Notice2026-04560

Agency Forms Undergoing Paperwork Reduction Act Review

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
March 9, 2026

Issuing agencies

Health and Human Services DepartmentCenters for Disease Control and Prevention

Full Text

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<title>Federal Register, Volume 91 Issue 45 (Monday, March 9, 2026)</title>
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[Federal Register Volume 91, Number 45 (Monday, March 9, 2026)]
[Notices]
[Pages 11313-11314]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-04560]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-26-1391]


Agency Forms Undergoing Paperwork Reduction Act Review

    In accordance with the Paperwork Reduction Act of 1995, the Centers 
for Disease Control and Prevention (CDC) has submitted the information 
collection request titled ``Enhancing Data-driven Disease Detection in 
Newborns (ED3N)'' to the Office of Management and Budget (OMB) for 
review and approval. CDC previously published a ``Proposed Data 
Collection Submitted for Public Comment and Recommendations'' notice on 
July 18, 2025 to obtain comments from the public and affected agencies. 
CDC received 1,135 comments related to the previous notice. This notice 
serves to allow an additional 30 days for public and affected agency 
comments.
    CDC will accept all comments for this proposed information 
collection project. The Office of Management and Budget is particularly 
interested in comments that:
    (a) 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;
    (b) Evaluate the accuracy of the agencies estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    (c) Enhance the quality, utility, and clarity of the information to 
be collected;
    (d) 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 submission of responses; and
    (e) Assess information collection costs.
    To request additional information on the proposed project or to 
obtain a copy of the information collection plan and instruments, call 
(404) 639-7570. Comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a> Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Direct 
written comments and/or suggestions regarding the items contained in 
this notice to the Attention: CDC Desk Officer, Office of Management 
and Budget, 725 17th Street NW, Washington, DC 20503 or by fax to (202) 
395-5806. Provide written

[[Page 11314]]

comments within 30 days of notice publication.

Proposed Project

    Enhancing Data-driven Disease Detection in Newborns (ED3N) (OMB 
Control No. 0920-1391, Exp. 4/30/2026)--Extension--National Center for 
Environmental Health (NCEH), Centers for Disease Control and Prevention 
(CDC).

Background and Brief Description

    The Newborn Screening and Molecular Biology Branch (NSMBB), in the 
National Center for Environmental Health (NCEH) Division of Laboratory 
Science (DLS), has the only laboratory in the world devoted to ensuring 
the accuracy of newborn screening (NBS) tests in every state and more 
than 78 countries. NSMBB supports NBS programs by conducting research, 
developing methods, and performing analyses by using complex, state-of-
the-art molecular and biochemical techniques for identifying risk 
factors for diseases of public health importance. Both NSMBB and state 
NBS programs are experiencing increased data analytic challenges 
associated with continued expansion of the number of newborn screening 
diseases, increased complexity of disease detection, and difficulties 
in correlating disease markers with disease risk. Further, the addition 
of late-onset diseases to NBS panels necessitates a better way to 
routinely capture clinical information and outcomes so that NBS 
programs can fully appreciate the spectrum of disease they are 
detecting.
    The NSMBB is requesting a three-year Paperwork Reduction Act (PRA) 
clearance for Enhancing Data-driven Disease Detection in Newborns 
(ED3N), a national NBS data platform, that will address these analytic 
and post-analytic challenges and promote sharing of molecular, 
biochemical, and clinical information amongst NBS partners. The 
information will better equip NSMBB and newborn screening partners to 
assess disease risk and will help harmonize approaches for disease 
detection in newborns. Given the rarity of newborn screening diseases, 
it is imperative that data be collected and analyzed at a national 
level in order to glean useful insights and to analyze trends. The 
NSMBB is best suited to oversee this work given its role in providing 
technical assistance to NBS programs nationally.
    Numerous studies along with presentations by NBS programs suggest 
that gaps in programmatic resources and expertise are hampering the 
ability to perform more complex data analytics resulting in low 
positive predictive values for a number of conditions (which 
subsequently results in higher false positive and negative rates and 
downstream burden to families and the medical system). Smaller-scale 
work on the use of post-analytical tools such as machine learning 
algorithms have shown that incorporation of these elements into newborn 
screening can improve detection rates, while reducing false positives. 
These studies, however, have been limited to single sites and have not 
been integrated into the daily workflow of high-throughput NBS 
programs. Without this project, NBS programs will continue to be unable 
to keep up with the increasing complexity and future demands of 
screening, perpetuating inequities in screening across the nation. 
Since approval, the CDC's ED3N project has worked with fourteen NBS 
programs to develop and pilot one of the modules, providing the needed 
platform to assist states in expanding their screening and 
interpretation capacity. Additional programs have been engaged in 
defining the other modules and in piloting data transfer mechanisms.
    The estimated annualized burden hours were determined as follows. 
There are 53 domestic NBS programs in the United States. A 
``respondent'' refers to a single NBS program. Given that data 
submission will ultimately be accomplished through automatic electronic 
data transfer, each respondent's burden hours were split into two 
estimates: (1) the one-time need to set-up, test, and implement the 
electronic data transfer mechanism; and (2) the ongoing automatic 
electronic data transfer occurring after initial set-up. Initial set-up 
time burden was estimated based on analysis of similar data transfer 
projects embarked upon by NBS programs as well as brief discussions 
with NBS Program Laboratory Information Management System vendors. The 
one-time burden to set-up the data transfer interface was estimated to 
be 40 hours total, annualized to 14 hours per year per respondent. 
Ongoing daily data submission burden was estimated assuming one minute 
for each automatic transfer thereafter. CDC has estimated the total 
annualized burden for this project to be 1,064 hours per year.

                                        Estimated Annualized Burden Hours
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                                                                                                      Average
                                                                     Number of       Number of      burden per
         Type of respondent                   Form name             respondents    responses per   response  (in
                                                                                    respondent          hr)
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Newborn Screening Programs.........  Set-up and initial                       53               1              14
                                      submission of ED3N Data
                                      Elements.
                                     Ongoing transfer of ED3N                 53             365            1/60
                                      Data Elements.
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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. 2026-04560 Filed 3-6-26; 8:45 am]
BILLING CODE 4163-18-P


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Indexed from Federal Register on March 9, 2026.

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