[Federal Register Volume 83, Number 170 (Friday, August 31, 2018)]
[Notices]
[Pages 44630-44631]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-19014]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60 Day-18-16JO; Docket No. CDC-2018-0077]


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.

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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 Pregnancy Risk Assessment 
Monitoring System (PRAMS). PRAMS provides an important supplement to 
vital records data by providing state-specific information not 
available through birth certificate data on maternal behaviors and 
experiences before, during and after pregnancy on health conditions, 
prenatal care, postpartum care, access to care, and health insurance 
status.

DATES: CDC must receive written comments on or before October 30, 2018.

ADDRESSES: You may submit comments, identified by Docket No. CDC-201x-
xxxx by any of the following methods:
    <bullet> Federal eRulemaking Portal: Regulations.gov. Follow the 
instructions for submitting comments.
    <bullet> 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: 
<a href="/cdn-cgi/l/email-protection#3a5557587a595e59145d554c"><span class="__cf_email__" data-cfemail="e18e8c83a1828582cf868e97">[email protected]</span></a>.

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

    The Pregnancy Risk Assessment Monitoring System (PRAMS)--Existing 
Collection in Use without an OMB Control Number--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 Pregnancy Risk Assessment 
Monitoring System (PRAMS) for three years as a generic clearance. OMB 
approval for new modules will be submitted through the part of generic 
clearance mechanism.
    PRAMS supplements vital records data by providing state-specific 
information on maternal behaviors and experiences before, during and 
after pregnancy. Every month, in each participating state, a sample of 
women who have recently given birth to a live born or stillborn infant 
is selected from birth certificates or fetal death files. The sample is 
stratified based on the state's population of interest to ensure high-
risk populations are represented in the data. PRAMS is a state 
customized mail and telephone survey conducted in 51 sites and covers 
83% of all live births in the United States. Information is collected 
by self-administered mail survey with telephone follow-up for non-
responders. Because PRAMS uses standardized data collection methods, it 
allows data to be compared among states.
    The PRAMS survey instrument is based on a core set of questions 
common across all states. Core questions request information that is 
not available from vital records; information about health conditions, 
prenatal care, postpartum care, access to care, or health insurance 
status; information about contraception, health habits or risk 
behaviors; and information about other topics such as breastfeeding. In 
addition, CDC provides participating states with standard questions 
from optional modules that states may use to customize survey content 
for their specific needs at the beginning of each Phase of data 
collection. In addition, on occasion, states may be funded to address 
emerging topics of interest to collect supplemental data on optional 
modules of interest. These questions can be used to address state-
specific priorities and special topics such as, for example, substance 
use, including prescription and illicit opioid use, disease epidemics, 
or other topics related to healthy pregnancy; these supplements can be 
administered to women identified in the usual manner or via hospital 
records. States not intending to implement the survey on an ongoing 
basis, can instead employ a point-in-time survey. Because PRAMS 
infrastructure was developed to access a specific and vulnerable 
subpopulation, the PRAMS infrastructure can be

[[Page 44631]]

rapidly adapted for targeted information collection that would not be 
feasible with other surveillance methods.
    The burden estimate for PRAMS includes two types of information 
collection: (1) Information collection associated with the PRAMS core 
questions and predetermined standard questions from optional modules, 
and (2) information collection associated with optional modules for 
emerging issues. Participation is voluntary and there are no costs to 
respondents other than their time.

                                        Estimated Annualized Burden Hours
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                                                                     Number of     Average hours
     Types of respondents           Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)         hours
----------------------------------------------------------------------------------------------------------------
Women who recently delivered a  PRAMS Phase 8             62,514               1           25/60          26,048
 live birth.                     Core Questions.
                                PRAMS Standard            62,514               1           10/60          10,419
                                 Questions on
                                 optional
                                 modules--predet
                                 ermined.
                                Estimated burden          32,530               1            7/60           3,795
                                 hours for
                                 additional
                                 optional
                                 modules--emergi
                                 ng.
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
    Total.....................  ................  ..............  ..............  ..............          40,262
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Jeffrey M. Zirger,
Acting Chief, Information Collection Review Office, Office of 
Scientific Integrity, Office of the Associate Director for Science, 
Office of the Director, Centers for Disease Control and Prevention.
[FR Doc. 2018-19014 Filed 8-30-18; 8:45 am]
 BILLING CODE 4163-18-P


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