[Federal Register Volume 81, Number 44 (Monday, March 7, 2016)]
[Notices]
[Pages 11796-11798]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-04938]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-16-16RZ; Docket No. CDC-2016-0024]
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.
-----------------------------------------------------------------------
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 An Assessment of
the State Public Health Actions (``1305'') Program, a study to explore
state-level partnerships and synergy among state health departments
funded through the State Public Health Actions 1305 cooperative
agreement.
DATES: Written comments must be received on or before May 2, 2016.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2016-
0024 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
[[Page 11797]]
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
An Assessment of the State Public Health Actions (``1305'')
Program--New--National Center for Chronic Disease Prevention and Health
Promotion, Centers for Disease Control and Prevention (CDC).
Background and Brief Description
Chronic diseases and conditions--such as heart disease, stroke,
diabetes, and obesity--are the leading causes of death and disability
in the United States, and are major drivers of sickness, disability,
and high health care costs (CDC, 2016). Having multiple chronic
conditions further increases the risk for these negative health
outcomes, while also increasing risk for poor day-to-day functioning.
Chronic diseases, as well as multiple chronic diseases, are associated
with significant health care costs. In 2010, 86% of all health care
spending was attributed to individuals with at least one chronic
medical condition, and 71% was associated with care for individuals
with multiple chronic conditions (Gerteis et al., 2014).
To address these challenges, the Centers for Disease Control and
Prevention (CDC)'s National Center for Chronic Disease Prevention and
Health Promotion (NCCDPHP) provides funding for cross-cutting chronic
disease programs within state and local health agencies to implement
public health programs; conduct public health surveillance; translate
research; communicate health prevention messages; and develop and
implement tools and resources for state- and local-level stakeholders.
In 2013, the NCCDPHP developed a new program funding opportunity to
support states in the design and implementation of strategies to reduce
complications from multiple chronic diseases and associated risk
factors. The funding opportunity was announced as ``State Public Health
Actions to Prevent and Control Diabetes, Heart Disease, Obesity and
Associated Risk Factors and Promote School Health,'' CDC-RFA-DP13-1305,
and is hereafter referred to as ``State Public Health Actions 1305.''
This new 5-year cooperative agreement supports state health departments
in an important transition from funding and implementing four separate
categorical areas (i.e., diabetes; heart disease and stroke; nutrition,
physical activity, and obesity; and school health) to working
collaboratively across categorical areas to plan and implement cross-
cutting initiatives. This cross-cutting approach is essential for
supporting activities to prevent chronic disease and risk factors--
particularly multiple chronic conditions.
State Public Health Actions 1305 addresses six key public health
priorities: (1) Uncontrolled hypertension, (2) prevention and control
of diabetes, (3) incidence of obesity, (4) increased physical activity
and healthy eating by children and adults, (5) increased breastfeeding,
and (6) improved management of chronic conditions among students.
Strategies implemented under State Public Health Actions 1305 fall into
one or more of four chronic disease domains, including (1) Epidemiology
and Surveillance, (2) Environmental Approaches to promote health and
support and reinforce healthful behaviors, (3) Health Systems
Interventions to improve the effective delivery and use of clinical and
other preventive services, and (4) Community-Clinical Linkages to
support cardiovascular disease and diabetes prevention and control
efforts, and the management of chronic diseases.
Through this cooperative agreement, CDC currently provides over
$100 million to state health departments in all 50 United States and
the District of Columbia. Due to the funding, complexity, coordination,
and collaboration needed to implement State Public Health Actions 1305,
there are a number of semi-annual and annual reporting requirements
related to categorical spending, chronic disease outcomes,
efficiencies, and accomplishments. These routine reporting requirements
allow CDC to monitor awardee progress towards programmatic goals, but
do not collect specific information about the processes that support
program implementation plans.
The overall evaluation of State Public Health Actions 1305 examines
the efficiency and effectiveness of the program to provide
accountability, improve programs, expand practice-based evidence, and
demonstrate health outcomes. An important component of assessing
efficiency and effectiveness of the program is examining synergy.
Synergy occurs when collaboration, coordination, alignment, and a
combination of inputs and activities (i.e., the assets and skills of
all the participating partners) produce outputs and outcomes greater
than those that would have occurred if they had been used separately.
The proposed strategies are intentionally aligned to attain greater
success in achieving measurable outcomes that speak to the aims of each
categorical area and the program as a whole. CDC proposes to conduct an
assessment to better understand synergy
[[Page 11798]]
within and across State Public Health Actions 1305 funded programs.
The assessment is guided by three process-related research
questions and multiple indicators designed to examine changes in
processes, organizational structure, and capacity. It will also examine
states' ability to implement a coordinated approach across the
different chronic disease areas and the four domains; challenges and
benefits; and measurable positive outcomes. The research questions
include: (1) What changes did States make to create greater synergy?,
(2) To what extent were redundancies reduced or eliminated at the State
level?, and (3) How has coordination with critical partners changed
since the implementation of State Public Health Actions 1305?
CDC plans to administer a web-based survey to health departments
receiving funding through the State Public Health Actions 1305
cooperative agreement, including 50 states and the District of
Columbia. CDC plans to administer the survey in 2016 (program year 4)
and 2018 (program year 5) to explore changes in partnerships and
synergy throughout the 5-year cooperative agreement. Surveys will be
administered to health department staff directly involved in planning
and/or implementation of the State Public Health Actions 1305 program,
including principal investigators, chronic disease directors, program
evaluators, epidemiologists, and program staff with subject matter
expertise in one or more of the four categorical areas. CDC will
recruit approximately 8 individuals from each funded program for a
total of approximately 408 respondents.
CDC will use survey findings to (1) inform future CDC technical
assistance provision to State Public Health Actions 1305 funded
programs, and (2) inform future cross-cutting, coordinated funding
models. In addition, findings will complement existing routine
reporting by gathering information about the specific processes that
support program implementation plans. Findings will be disseminated via
grantee webinars, grantee annual meetings, reports to CDC leadership,
and U.S. Congressional reports.
OMB approval is requested for 2 years. Participation is voluntary
and respondents will not receive incentives for participation. There
are no costs to respondents other than their time.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of burden per Total burden
Type of respondents Form name respondents responses per response (in (in hr)
respondent hr)
----------------------------------------------------------------------------------------------------------------
Principal Investigators....... Grantee Synergy 51 1 45/60 38
Survey.
Chronic Disease Directors..... Grantee Synergy 51 1 45/60 38
Survey.
Program Evaluators............ Grantee Synergy 51 1 45/60 38
Survey.
Epidemiologists............... Grantee Synergy 51 1 45/60 38
Survey.
Program Staff with Subject Grantee Synergy 204 1 45/60 153
Matter Expertise. Survey.
---------------------------------------------------------------
Total..................... ................ .............. .............. .............. 305
----------------------------------------------------------------------------------------------------------------
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. 2016-04938 Filed 3-4-16; 8:45 am]
BILLING CODE 4163-18-P