Notice2025-20583
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
November 21, 2025
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 project of the Centers for Disease Control and Prevention (CDC) and health departments that collects jurisdiction-specific, population- based data on maternal attitudes and experiences before, during, and shortly after pregnancy.
Full Text
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<title>Federal Register, Volume 90 Issue 223 (Friday, November 21, 2025)</title>
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[Federal Register Volume 90, Number 223 (Friday, November 21, 2025)]
[Notices]
[Pages 52666-52667]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-20583]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-26-1273; Docket No. CDC-2025-0750]
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
project of the Centers for Disease Control and Prevention (CDC) and
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 January 20, 2026.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2025-
0750 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#2847454a684b4c4b064f475e"><span class="__cf_email__" data-cfemail="4a2527280a292e29642d253c">[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
Pregnancy Risk Assessment Monitoring System (PRAMS) (OMB Control
No. 0920-1273, Exp. 3/31/2026)--Extension--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
project of the Centers for Disease Control and Prevention (CDC) and
state, territorial, city, or local 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 and web
survey with telephone follow-up for non-responders. Because PRAMS uses
standardized data collection methods, it allows data to be
[[Page 52667]]
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 jurisdictions 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 characteristics; 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, 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, and stressful life
experiences); and attitudes and feeling about the pregnancy including
pregnancy intentions.
At times, jurisdictions may address emerging topics of interest
with supplemental modules (pre-grouped questions on a selected topic).
Supplemental modules available for site-specific data collection
include disabilities, substance use, COVID-19 experiences, and social
experiences. New supplemental modules may be developed to address other
emergent issues as they arise. The stillbirth survey may be
administered in a smaller number of sites. It includes a single survey
instrument.
CDC is seeking approval for an Extension of the PRAMS data
collection which currently expires 3/31/2026. OMB approval is requested
for three years. The total estimated annual burden is 29,773 hours
which is a decrease of 1,495 hours. The change in overall burden
results from removal of components already completed: (1) call back
surveys (decrease of 1,395 hours), and (2) cognitive and field testing
(decrease of 100 hours) since no new questions or supplemental modules
are anticipated during the approval window. 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) (in hours)
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Women who recently delivered a PRAMS Phase 9 51,556 1 26/60 22,341
live birth. Questionnaire
(core questions
plus site
selected
standard
modules).
Supplemental 52,984 1 8/60 7,065
Modules.
Women who recently delivered a PRAMS Stillbirth 160 1 25/60 67
stillbirth. Questionnaire.
Jurisdictions................. Submission of 50 12 30/60 300
data file to
CDC.
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Total..................... ................ .............. .............. .............. 29,773
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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. 2025-20583 Filed 11-20-25; 8:45 am]
BILLING CODE 4163-18-P
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