[Federal Register Volume 79, Number 83 (Wednesday, April 30, 2014)]
[Notices]
[Pages 24434-24435]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-09768]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60 Day-14-14VT]
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
Reaching Underserved Populations through Learn the Signs. Act
Early. Materials--New--National Center on Birth Defects and
Developmental Disabilities (NCBDDD), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The Learn the Signs. Act Early. (LTSAE) campaign, developed by the
Centers for Disease Control and Prevention, is designed to increase
awareness of developmental milestones among parents, healthcare
professionals, childcare providers and others who regularly interact
with young children. Increased awareness is expected to lead to
increased developmental screening, the first in a series of steps
toward early intervention which is essential for the health and well-
being of children with developmental delays.
Developmental delays are increasingly common among all young
children, with recent national estimates ranging from 13-15%. However,
children from minority and low-income groups are particularly
vulnerable due to lags in identification. Not only do healthcare and
early childhood professionals frequently fail to identify children with
developmental disabilities, but parents also need to be educated about
child development, especially parents living in poverty who are less
likely to recognize a child's special needs. Because early
identification of developmental delays is critical to positive
outcomes, young children from minority and low-income groups may miss a
critical window of opportunity if developmental concerns are not
identified in a timely way.
The purpose of this study is to understand how the LTSAE campaign
is meeting the needs of underserved families when delivered as part of
the Women, Infant and Children (WIC) nutrition program. By
understanding how LTSAE materials and messages affect awareness and
behavior of WIC participants and staff, the CDC can determine what
improvements may be needed in order to effectively reach this at-risk
population. The three phases of the study will measure changes in
parents' awareness, knowledge and intention to act, and WIC staff
responses to the LTSAE materials and messages. This information will
help guide the CDC in developing the messages, materials, partnerships
and strategies that are most effective for families served by WIC.
The data collection system consists of four questionnaires and a
structured focus group. These form the basis of three phases of the
study designed to determine the effectiveness of LTSAE materials and
messages with WIC participants and staff.
In Phase 1, pre- and post-implementation parent-report surveys will
determine the LTSAE campaign's impact on parental awareness, knowledge
and intention to act if there is a developmental concern. These will be
paper surveys administered during routine WIC clinic visits. The parent
survey was pilot tested by three parents receiving WIC services and
reviewed by 14 WIC staff. The Pre-intervention Survey will be completed
by 450 respondents, who are parents/guardians of children enrolled in
the WIC Nutrition Program at nine WIC clinics in four counties in the
St. Louis, Missouri area. The Post-intervention Survey will be
completed by the same 450 parents/guardians of children enrolled in the
WIC Nutrition Program who completed the Pre-intervention Survey.
In Phase 2, a referral outcome tracking form will be completed by
100 parents/guardians of children enrolled in the WIC Nutrition Program
and will document whether the study protocols will impact the behavior
of parents of children with possible delays. If a developmental delay
is suspected, WIC staff will give the parent a referral to the child's
doctor and encourage the parent to talk with the doctor about the
child's development. WIC staff will complete a referral outcome
tracking form during the parent's subsequent visits to the WIC clinic
to determine whether the parent followed up with the doctor, how
[[Page 24435]]
the doctor responded to the parent's concerns and whether the child
accessed screening, diagnostic and treatment services. We estimate each
parent will return to the clinic twice during the study for activities
such as WIC eligibility re-certification. This offers the opportunity
to track referral outcomes over time. The Referral Outcome Tracking
Form will be completed twice by the same 100 parent/guardian
respondents.
In Phase 3, two measures will evaluate the WIC staff's response to
the study to help determine program and message improvements,
feasibility and sustainability. An online survey will assess staff
perceptions of factors such as key elements, such as ease of use, time
requirements and perceived impact on children and families. The WIC
Developmental Milestones Staff Survey will be completed by 47 WIC staff
members who work in the WIC clinics in the 9 sites where the project
will be implemented. Each staff member also will be sent an email
invitation to attend one 60-minute focus group meeting. This will allow
for further clarification of the group's response. WIC staff members
have provided feedback to refine questions, ensure accurate programming
and establish the estimated time required to complete this data
collection process.
The estimate for burden hours is based on the number of questions
included in the questionnaires, as well as survey pre-testing to
determine the typical length of time for completion. To obtain maximum
potential burden estimates, we did not factor in attrition during the
course of the study but rather assumed that all participants would
complete all measures.
The total estimated burden is 255 hours. There is no cost to
respondents other than their time.
Estimated Annualized Burden Hours
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Average
Number of Number of burden per Total burden
Type of respondent Form name respondents responses per response (in hours
respondent hours)
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Parents/guardians of children Pre-Intervention 450 1 10/60 75
receiving WIC enrolled in Survey.
Phase 1.
Post- 450 1 10/60 75
Intervention
Survey.
Parents/guardians of children Referral Outcome 100 2 15/60 50
enrolled in Phase 2. Tracking Form.
WIC staff enrolled in Phase 3. WIC 47 1 10/60 8
Developmental
Milestones
Staff Survey.
WIC staff enrolled in Phase 3. Focus Group 47 1 1 47
Questions.
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Total..................... ................ .............. .............. .............. 255
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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. 2014-09768 Filed 4-29-14; 8:45 am]
BILLING CODE 4163-18-P