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[Federal Register Volume 89, Number 240 (Friday, December 13, 2024)]
[Notices]
[Pages 101015-101016]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-29444]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-25-24GO]

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 ``Formative Research on Adverse and positive 
childhood experiences, social determinants of health, and health equity 
among young adults in the US'' 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 July 19, 2024 to obtain comments from the public and affected 
agencies. CDC received 17 non-substantive 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. 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

    Formative Research on Adverse and Positive Childhood Experiences, 
Social Determinants of Health, and Health Equity Among Young Adults in 
the US--New--National Center for Injury Prevention and Control (NCIPC), 
Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    CDC requests OMB approval for a new data collection titled 
Formative research on adverse and positive childhood experiences, 
social determinants of health, and health equity among young adults in 
the US. This study will help CDC to better understand the relationship 
between adverse childhood experiences (ACEs), positive childhood 
experiences (PCEs), social determinants of health (SDOH), and health 
outcomes among young adults from populations that have been socially 
and economically marginalized. This is a group at high risk for 
experiencing childhood adversity and has been historically 
underrepresented in research studies.
    CDC is seeking approval from OMB to conduct a one-time information 
collection effort, with data collection occurring over a 12-month 
period. The study will include 6,000 young adults ages 18 to 24 living 
in the United States. Primary data collection in English and Spanish, 
via a probability-based web panel survey, will obtain new data on 
retrospective assessments of ACEs and other potentially traumatic 
experiences, PCEs, SDOHs, and health and violence outcomes. Sampling 
frameworks will be designed to ensure overrepresentation of some 
populations that are disproportionately impacted by ACEs as well as 
underrepresented in research and violence prevention programming, 
including individuals with disabilities; individuals from racial and 
ethnic minority groups; and individuals who identify as sexual or 
gender minority.
    This project expands the existing evidence base and addresses 
several gaps in extant data collection systems in the following three 
ways:
    First, this study expands how ACEs are measured. Traditional ACEs 
research has measured eight to ten highly interconnected, household-
level childhood stressors. These include sexual abuse, physical abuse, 
emotional abuse, emotional neglect, physical neglect, witnessing 
intimate partner violence, parent separation/divorce, and living in a 
home with exposure to mental illness, substance misuse, and 
incarceration (hereafter referred to as traditional ACEs). However, 
most ACE research does not account for a wide array of other 
potentially traumatic experiences that can exist across all levels of 
the social ecology, including stressors that uniquely impact 
populations that are socially and economically marginalized (e.g., fear 
of deportation; experiences of transphobia; exposure to neighborhood or 
community violence). These potentially traumatic experiences may have 
an additive or multiplicative effect on risk for poor outcomes or may 
have a greater effect on risk relative to the conventional ACEs 
categories.
    Second, this study will create a diverse sample which is 
statistically powered to answer questions on how to prevent ACEs and 
mitigate the impact of specific and cumulative ACE exposures among 
communities that have been traditionally socially and economically 
marginalized. Most samples used in prior surveillance and research 
studies do not sufficiently oversample under-represented communities to 
allow for disaggregation of results by sub-group. Thus, there is a need 
for data samples that allow for disaggregated analysis and results.
    Third, this study will link individual level data to community-
level variables. While ACEs are individual experiences, they are 
influenced by the contexts in

[[Page 101016]]

which children and families live. SDOH are the conditions in which 
people are born, grow, live, work, and age that are shaped by the 
distribution of money, power, and resources. SDOH contribute to health 
and social inequities for groups with disparities in access to money, 
power and resources. Many existing ACE datasets involving individual-
level respondents cannot be linked to community-level variables. This 
formative study will link survey data with publicly available data on 
structural factors (e.g., minimum wage; generosity of unemployment 
benefits) via USPS zip code or other geographic indicators.
    CDC requests OMB approval for an estimated 3591 annual burden 
hours. There is no cost to respondents other than their time to 
participate.

                                        Estimated Annualized Burden Hours
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                                                                                                       Average
                                                                         Number of      Number of     burden per
            Type of respondent                      Form name           respondents   responses per    response
                                                                                       respondent     (in hours)
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18-24-year-old survey respondents........  Recruitment Email..........        5,908               1         1/60
                                           First Follow up Recruitment        5,907               5         1/60
                                            Email--non-panel.
                                           Web Survey--English........        5,700               1        30/60
                                           Web Survey--Spanish........          300               1        30/60
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Public Health 
Ethics and Regulations, Office of Science, Centers for Disease Control 
and Prevention.
[FR Doc. 2024-29444 Filed 12-12-24; 8:45 am]
BILLING CODE 4163-18-P
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