[Federal Register Volume 78, Number 212 (Friday, November 1, 2013)]
[Notices]
[Pages 65653-65654]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-26116]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-14-0955]
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 LeRoy Richardson, at 1600 Clifton Road, MS D74,
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
Early Hearing Detection and Intervention--Pediatric Audiology Links
to Service (EHDI-PALS) Survey (OMB No. 0920-0955, Expiration 02/28/
2014)--Revision--National Center on Birth Defects and Developmental
Disabilities (NCBDDD), Centers for Disease Control and Prevention
(CDC).
Background and Brief Description
The Division of Human Development and Disability, located within
NCBDDD, promotes the health of babies, children, and adults, with a
focus on preventing birth defects and developmental disabilities and
optimizing the health outcomes of those with disabilities. Since the
passage of the Early Hearing Detection and Intervention (EHDI) Act, 97%
of newborn infants are now screened for hearing loss prior to hospital
discharge. However, many of these infants have not received needed
hearing tests and follow up services after their hospital discharges.
The 2011 national average loss to follow-up/loss to documentation rate
is at 35%. This rate remains an area of critical concern for state EHDI
programs and CDC-EHDI team's goal of timely diagnosis by 3 months of
age and intervention by 6 months of age. Many states cite the lack of
audiology resources as the main factor behind the high loss to follow
up. To compound the problem, many pediatric audiologists may be
proficient evaluating children age five and older but are not
proficient with diagnosing infants or younger children because children
age five and younger require a different skill set. No existing
literature or database was available to help states verify and quantify
their states' true follow up capacity until this project went live in
2013.
Meeting since April 2010, the EHDI-PALS workgroup has sought
consensus on the loss to follow up/loss to documentation issue facing
the EHDI programs. A survey based on standard of care practice was
developed for state EHDI programs to quantify the pediatric audiology
resource distribution within their state, particularly audiology
facilities that are equipped to provide follow up services for children
age five and younger. After nine months of data collection, preliminary
data suggested that children residing in certain regions of the United
States who were loss to follow up were due to the distance parents had
to travel to reach a pediatric audiology facility. For example, parents
who reside in western region of Nebraska and Iowa on average have to
drive over 100 miles to reach a pediatric audiology facility.
CDC is requesting an Office of Management and Budget (OMB) approval
to continue collecting audiology facility information from audiologists
or facility managers so both parents, physicians and state EHDI
programs will have a tool to find where the pediatric audiology
facilities are located. This survey will continue to allow CDC-EHDI
team and state EHDI programs to compile a systematic, quantifiable
distribution of audiology facilities and the capacity of each facility
to provide services for children age five and younger. The data
collected will also allow the CDC-EHDI team to analyze facility
distribution data to improve technical assistance to State EHDI
programs.
Two additional questions will be added to the existing survey. The
two questions will ask for more information from audiology facilities
that provide services by remote telepractice technology. This
information will be of vital interest and benefit for both parents who
live in remote regions of the US and state EHDI programs to maximize
resource coverage. Respondents will all be audiologists who manage a
facility or provide audiologic care for children age five and younger.
To minimize burden and improve convenience, the survey will continue to
be available via a secure password protected Web site. Placing the
survey on the internet ensures convenient, on-demand access by the
audiologists. Financial cost is minimized because no mailing fee will
be associated with sending or responding to this survey.
EHDI-PALS currently has 882 facilities in the database since the
beginning of the data collection. All 882 facilities' contacts will
receive a brief email from University of Maine to remind them to review
their survey answers. It is estimated that approximately 800
audiologists will do so. It takes approximately two minutes per person
to review the survey
[[Page 65654]]
answers. Both ASHA and AAA are members of the EHDI-PALS workgroup and
will continue to disseminate a request through association e-
newsletters and e-announcements to all audiologists who provide
services to children younger than five years of age to complete the
EHDI-PALS survey. It is estimated that potentially an additional 400
new audiologists will read through the purpose statement located on
page one of the survey to decide whether or not to complete the survey.
This will take one minute per person. It is estimated that 200
audiologists will complete the survey which will average nine minutes
per respondent. The nine minutes calculation is based on a previous
timed pre-test with six volunteer audiologists. There are no costs to
respondents other than their time.
Estimates of Annualized Burden Hours
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Average
Number of Number of burden per Total burden
Respondents Form name respondents responses per response (in hours
respondent minutes)
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Audiologists who have Survey.......... 800 1 2/60 27
completed survey.
New Audiologists.............. Survey 400 1 1/60 7
Introduction.
New Audiologists.............. Survey.......... 200 1 9/60 30
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Total..................... ................ .............. .............. .............. 64
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Leroy Richardson,
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. 2013-26116 Filed 10-31-13; 8:45 am]
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