to administer the DPRP and 
information

[[Page 7387]]

needed by CMS to support the MDPP benefit. Based on experience with the 
DPRP from 2011-2020, including data analysis, and feedback from 
applicant organizations and internal and external partners, CDC plans 
to revise the DPRP Standards and the associated information collection.
    Key changes are a direct result of DPRP data analyses and 
discussion with National DPP stakeholders, including those serving 
vulnerable populations. Key changes allow for the optional collection 
of Hemoglobin A1C levels, and for weight/physical activity minutes to 
be combined (a new method), to determine Full recognition; the required 
collection of Application Delivery Mode questions; revised 
organizational type information; program enrollment motivation/
enrollment source information; adding Gender; and the removal of 
Session ID. Three data elements have been minimally revised and no 
other data elements have been added to the one-time application form; 
and, three have been revised, one has been deleted, and four have been 
added to the evaluation data elements, as per below:

Application Form

(1) Delivery Mode- follow-up questions (revised)
(2) Class Type (revised)
(3) Organization Type (revised)

Evaluation Data Elements

(4) Enrollment Motivation (new)
(5) Enrollment Source (revised)
(6) Session ID (deleted)
(7) HBA1C Value (new)
(8) Participant's Gender (new)

    During the period of this Revision, CDC estimates receipt of 
approximately 300 DPRP application forms per year. The estimated burden 
per one-time, up-front application response is one hour. CDC further 
estimates receipt of semi-annual evaluation data (two hours at each 
submission) from the new 300 organizations per year plus existing 
organizations who also submit semi-annual evaluation data. The total 
estimated average annualized evaluation burden to respondents is 8,700 
hours. This includes an estimate of the time needed to extract and 
compile the required data records and fields from an existing 
electronic database, review the data, create or enter a data file in 
the required format (i.e., CSV file), and submit the data file via the 
National DPP website for upload into the DPRP Data Portal. The 
estimated burden per response is modest since the information requested 
for DPRP recognition is routinely collected by most organizations that 
deliver lifestyle change programs for their own internal evaluation and 
possible insurance reimbursement purposes, including Medicare under the 
MDPP benefit. Participation in the DPRP is voluntary, data are de-
identified, no Personally Identifiable Information (PII) is collected 
by CDC, and there are no costs to respondents other than their time. 
CDC is requesting a three-year approval.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
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Public sector organizations that        DPRP Application Form...              90               1               1
 deliver type 2 diabetes prevention     DPRP Evaluation Data....             630               2               2
 programs.
Private sector organizations that       DPRP Application Form...             210               1               1
 deliver type 2 diabetes prevention     DPRP Evaluation Data....            1470               2               2
 programs.
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2021-01915 Filed 1-27-21; 8:45 am]
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