Notice2022-14218
Proposed Data Collection Submitted for Public Comment and Recommendations
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
July 5, 2022
Issuing agencies
Health and Human Services DepartmentCenters for Disease Control and Prevention
Abstract
The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other federal agencies the opportunity to comment on a continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled Pregnancy Risk Assessment Monitoring System (PRAMS). PRAMS is a surveillance project of the Centers for Disease Control and Prevention (CDC) and state health departments that collects jurisdiction-specific, population-based data on maternal attitudes and experiences before, during, and shortly after pregnancy.
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<title>Federal Register, Volume 87 Issue 127 (Tuesday, July 5, 2022)</title>
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[Federal Register Volume 87, Number 127 (Tuesday, July 5, 2022)]
[Notices]
[Pages 39837-39839]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-14218]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-22-1273; Docket No. CDC-2022-0080]
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 effort to reduce public burden and maximize the
utility of government information, invites the general public and other
federal agencies the opportunity to comment on a continuing information
collection, as required by the Paperwork Reduction Act of 1995. This
notice invites comment on a proposed information collection project
titled Pregnancy Risk Assessment Monitoring System (PRAMS). PRAMS is a
surveillance project of the Centers for Disease Control and Prevention
(CDC) and state health departments that collects jurisdiction-specific,
population-based data on maternal attitudes and experiences before,
during, and shortly after pregnancy.
DATES: CDC must receive written comments on or before September 6,
2022.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2022-
0080 by either of the following methods:
<bullet> Federal eRulemaking Portal: <a href="http://www.regulations.gov">www.regulations.gov</a>. Follow
the instructions for submitting comments.
<bullet> Mail: Jeffrey M. Zirger, Information Collection Review
Office, Centers for Disease Control and Prevention, 1600 Clifton Road
NE, MS H21-8, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. CDC will post, without change, all relevant comments
to <a href="http://www.regulations.gov">www.regulations.gov</a>.
Please note: Submit all comments through the Federal eRulemaking
portal (<a href="http://www.regulations.gov">www.regulations.gov</a>) 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 Jeffrey M. Zirger, Information Collection
Review Office, Centers for Disease Control and Prevention, 1600 Clifton
Road NE, MS H21-8, Atlanta, Georgia 30329; Telephone: 404-639-7118;
Email: <a href="/cdn-cgi/l/email-protection#a6c9cbc4e6c5c2c588c1c9d0"><span class="__cf_email__" data-cfemail="66090b042605020548010910">[email protected]</span></a>.
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 the OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below.
The OMB is particularly interested in comments that will help:
1. Evaluate whether the proposed collection of information is
necessary for the proper performance of the functions of the agency,
including whether the information will have practical utility;
2. Evaluate the accuracy of the agency's estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to
be collected;
4. Minimize the burden of the collection of information on those
who are to respond, including through the use of appropriate automated,
electronic, mechanical, or other technological collection techniques or
other forms of information technology,
[[Page 39838]]
e.g., permitting electronic submissions of responses; and
5. Assess information collection costs.
Proposed Project
Pregnancy Risk Assessment Monitoring System (PRAMS) (OMB Control
No. 0920-1273, Exp. 11/30/2022)--Revision--National Center for Chronic
Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
The Pregnancy Risk Assessment Monitoring System (PRAMS) is a
surveillance project of the Centers for Disease Control and Prevention
(CDC) and state health departments. Developed in 1987, PRAMS collects
jurisdiction-specific, population-based data on maternal attitudes and
experiences before, during, and shortly after pregnancy.
PRAMS provides data not available from other sources. These data
can be used to identify groups of women and infants at high risk for
health problems, to monitor changes in health status, and to measure
progress towards goals in improving the health of mothers and infants.
PRAMS data are used by researchers to investigate emerging issues in
the field of reproductive health and by federal, state and local
governments to plan and review programs and policies aimed at reducing
health problems among mothers and babies.
PRAMS is a jurisdiction customized survey conducted in 50 sites and
covers 81% of all live births in the United States. Information is
collected 2-6 months after live birth or stillbirth by mail survey with
telephone follow-up for non-responders. In 2022, five jurisdictions
piloted a web mode for data collection, with plans to scale up to all
jurisdictions in 2023. Because PRAMS uses standardized data collection
methods, it allows data to be compared among sites. Jurisdictions can
implement the survey on an ongoing basis or as a point-in-time survey.
In participating jurisdictions, a sample of women who have recently
given birth to a live born or stillborn infant is selected from birth
certificates or fetal death files. The sample is stratified based on
the site's population of interest to ensure high-risk populations are
adequately represented in the data.
The PRAMS survey instrument for live births is based on a core set
of questions common across all jurisdictions that remain the same
throughout each phase of data collection. In addition, CDC provides
optional standardized modules (pre-grouped questions on a select topic)
that jurisdiction may use to customize survey content at the beginning
of each phase of data collection. Topics for both the core and standard
modules include demographic and background, health conditions (which
includes chronic conditions such as diabetes, hypertension, mental
health, oral health, cancer, as well as pregnancy-induced health
conditions and family history of select conditions); health behaviors
(including tobacco and alcohol use, substance use [licit and illicit],
injury prevention and safety, nutrition, and physical activity); health
care services (such as preconception care, prenatal care, postpartum
care, contraceptive care, vaccinations, access to care and insurance
coverage, receipt of recommended services and provider counseling
received); infant health and development; infant care practices (such
as breastfeeding, safe sleep practices); social services received (such
as WIC or home visiting); the social context of childbearing (such as
intimate partner violence, social support, adverse childhood
experiences, stressful life experiences and racism); attitudes and
feeling about the pregnancy including pregnancy intentions.
CDC is seeking approval for a Revision of the PRAMS collection to
include Phase 8, which will conclude March 2023, and to incorporate
Phase 9, which will begin in April 2023. The Phase 9 survey will
include the same question topics and most of the same questions for
core and standard modules from Phase 8. The content on some topics will
be expanded, for example, questions related to the social context of
childbearing has been broadened with new questions such as those on
experiences of racism and food, housing, and transportation insecurity.
For Phase 9, some questions have been added and some Phase 8 questions
have been modified (e.g., by reducing the number of response choices).
Additionally, some questions from the Phase 8 core modules will not be
included in the Phase 9 core modules. These questions are still
available for jurisdictions to use as part of the standard modules.
Because PRAMS infrastructure was developed to access a specific
population, the PRAMS infrastructure is uniquely suited for rapid
adaption for information collection that would not be feasible with
other surveillance methods. At times, states may also be funded to
address emerging topics of interest with supplemental modules (pre-
grouped questions on a select topic). These supplemental modules
address national and site-specific priorities. Supplemental modules,
for which continued collection for Phase 8 of PRAMS births is planned
include disabilities, marijuana use, prescription and illicit opioid
use, COVID-19 experience, COVID-19 vaccine, and social determinants of
health. New supplemental modules may be developed to address other
emergent issues as they arise.
PRAMS can also be adapted to do call back surveys. Women who
respond to the PRAMS survey may be re-contacted (opt-out consent
process used) at a later date (most recent opioid call back survey
occurred approximately nine months post-birth) to collect additional
information about post-pregnancy experiences and infant and toddler
health. No call back survey is currently being fielded or planned but
call back surveys may be developed to address other emergent issues as
they arise.
The stillbirth survey is currently administered in the state of
Utah only. It includes a single survey instrument.
As part of the questionnaire development process, cognitive and
field testing will be conducted prior to implementation of new
supplemental modules and call back surveys. For subsequent phases of
PRAMS questionnaires, new or substantively revised questions for the
core or standard questions will be conducted prior to a new phase.
Cognitive and field testing will be conducted among women with infants
one year or younger. Cognitive testing is conducted to evaluate
interpretive and cognitive processes used by respondents when
responding to survey questions to identify difficulties experienced by
respondents when answering the questions and as well as identify
potential response errors. Field testing is conducted to identify
issues that may affect implementation or quality of the data collected.
OMB approval is requested for three years. The total estimated
annual burden is 30,992 hours which is an increase of 1,227 hours. The
change in overall burden results from: (1) a slightly reduced estimate
of the number of responses to the PRAMS survey (core questions plus
jurisdiction selected standard module) based on responses received in
2019 (decrease of 223 hours), (2) an increase in the anticipated number
of supplemental modules and the time to complete each module from five
to eight minutes (increase of 1,836 hours) based on current
supplemental modules being implemented by jurisdictions, (3) a decrease
in the estimated annual burden for call back surveys (decrease of 586
hours) with current estimates based on responses to
[[Page 39839]]
the most recent call back survey, (4) the addition of cognitive testing
to aid in the development of new or modification of existing questions
(increase of 150 hours), and (5) an increase in the amount of time
allotted for each field testing interview resulting in an overall
increase for field testing from 20 to 40 minutes (increase of 50
hours). 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 hours) hours
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Women who recently delivered a PRAMS Phase 8/ 51,556 1 26/60 22,341
live birth. Phase 9 (Core
Questions plus
state selected
standard
modules).
Supplemental 52,040 1 8/60 6,939
Modules.
Call Back 2,790 1 30/60 1,395
Surveys.
Cognitive 150 1 60/60 150
Testing.
Field Testing... 150 1 40/60 100
Women who recently delivered a PRAMS Stillbirth 160 1 25/60 67
stillbirth. Questionnaire.
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Total..................... ................ .............. .............. .............. 30,992
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2022-14218 Filed 7-1-22; 8:45 am]
BILLING CODE 4163-18-P
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