Notice2024-15968
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 19, 2024
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 proposed information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled Formative Research on Adverse and positive childhood experiences, social determinants of health, and health equity among young adults in the U.S. This data collection is designed to allow CDC to better understand the relationship between childhood experiences and health outcomes among young adults from populations that have been socially and economically marginalized.
Full Text
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<title>Federal Register, Volume 89 Issue 139 (Friday, July 19, 2024)</title>
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[Federal Register Volume 89, Number 139 (Friday, July 19, 2024)]
[Notices]
[Pages 58739-58740]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-15968]
[[Page 58739]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-24-24GO; Docket No. CDC-2024-0052]
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 proposed information
collection, as required by the Paperwork Reduction Act of 1995. This
notice invites comment on a proposed information collection project
titled Formative Research on Adverse and positive childhood
experiences, social determinants of health, and health equity among
young adults in the U.S. This data collection is designed to allow CDC
to better understand the relationship between childhood experiences and
health outcomes among young adults from populations that have been
socially and economically marginalized.
DATES: CDC must receive written comments on or before September 17,
2024.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2024-
0052 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: 404-639-7570;
Email: <a href="/cdn-cgi/l/email-protection#e986848ba98a8d8ac78e869f"><span class="__cf_email__" data-cfemail="244b4946644740470a434b52">[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
Formative Research on Adverse and positive childhood experiences,
social determinants of health, and health equity among young adults in
the U.S.--New--National Center for Injury Prevention and Control
(NCIPC), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
CDC requests OMB approval for a new data collection for the study
titled Formative research on adverse and positive childhood
experiences, social determinants of health, and health equity among
young adults in the U.S. This study will help CDC to better understand
the relationship between adverse childhood experiences (ACEs), positive
childhood experiences (PCEs), social determinants of health (SDOH), and
health outcomes among young adults from populations that have been
socially and economically marginalized. This is a group at high risk
for experiencing childhood adversity and has been historically
underrepresented in research studies.
CDC is seeking approval to conduct a one-time information
collection effort, with data collection occurring over a 12-month
period. The study will include 6,000 young adults ages 18-24 living in
the U.S. Primary data collection, in English and Spanish, via a
probability-based web panel survey, will obtain new data on
retrospective assessments of ACEs and other potentially traumatic
experiences, PCEs, SDOHs, and health and violence outcomes. Sampling
frameworks will be designed to ensure overrepresentation of some
populations that are disproportionately impacted by ACEs. as well as
underrepresented in research and violence prevention programming,
including individuals with disabilities; individuals from racial and
ethnic minority groups; and individuals who identify as sexual or
gender minority.
This project expands the existing evidence base and addresses
several gaps in extant data collection systems in the following three
ways. First, this study expands how ACEs are measured. Traditional ACEs
research has measured eight to 10 highly interconnected, household-
level childhood stressors. These include sexual abuse, physical abuse,
emotional abuse, emotional neglect, physical neglect, witnessing
intimate partner violence, parent separation/divorce, and living in a
home with exposure to mental illness, substance misuse, and
incarceration (hereafter referred to as traditional ACEs). However,
most ACE research does not account for a wide array of other
potentially traumatic experiences that can exist across all levels of
the social ecology, including stressors that uniquely impact
populations that are socially and economically marginalized (e.g., fear
of deportation; experiences of transphobia; exposure to neighborhood or
community violence). These potentially traumatic experiences may have
an additive or multiplicative effect on risk for poor outcomes, or may
have a greater effect on risk relative to the conventional ACEs
categories.
Second, this study will create a diverse sample which is
statistically powered to answer questions on how to
[[Page 58740]]
prevent ACEs and mitigate the impact of specific and cumulative ACEs
exposures among communities that have been traditionally socially and
economically marginalized. Most samples used in prior surveillance and
research studies do not sufficiently oversample under-represented
communities to allow for disaggregation of results by sub-group. Thus,
there is a need for data samples that allow for disaggregated analysis
and results.
Third, this study will link individual level data to community-
level variables. While ACEs are individual experiences, they are
influenced by the contexts in which children and families live. SDOH
are the conditions in which people are born, grow, live, work, and age
that are shaped by the distribution of money, power, and resources.
SDOH contribute to health and social inequities for groups with
disparities in access to money, power and resources. Many existing ACEs
datasets involving individual-level respondents cannot be linked to
community-level variables. This formative study will link survey data
with publicly available data on structural factors (e.g., minimum wage;
generosity of unemployment benefits) via zip code or other geographic
indicators.
It is estimated that up to 6,000 young adults will complete the
one-time questionnaire. On average, the web-based surveys are estimated
to take 30 minutes to complete. These estimates were informed by
consultations with individuals with lived experiences and individuals
who participated in cognitive interviews. The study team engaged three
consultants with lived experience across the three main areas of
interest (individuals with a disability, individuals who identify as
sexual and gender minorities, and individuals who identify as racial/
ethnic minorities) to inform the development and administration of the
instrument. The study team also engaged up to nine individuals, in
cognitive testing to ensure the relevance, validity, and equitable
nature of the survey instrument. These cognitive interviews were a key
component for developing a final draft of the instrument that
accurately and reliably reflects the experiences and perspectives of a
diverse range of individuals, families, and communities. Using a
standard estimated time for question completion, the project team
calculated the burden by averaging the time to complete the minimum and
maximum number of survey items a respondent could be asked based on
varying skip patterns. The estimated annualized burden is 3,985 hours.
There is no cost to respondents other than their time to participate.
Estimated Annualized Burden Hours
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Average
Number of Number of burden per Total annual
Type of respondent Form name respondents responses per response (in burden (in
respondent hours) hours)
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18-24-year-old Survey Recruitment 5,908 1 5/60 493
Respondents. Email.
Follow up 5,907 1 5/60 492
Recruitment
Email--Non-
panel.
Web Survey-- 5,700 1 30/60 2,850
English.
Web Survey-- 300 1 30/60 150
Spanish.
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Total..................... ................ .............. .............. .............. 3,985
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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. 2024-15968 Filed 7-18-24; 8:45 am]
BILLING CODE 4163-18-P
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