Notice2026-10040
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
May 20, 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 97 (Wednesday, May 20, 2026)</title>
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[Federal Register Volume 91, Number 97 (Wednesday, May 20, 2026)]
[Notices]
[Pages 29493-29494]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-10040]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-26-1294]
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 ``The Maternal Mortality Review Information
Application (MMRIA)'' 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
January 13, 2026 to obtain comments from the public and affected
agencies. CDC received 105 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 comments within 30 days of notice
publication.
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 nonclinical) 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
[[Page 29494]]
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.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondents Form name Number of responses per per response
respondents respondent (in hours)
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Jurisdictions with current funding MMRIA abstraction form.. 11 55 15
support through CDC-RFA-DP24-0053 who
manually abstract all data into MMRIA.
Jurisdictions with current funding MMRIA abstraction form.. 41 55 14
support through CDC-RFA-DP24-0053,
for which CDC is uploading vital
records into MMRIA and jurisdiction
staff abstract remaining data
manually into MMRIA.
All jurisdictions with current funding MMRIA committee decision 52 55 0.4
support through CDC-RFA-DP124-003. form.
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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. 2026-10040 Filed 5-19-26; 8:45 am]
BILLING CODE 4163-18-P
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