44630 Federal Register / Vol. 83, No. 170 / Friday, August 31, 2018 / Notices 

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. 2018–19012 Filed 8–30–18; 8:45 am] 

BILLING CODE 4163–18–P 

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. 

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 statespecific 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: 

• 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) 

(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 highrisk 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 


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Federal Register / Vol. 83, No. 170 / Friday, August 31, 2018 / Notices 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

Types of 

respondents Form name Number of respondents 

Number of 

responses per 

respondent 

Average hours 

per response 

(in hours) 

Total burden 

hours 

Women who recently delivered a live 

birth.

PRAMS Phase 8 Core Questions .... 62,514 1 25/60 26,048 

PRAMS Standard Questions on optional modules—predetermined.62,514 1 10/60 10,419 

Estimated burden hours for additional optional modules—emerging.32,530 1 7/60 3,795 

Total ........................................... ........................................................... ........................ ........................ ........................ 40,262 

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 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–18–0800] 

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 Focus Group 

Testing to Effectively Plan and Tailor 

Cancer Prevention and Control 

Communication Campaigns 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 December 

13, 2017 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. 

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 or 

send an email to omb@cdc.gov. 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 

Focus Group Testing to Effectively 

Plan and Tailor Cancer Prevention and 

Control Communication Campaigns— 

(OMB No. 0920–0800, exp. 12/31/ 

2017)—Reinstatement without Change— 

National Center for Chronic Disease 

Prevention and Health Promotion 

(NCCDPHP), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

CDC requests a reinstatement of the 

information collection with OMB 

Control Number 0920–0800. The 

mission of the CDC’s Division of Cancer 

Prevention and Control (DCPC) is to 

reduce the burden of cancer in the 

United States through cancer 

prevention, reduction of risk, early 

detection, better treatment, and 

improved quality of life for cancer 

survivors. Toward this end, the DCPC 

supports the scientific development and 

implementation of various health 

communication campaigns with an 

emphasis on specific cancer burdens. 

This process requires testing of 

messages, concepts, and materials prior 

to their final development and 

dissemination, as described in the 

second step of the health 

communication process. The health 

communication process is a scientific 

model developed by the U.S. 

Department of Health and Human 

Services’ National Cancer Institute to 

guide sound campaign development. 

The communication literature supports 

various data collection methods, one of 

which is focus groups, to conduct 

credible formative, concept, message, 

and materials testing. The purpose of 

focus groups is to ensure that the public 

and other key audiences, like health 

professionals, clearly understand 

cancer-specific information and 

concepts, are motivated to take the 

desired action, and do not react 

negatively to the messages. CDC is 

currently approved to collect 

information needed to plan and tailor 

cancer communication campaigns (OMB 

No. 0920–0800, exp. 12/31/2017), and 

seeks OMB approval to reinstate this 

generic clearance. 

Information collection will involve 

focus groups to assess numerous 


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