Notice2026-04565
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 11314-11316]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-04565]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-26-1273]
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 ``Pregnancy Risk Assessment Monitoring System
(PRAMS)'' 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 November
21, 2025, to obtain comments from the public and affected agencies. CDC
received 419 comments related to the previous notice. This notice
serves to allow an additional 30 days for public and affected agency
comments.
[[Page 11315]]
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 comments within 30 days of notice
publication.
Proposed Project
Pregnancy Risk Assessment Monitoring System (PRAMS) (OMB Control
No. 0920-1273, Exp. 03/31/2026)--Revision--National Center for Chronic
Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
The 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 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 a Revision of the PRAMS data collection
which currently expires 03/31/2026. 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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Average
Number of Number of burden per
Type of respondents Form name respondents responses per response (in
respondent hours)
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Women who recently delivered a live PRAMS Phase 9 51,556 1 26/60
birth. Questionnaire (core
questions plus site
selected standard
modules).
[[Page 11316]]
Supplemental Modules.... 52,984 1 8/60
Women who recently delivered a PRAMS Stillbirth 160 1 25/60
stillbirth. Questionnaire.
Jurisdictions......................... Submission of data file 50 12 30/60
to CDC.
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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. 2026-04565 Filed 3-6-26; 8:45 am]
BILLING CODE 4163-18-P
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