25862 Federal Register / Vol. 75, No. 89 / Monday, May 10, 2010 / Notices 

hypertension, Type 2 diabetes, stroke, 

coronary heart disease, and 

osteoarthritis. Beyond the human costs, 

economic costs are extreme and are 

climbing. One estimate is that medical 

expenses related to this epidemic 

accounted for 9.1% of total U.S. medical 

expenditures in 1998, and the U.S. 

Surgeon General has estimated that 

direct and indirect costs related to 

obesity totaled $117 billion in 2000. 

Healthy People 2010 established goals 

for obesity reduction, which included 

targets of weight reduction of 15% for 

adults and 5% for children and youth. 

Targeting communities at risk of 

overweight and obesity is an essential 

step toward realizing the goal of 

reversing current trends in obesity. 

Community-based programs to reduce 

risk of heart disease provide some 

models; however, outcomes vary and 

are affected by several confounding 

conditions. A report on prevention of 

childhood obesity, prepared by the 

Institute of Medicine in 2007, 

concluded that there are insufficient 

studies to generate recommendations for 

best practices in obesity prevention. 

Instead, the report compiles promising 

practices, including those set in 

communities. 

CDC plans to apply methodology 

recommended by the CDC Task Force 

on Community Preventive Services to 

improve the translation and 

dissemination of promising practices 

into community-based obesity 

prevention programs. Information 

necessary to this purpose will be 

collected from the general public by a 

contractor. Information will be collected 

concerning respondents’ knowledge, 

attitudes, and beliefs about obesity and 

physical activity; the need for 

community leaders to encourage 

healthier diets and more physical 

activity; and opportunities for 

leveraging current community efforts. 

Two hundred fifty respondents will 

be recruited to participate in four online, small-group discussions over a 

period of about one month. The 

discussions will utilize Voice over 

Internet Protocol technology and will be 

facilitated by a moderator. Each 

discussion will last one hour. In 

preparation for the initial discussion, 

respondents will receive a confirmation 

e-mail and will be asked to review a 

guide to on-line discussion groups. In 

addition, discussion group participants 

will be asked to review a set of briefing 

materials prior to the first on-line group 

meeting. 

Information will also be collected 

through an on-line questionnaire 

administered on two occasions. The 

questionnaire is designed to measure 

the relative importance of various 

proposals for policy and environmental 

change, and whether change has 

occurred in perceptions of roles and 

responsibilities for obesity prevention. 

The questionnaire will be administered 

to the 250 discussion group participants 

before the initial discussion group 

meeting (‘‘pre-test’’), and again after all 

four discussion groups have been 

completed (‘‘post-test’’). 

Finally, the on-line questionnaire will 

be administered to a comparison group 

of 700 respondents. The comparison 

group will complete the questionnaire 

on two occasions; however, this group 

will not participate in the on-line 

discussions or review the briefing 

materials. 

The information collection will be 

used to identify key issues for 

community obesity prevention 

programs, to refine promising obesity 

prevention practices for targeted 

communities, and to facilitate the 

dissemination of promising practices for 

obesity prevention. There are no costs to 

respondents other than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

General Public .................................. Discussion Group Moderator’s 

Guide.

250 4 1 1,000 

Confirmation e-mail with Guide to 

On-Line Discussions.

250 1 10/60 42 

Briefing Materials ............................. 250 1 10/60 42 

On-Line Questionnaire ..................... 950 2 30/60 950 

Total ........................................... ........................................................... ........................ ........................ ........................ 2,034 

Date: May 4, 2010. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 2010–11060 Filed 5–7–10; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60 Day–10–0743] 

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 or send 

comments to Maryam I. Daneshvar, CDC 

Acting Reports Clearance Officer, 1600 

Clifton Road, MS D–74, 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 


jlentini on DSKJ8SOYB1PROD with NOTICES
Federal Register / Vol. 75, No. 89 / Monday, May 10, 2010 / Notices 25863 

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 

Assessment and Monitoring of 

Breastfeeding-Related Maternity Care 

Practices in Intra-partum Care Facilities 

in the United States and Territories 

(OMB Control No. 0920–0743, Exp. 

10/31/2010)—Revision—National 

Center for Chronic Disease Prevention 

and Health Promotion (NCCDPHP), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

Substantial evidence demonstrates the 

health benefits of breastfeeding. 

Breastfeeding mothers have lower risks 

of breast and ovarian cancers and type 

2 diabetes, and breastfeeding better 

protects infants against infections, 

chronic diseases like diabetes and 

obesity, and even childhood leukemia 

and sudden infant death syndrome 

(SIDS). However, the groups that are at 

higher risk for diabetes, obesity, and 

poor health overall persistently have the 

lowest breastfeeding rates. 

Health professionals recommend at 

least 12 months of breastfeeding, and 

Healthy People 2010 establishes specific 

national breastfeeding goals. In addition 

to increasing overall rates, a significant 

public health priority in the U.S. is to 

reduce variation in breastfeeding rates 

across population subgroups. For 

example, in 2005, nearly three-quarters 

of white mothers started breastfeeding, 

but only about half of black mothers did 

so. 

The health care system is one of the 

most important and effective settings to 

improve breastfeeding. In 2007, CDC 

conducted the first national survey of 

Maternity Practices in Infant Nutrition 

and Care (known as the mPINC Survey) 

in health care facilities (hospitals and 

free-standing childbirth centers). This 

survey was designed to provide baseline 

information and to be repeated every 

two years. The survey was conducted 

again in 2009. The survey inquired 

about patient education and support for 

breastfeeding throughout the maternity 

stay as well as staff training and 

maternity care policies. 

Prior to the fielding of the 2009 

iteration, CDC was requested to provide 

a report to OMB on the results of the 

2007 collection. In this report, CDC 

provided survey results by geographic 

and demographic characteristics and a 

summary of activities that resulted from 

the survey. 

Because the 2011 mPINC survey 

repeats the prior iterations (2007 and 

2009), the methodology, content, and 

administration of it will match those 

used before. The census design does not 

employ sampling methods. Facilities are 

identified by using the American 

Association of Birth Centers (AABC) 

and the American Hospital Association 

(AHA) Annual Survey of Hospitals. In 

addition to all facilities that participated 

in 2007 or 2009, the 2011 survey will 

include those that were invited but did 

not participate in 2007 or 2009 and any 

that are new since then. All birth 

centers and hospitals with ≥1 registered 

maternity bed will be screened via a 

brief phone call to assess their 

eligibility, identify additional locations, 

and identify the appropriate point of 

contact. The extremely high response 

rates to the 2007 mPINC survey of 82 

percent and 81 percent to the 2009 

iteration indicate that the methodology 

is appropriate and also reflects 

unusually high interest among the study 

population. 

As with the initial surveys, a major 

goal of the 2011 follow-up survey is to 

be fully responsive to their needs for 

information and technical assistance. 

CDC will provide direct feedback to 

respondents in a customized benchmark 

report of their results and identify and 

document progress since 2007 on their 

quality improvement efforts. National 

and state reports will use de-identified 

data to describe incremental changes in 

practices and care processes over time at 

the facility, state, and national levels. 

Participation in the survey is 

voluntary, and responses may be 

submitted by mail or through a Webbased system. There are no costs to 

respondents other than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average burden per response 

(in hours) 

Total burden 

(in hours) 

AHA and AABC Facilities with either ≥1 birth or 

≥1 registered maternity bed.

Screening call ............... 4,089 1 5/60 341 

2011 mPINC ................. 3,281 1 30/60 1,641 

Total ............................................................... ....................................... ........................ ........................ ........................ 1,982 

Dated: May 4, 2010. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 2010–11056 Filed 5–7–10; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Proposed Collection; Comment 

Request; The Framingham Heart Study 

(FHS) 

SUMMARY: 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 

National Heart, Lung, and Blood 

Institute (NHLBI), the National 

Institutes of Health (NIH) will publish 

periodic summaries of proposed 

projects to be submitted to the Office of 

Management and Budget (OMB) for 

review and approval. 

Proposed Collection: Title: The 

Framingham Heart Study. Type of 

Information Request: Revision (OMB 

No. 0925–0216). Need and Use of 

Information Collection: The 

Framingham Heart Study will conduct 

examinations and morbidity and 

mortality follow-up for the purpose of 

studying the determinants of 

cardiovascular disease. Examinations 

will be conducted on the original, 


jlentini on DSKJ8SOYB1PROD with NOTICES