Proposed Data Collection Submitted for Public Comment and Recommendations
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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 Oral Health Basic Screening Survey for Children. The project provides State-specific data on dental caries (tooth decay) and dental sealants from a State-representative sample of elementary school children or children enrolled in Head Start programs and has been used by States to monitor oral health status of children and evaluate public health programs and policies.
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<title>Federal Register, Volume 89 Issue 10 (Tuesday, January 16, 2024)</title>
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[Federal Register Volume 89, Number 10 (Tuesday, January 16, 2024)]
[Notices]
[Pages 2617-2618]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-00654]
[[Page 2617]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-24-1346; Docket No. CDC-2023-0102]
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 Oral Health Basic Screening Survey for Children. The project
provides State-specific data on dental caries (tooth decay) and dental
sealants from a State-representative sample of elementary school
children or children enrolled in Head Start programs and has been used
by States to monitor oral health status of children and evaluate public
health programs and policies.
DATES: CDC must receive written comments on or before March 18, 2024.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2023-
0102 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; phone: 404-639-7570; email:
<a href="/cdn-cgi/l/email-protection#7916141b391a1d1a571e160f"><span class="__cf_email__" data-cfemail="d0bfbdb290b3b4b3feb7bfa6">[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, e.g., permitting electronic
submissions of responses; and
5. Assess information collection costs.
Proposed Project
Oral Health Basic Screening Survey for Children (OMB Control No.
0920-1346, Exp. 8/31/2024)--Extension--National Center for Chronic
Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
Dental caries (tooth decay) is one of the most common chronic
diseases among children in the United States and can lead to pain,
infection, and diminished quality of life throughout the lifespan.
Dental sealants are a cost-effective measure to prevent caries but
remain underutilized. To address States' critical need for State-level
oral health surveillance data on dental caries and sealants, the
Association of State and Territorial Dental Directors (ASTDD) developed
and released an oral health screening survey protocol referred to as
the Basic Screening Survey (BSS) in 1999 in collaboration with the Ohio
Department of Health and with technical assistance from the CDC
Division of Oral Health.
BSS is a non-invasive visual observation of the mouth performed by
trained screeners including dental and non-dental health professionals
(e.g., dentists, hygienists, school nurses), and is not duplicative of
any other Federal collection. Though the National Health and Nutrition
Examination Survey (NHANES) collects national data on oral health
status including dental caries and sealants based on clinical
examination, it is not designed to provide State-level data. BSS is
designed to be easy to perform while being consistent and aligned with
the oral health Healthy People objectives, which are based on NHANES
measures. BSS is the only data source that provides State-
representative data on oral health status based on clinical
examination. BSS is also used to monitor State progress toward key
national oral health objectives.
The BSS is a State-tailored survey administered and conducted by
individual States. CDC has supported some of the 50 States to build and
maintain their oral health surveillance system and ASTDD to provide
technical assistance to States through State and partner cooperative
agreements since 2001. Conducting BSS for third graders is a key
component of that support. The target populations include school
children in grades K-3 and children enrolled in Head Start in 50 States
and Washington, DC. ASTDD and CDC recommend that States conduct BSS at
minimum for third graders at least once every five years. Individual
States determine how often to conduct BSS and which grade or grades to
target based on their program needs and available resources. Forty-
seven States have conducted BSS for children, and all of the 47
conducted BSS in Grade 3. Thirty-two States also have conducted BSS in
one or more other grades (K-2) or in Head Start. CDC estimates that
approximately 34 States, including 20 States currently funded by CDC,
will conduct one BSS, at least for third grade, during the period for
which this approval is being sought.
State health departments administer the survey by determining
probability samples, arranging logistics with selected schools or Head
Start sites, gaining consent, obtaining demographic
[[Page 2618]]
data, training screeners, conducting the oral health screening at
schools or Head Start sites. Screeners record four data points either
electronically or on a paper form: (1) presence of treated caries; (2)
presence of untreated tooth decay; (3) urgency of need for treatment;
and (4) presence of dental sealants on at least one permanent molar
tooth.
State programs enter, clean and analyze the data; de-identify it;
and respond to ASTDD's annual email request for State-aggregated
prevalence of dental caries and sealants. ASTDD reviews the data to
ensure that both survey design and data meet specific criteria before
sending it to CDC for publication on the CDC's public-facing Oral
Health Data website (<a href="http://www.cdc.gov/oralhealthdata">www.cdc.gov/oralhealthdata</a>).
BSS for children serves as a key State oral health surveillance
data source and facilitates State capacity to: (1) monitor children's
oral health status, trends, and disparities, and compare with other
States; (2) inform planning, implementation and evaluation of effective
oral health programs and policies; (3) measure State progress toward
Healthy People objectives; and (4) educate the public and policy makers
regarding cross-cutting public health programs. CDC also uses the data
to evaluate performance of CDC oral health funding recipients.
The estimated total annualized burden hours for the survey across
the 34 States over the three years of this request are 40,207. There
are no costs to children respondents other than their time.
Estimated Annualized Burden Hours
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Average
Number of Number of burden per Total burden
Type of respondents Form name respondents responses per response (in (in hours)
respondent hours)
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Child.......................... Screening form... 150,370 1 5/60 12,531
Parent/caretaker............... Consent.......... 150,370 1 1/60 2,506
Screener....................... Screening form... 301 1 666/60 3,341
School/site.................... Participation 2,890 1 68/60 3,275
form.
State Official................. Data Submission 34 1 32,742/60 18,554
form.
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Total...................... ................. .............. .............. ............ 40,207
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Public Health
Ethics and Regulations, Office of Science, Centers for Disease Control
and Prevention.
[FR Doc. 2024-00654 Filed 1-12-24; 8:45 am]
BILLING CODE 4163-18-P
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