Notice2026-00426
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
January 13, 2026
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 revision information collection project titled Maternal Mortality Review Information Application (MMRIA). MMRIA is a standardized data collection system that allows Maternal Mortality Review Committees (MMRCs) to abstract relevant data from a variety of sources, document committee decisions, and analyze data to better understand the contributing factors and preventability of pregnancy-related deaths in order to develop recommendations for prevention.
Full Text
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<title>Federal Register, Volume 91 Issue 8 (Tuesday, January 13, 2026)</title>
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[Federal Register Volume 91, Number 8 (Tuesday, January 13, 2026)]
[Notices]
[Pages 1318-1320]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-00426]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-26-1294; Docket No. CDC-2026-0005]
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 revision information collection
project titled Maternal Mortality Review Information Application
(MMRIA). MMRIA is a standardized data collection system that allows
Maternal Mortality Review Committees (MMRCs) to abstract relevant data
from a variety of sources, document committee decisions, and analyze
data to better understand the contributing factors and preventability
of pregnancy-related deaths in order to develop recommendations for
prevention.
DATES: CDC must receive written comments on or before March 16, 2026.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2026-
0005 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#ddb2b0bf9dbeb9bef3bab2ab"><span class="__cf_email__" data-cfemail="dab5b7b89ab9beb9f4bdb5ac">[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
[[Page 1319]]
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
The Maternal Mortality Review Information Application (MMRIA) (OMB
Control No. 0920-1294, Exp. 05/31/2026)--Revision--National Center for
Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The Centers for Disease Control and Prevention (CDC) seeks a
Revision to continue to collect information through the Maternal
Mortality Review Information Application (MMRIA) for three additional
years. MMRIA is a standardized data system that allows Maternal
Mortality Review Committees (MMRCs) across the United States to
abstract relevant data (clinical and non-clinical) about pregnancy-
associated deaths identified from a variety of sources, create case
narratives to facilitate review of data, and document committee
decisions such as pregnancy-relatedness of the death, contributing
factors, and recommendation efforts to prevent future deaths. Deaths
during pregnancy or in the year after the end of pregnancy are a
tragedy for families and for society as a whole. Sadly, for over a
decade, deaths in the United States resulting from pregnancy or
delivery complications, a chain of events initiated by pregnancy, or
the aggravation of an unrelated condition by the physiologic effects of
pregnancy have remained unacceptably high. However, findings from MMRCs
indicate that four of five pregnancy-related deaths are preventable.
Maternal Mortality Review is a process by which a multidisciplinary
committee at the jurisdiction level identifies and reviews cases of
deaths occurring within one year of pregnancy. Members of MMRCs
typically represent public health, obstetrics and gynecology, maternal-
fetal medicine, nursing, midwifery, forensic pathology, mental health,
and behavioral health. Members might also include social workers,
patient advocates, and other relevant multidisciplinary stakeholders.
Through a partnership among the MMRC, the state vital records office,
and epidemiologists, deaths among women of reproductive age are
examined to determine if they occurred during pregnancy or within a
year of the end of pregnancy (i.e., pregnancy-associated deaths).
Through this process, potential cases of pregnancy-related deaths
(i.e., maternal death from any cause related to or aggravated by
pregnancy or its management) are then identified. Review committees
access multiple sources of clinical and non-clinical information to
understand the circumstances surrounding a death as they develop
recommendations for action to prevent similar deaths in the future.
This multidisciplinary approach encourages collaboration with clinical
and non-clinical partnerships to improve quality of care and address
medical and non-medical drivers; a comprehensive approach to more
effectively improve health outcomes.
The MMRIA is a standardized data system that MMRCs use to collect
timely, accurate, and standardized information about deaths to women
during pregnancy and the year after the end of pregnancy, including
opportunities for prevention, within and across jurisdictions. Data
will be abstracted and entered into MMRIA from various sources,
including death certificates, autopsy reports, birth certificates,
prenatal care records, emergency room visits records, hospitalization
records, records for other medical office visits, medical transport
records, social and environmental profiles, mental health profiles, and
informant interviews. Case narratives are auto-populated from the
abstracted data for committee review, and subsequent committee
decisions are also documented in MMRIA. Burden estimates presented here
are for 52 jurisdictions that receive funding through CDC-RFA-DP24-
0053. As part of this cooperative agreement, these jurisdictions are
required to compile in MMRIA a defined set of information about deaths
that occur during pregnancy or the year after the end of pregnancy. It
is estimated that information will be collected for a total of 2,832
pregnancy-associated deaths on average, annually, among the 52
jurisdictions with funding support through CDC-RFA-DP24-0053. It is
estimated that on average, 15 hours of abstraction are required for
each death entered into MMRIA. CDC has established a process that
reduces the burden related to abstraction of vital records into MMRIA
that is currently applicable to 41 of the 52 funding recipients. The
estimated average is 14 hours of abstraction for each death entered
into MMRIA for these 41 funding recipients. For all jurisdictions with
funding support through CDC-RFA-DP24-0053, an additional 24 minutes on
average is needed to enter the committee decisions into MMRIA. This
Revision reflects an increase in the burden from an overall total of
33,482 (last approval) to 41,789, for a total increase of 8,307 hours.
The explanation for this increase is that in the prior approval, deaths
were estimated indirectly because actual counts were not available. The
numbers of deaths used in this Revision are based on actual case counts
among CDC-RFA-DP24-0053 funding recipients.
CDC requests OMB approval for an estimated 41,789 annual burden
hours. There is no cost to respondents other than their time to
participate.
[[Page 1320]]
Estimated Annualized Burden Hours
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Average
Number of Number of burden per Total
Type of respondents Form name respondents responses per response burden (in
respondent (in hours) hours)
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Jurisdictions with current funding MMRIA abstraction 11 55 15 9,075
support through CDC-RFA-DP24-0053 form.
who manually abstract all data
into MMRIA.
Jurisdictions with current funding MMRIA abstraction 41 55 14 31,570
support through CDC-RFA-DP24- form.
0053, for which CDC is uploading
vital records into MMRIA and
jurisdiction staff abstract
remaining data manually into
MMRIA.
All jurisdictions with current MMRIA committee 52 55 0.4 1,144
funding support through CDC-RFA- decision form.
DP124-0053,.
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Total......................... .................... ............ .............. ........... 41,789
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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. 2026-00426 Filed 1-12-26; 8:45 am]
BILLING CODE 4163-18-P
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