[Federal Register Volume 80, Number 110 (Tuesday, June 9, 2015)]
[Notices]
[Pages 32562-32564]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-13955]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60-Day 15-15ANC; Docket No. CDC-2015-0044]
Proposed Data Collection Submitted for Public Comment and
Recommendations
AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).
ACTION: Notice with comment period.
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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
of its continuing efforts to reduce public burden and maximize the
utility of government information, invites the general public and other
Federal agencies to take this opportunity to comment on proposed and/or
continuing information collections, as required by the Paperwork
Reduction Act of 1995. This notice invites comment on a newly proposed
information collection entitled ``Formative and Summative Evaluation of
the National Diabetes Prevention Program''. Mixed methods will be used
to describe program performance.
DATES: Written comments must be received on or before August 10, 2015.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2015-
0044 by any of the following methods: Federal eRulemaking Portal:
Regulation.gov. Follow the instructions for submitting comments.
Mail: Leroy A. Richardson, Information Collection Review Office,
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. All relevant comments received will be posted
without change to Regulations.gov, including any personal information
provided. For access to the docket to read background documents or
comments received, go to Regulations.gov.
Please note: All public comment should be submitted through the
Federal eRulemaking portal (Regulations.gov) or by U.S. mail to the
address listed above.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the information collection plan
and instruments, contact the Information Collection Review Office,
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected].
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. In addition, the PRA also requires
Federal agencies to provide a 60-day notice in the Federal Register
concerning each proposed collection of information, including each new
proposed collection, each proposed extension of existing collection of
information, and each reinstatement of previously approved information
collection before submitting the collection to OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below. 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; (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; and (e) estimates of capital or start-up costs and costs of
operation, maintenance, and purchase of services to provide
information. Burden means the total time, effort, or financial
resources expended by persons to generate, maintain, retain, disclose
or provide information to or for a Federal agency. This includes the
time needed to review instructions; to develop, acquire, install and
utilize technology and systems for the purpose of collecting,
validating and verifying information, processing and maintaining
information, and disclosing and providing information; to train
personnel and to be able to respond to a collection of information, to
search data sources, to complete and review the collection of
information; and to transmit or otherwise disclose the information.
Proposed Project
Formative and Summative Evaluation of the National Diabetes
Prevention Program--New--National Center for Chronic Disease Prevention
and Health Promotion (NCCDPHP), Centers for Disease Control and
Prevention (CDC).
[[Page 32563]]
Background and Brief Description
Diabetes takes a significant toll on the public's health and,
subsequently, our nation's health care system. In addition to 29.1
million people in the U.S. population diagnosed with diabetes, CDC
estimates that 86 million adults aged 20 or older have prediabetes.
Evidence-based lifestyle change programs have proven effective for
preventing or delaying the onset of type 2 diabetes. However, several
challenges must be addressed to achieve large-scale adoption and
implementation of evidence-based lifestyle change programs.
Implementation barriers include creating a shared vision among
inherently different organizations, managing costs, managing variations
in the quality of interventions, and training and appropriate referral
of those at risk to lifestyle change programs.
In response to these challenges, CDC led the development of the
National Diabetes Prevention Program (National DPP), a lifestyle change
program aimed to increase knowledge and awareness of healthy eating and
activities among people at-risk for diabetes. The National DPP funded
six grantees to establish and expand ``a network of structured,
evidence-based lifestyle change programs designed to prevent type 2
diabetes among people at high risk.'' Grantees are responsible for
sustaining and scaling up the National DPP, which involves establishing
evidence-based lifestyle change programs in multiple states and
building a system to strategically recruit participants at high risk
for diabetes.
As a central component of the National DPP, grantees promote sites'
participation in the CDC's Diabetes Prevention Recognition Program
(DPRP). The DPRP recognizes organizations that demonstrate effective
delivery of proven type 2 diabetes prevention lifestyle interventions.
To sustain the programs beyond the funding period, grantees are
responsible for
gaining concrete support for delivery sites from insurance
companies in the form of reimbursement, and
developping delivery sites' capacity to obtain and
maintain DPRP recognition, and
actively educating employers and insurance companies on
the cost savings of including the lifestyle change program as a covered
health benefit and reimbursing delivery sites on a pay-for-performance
basis.
The National DPP has the potential for increasing the availability
and reach of lifestyle change programs for those at risk for type 2
diabetes, improving the quality of programs and resources offered, and
creating sustainable changes in how third-party payers offer and
reimburse for programs to ensure that they are available to individuals
regardless of their ability to pay.
CDC plans to collect information needed to evaluate the role of
program-level factors on the effectiveness of National DPP efforts and
to identify best practices. The best practices will draw from many
different implementation strategies and take into account the barriers
that arise in a variety of different delivery settings. Specifically,
this assessment will reveal the impact of recruitment strategies and
delivery models on factors such as reaching targeted demographics and
participant completion rates. As a result of the assessment, the
successes and challenges experienced by all programs can be used by
other organizations to sustain and increase the effectiveness of their
own lifestyle change programs. This information is necessary for
translating the National DPP into various settings nationwide.
CDC plans to distribute an assessment tool (spreadsheet) to all six
grantees, who will, in turn, disseminate the tool to their partner
organizations across 23 states and 2 tribes and tribal organizations.
The spreadsheets are a means for grantees and intervention sites to
report on program components and progress. Grantees are responsible for
completing their specific data collection spreadsheet and for
distributing the spreadsheets to their interventions sites. Each
grantee will collect information from its intervention sites, collate
the site-specific spreadsheet reports into an aggregate grantee report,
and submit the aggregate spreadsheet report to the CDC.
Program coordinators at each intervention site will be asked to
describe their intervention, identify barriers and facilitators to
implementation, and identify resources used to hold the lifestyle
change classes. The estimated burden per response is 30 minutes.
Project directors at the grantee level will be asked similar questions
about resource use and implementation strategies, but will also be
asked to discuss elements related to the reach of their National DPP
programs. The estimated burden per response for a grantee is 8 hours.
CDC will use the information to investigate how to (1) expand the
reach and sustainability of the National DPP program, (2) ensure the
quality of the program as it is offered within communities, (3)
increase referrals, and (4) secure sustained commitment among insurance
providers to reimburse organizations providing the program so it is
accessible to individuals most in need of this intervention. Finally,
CDC will use the information to inform the development of data-driven
technical assistance for National DPP grantees and their intervention
sites.
OMB approval is requested for three years, in which there will be
two waves of information collection. Wave one will include 110 NDPP
Intervention Sites and 6 NDPP Grantees, and wave two will include 120
NDPP Intervention Sites and 6 NDPP Grantees. Over the three-year
clearance period, the total burden estimate is based on 73 annualized
responses from NDPP Intervention Sites (110 + 120/3) and 4 annualized
responses from NDPP Grantees (6 + 6/3).
Participation is voluntary and there are no costs to respondents
other than their time.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondents Form name Number of responses per per response Total burden
respondents respondent (in hrs.) (in hrs.)
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NDPP Intervention Sites....... Spreadsheet for 73 1 30/60 37
NDPP
Intervention
Sites.
NDPP FOA Grantees............. Spreadsheet for 4 1 8 32
NDPP Grantees.
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Total..................... ................ .............. .............. .............. 69
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[[Page 32564]]
Leroy A. 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. 2015-13955 Filed 6-8-15; 8:45 am]
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