[Federal Register Volume 78, Number 29 (Tuesday, February 12, 2013)]
[Notices]
[Pages 9924-9925]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-03194]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60-Day-13-0743]
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 404-639-7570 or
send comments to Kimberly Lane, 1600 Clifton Road, MS D-74, Atlanta, GA
30333 or send an email to [email protected].
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 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. 12/31/2011)--
Reinstatement--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 social, economic, and health
benefits of breastfeeding for both the mother and infant as well as for
society in general. 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 2020 establishes specific national breastfeeding
goals. In addition to increasing overall rates, a significant public
health priority in the United States (U.S.) is to reduce variation in
breastfeeding rates across population subgroups. Although CDC
surveillance data indicate that breastfeeding initiation rates in the
U.S. are climbing, rates for duration and exclusivity continue to lag,
and significant disparities in breastfeeding rates persist between
African-American and white women.
The health care system is one of the most important and effective
settings to improve breastfeeding initiation rates because hospital
practices strongly influence infant feeding outcomes. In 2003, CDC
convened a panel of experts in surveillance and monitoring of hospital
practices related to breastfeeding to identify the most effective way
for CDC to address the urgent public health need for nationally
representative data on these practices. The Expert Panel's consensus
recommendation was to establish an ongoing, national system to monitor
and evaluate hospital practices related to breastfeeding among all
facilities that routinely provide intrapartum care in the United
States. In response to this input, CDC created 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 birth centers). The mPINC survey was first
[[Page 9925]]
launched in 2007. As it was designed to provide baseline information
and to be repeated every two years, it was conducted again in 2009 and
2011. The survey inquired about patient education and support for
breastfeeding throughout the maternity stay as well as staff training
and maternity care practices.
OMB approval for the 2007 survey included a request to CDC to
provide, prior to the fielding of the 2009 iteration, a report to the
Office of Management and Budget (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. A summary of mPINC findings was also the
anchor of all activities related to the CDC August 2011 Vital Signs
activity, marking the first time that CDC decided to highlight
improving hospital maternity practices as the CDC-wide public health
priority for the month.
A major strength of the mPINC survey design is its structure as an
ongoing, national census. The 2013 and 2015 mPINC surveys repeat the
prior iterations (2007, 2009, and 2011). Ensuring that the methodology,
content, and administration of these will match those used before
maximizes the utility not only of the data to be collected in the
upcoming survey, but also that of data already collected; fidelity to
the original design allows for analyses of the wide spectrum of changes
and factors at the hospital, regional, state, and national levels that
affect any given hospital's practices. 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. Facilities that will be
invited to participate in the survey include those that participated in
previous iterations and those that were invited but did not participate
in the previous iterations, as well as those that have become eligible
since the most recent mPINC survey. 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 previous iterations of the mPINC survey (82% in 2007 and
2009, and 83% in 2011) indicate that the methodology is appropriate and
also reflects unusually high interest among the respondent population.
The estimated burden for the Telephone Screening Interview is five
minutes, and the estimated burden for completing the mPINC Survey is 30
minutes.
As with the initial surveys, a major goal of the 2013 and 2015
follow-up surveys is to be fully responsive to facilities' 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. CDC will use information from the mPINC surveys to identify,
document, and share information related to incremental changes in
practices and care processes over time at the hospital, state, and
national levels. Data will be also used by researchers to better
understand the relationships between hospital characteristics,
maternity-care practices, state level factors, and breastfeeding
initiation and continuation rates.
Participation in the survey is voluntary, and responses may be
submitted by mail or through a Web-based system. There are no costs to
respondents other than their time.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondent Form name Number of responses per per response Total burden
respondents respondent (in hours) (in hours)
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AHA Hospitals with either 1 birth Telephone Screening Interview.......... 2,398 1 5/60 200
or 1 registered maternity bed.
mPINC Survey........................... 1,730 1 30/60 865
AABC Birth Centers............................. Telephone Screening Interview.......... 173 1 5/60 14
mPINC Survey........................... 95 1 30/60 48
Total...................................... ....................................... .............. .............. .............. 1,127
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Kimberly S. Lane,
Deputy Director, Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the Director, Centers for
Disease Control and Prevention.
[FR Doc. 2013-03194 Filed 2-11-13; 8:45 am]
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