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Lystedt Law. Since there is currently no
model law for managing youth sportsrelated concussions, 48 other states and
the District of Columbia have developed
their own laws independently. While
there are similarities across the states,
an examination of the laws shows
considerable variation in the breadth
and scope of the laws. Despite the
proliferation of state laws and the
dissemination of concussion education
materials, little is known about the
reach, use, and effectiveness of these
laws in improving the management of
youth sports-related concussions.
The major danger faced by young
athletes who have experienced a
concussive event is that they are
allowed to return to play while still
experiencing symptoms. If the state laws
are effective, they should reduce the
number of athletes who return to play
while symptomatic.
The primary goal of the current
proposal is to examine the relationship
between state laws aimed at managing
youth sports-related TBIs and youth
athletes returning to play while
symptomatic. In addition, the study also
intends to assess variations in
knowledge, attitudes, and behavior

CDC will use an online data collection
tool for a pre-season survey, followed by
a brief weekly surveillance survey
administered through an automated
phone system once a week for ten
weeks. Respondents will receive a
randomly generated identification
number that will be used to complete
the online and phone surveys. The
database linking these identification
numbers to participant data will only be
available to a limited number of
evaluation contractor staff.
The pre-season survey will be
administered to the coaches, players,
and parents, while the weekly
surveillance survey will only be
completed by players and parents.
Athletes who report suffering a hit with
associated concussive symptoms and
the parent of such an athlete will also
be administered a phone interview
about the athlete’s symptoms and
management. These electronic data
collection tools provide CDC the means
to efficiently collect data from a large
number of respondents from across the
country.
There are no costs to respondents
other than their time.

regarding concussions; the use of
concussion education materials,
including Heads Up; and state policies
governing requirements for
identification and management of
concussions in youth athletics. With the
data collected during the proposed
study, CDC will be able to assess the
effectiveness of state laws in reducing
the number of youth athletes who return
to play with concussion symptoms, the
general knowledge and understanding
of concussions, and the effectiveness of
education and training about
concussions. This will enable CDC to
make recommendations for improving
state policies and improve the agency’s
Heads Up concussion education training
program.
CDC requests OMB approval for one
year to collect data from three national
subsamples: (1) Soccer coaches,
coaching boys and girls ages 14–18 on
club soccer teams; (2) boys and girls
youth soccer players ages 14–18 playing
club soccer; and (3) parents of boys and
girls ages 14–18 who are club soccer
players. The samples will be drawn
from the U.S. Youth Soccer Association,
a national youth soccer organization
with over 3 million youth players.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent

Average
burden per
response
(hours)

Total burden
(hours)

Form name

U.S. Youth Soccer Coach .................
Parent ................................................
Parent ................................................
Parent ................................................
Athlete ...............................................
Athlete ...............................................
Athlete ...............................................

Pre-season survey ...........................
Pre-season survey ...........................
Weekly Surveillance survey .............
Injury Follow-up survey ....................
Pre-season survey ...........................
Weekly Surveillance survey .............
Injury Follow-up survey ....................

115
1,294
970
576
1,294
970
576

1
1
10
1
1
10
1

10/60
10/60
3/60
10/60
10/60
3/60
10/60

19
216
485
96
216
485
96

Total ...........................................

...........................................................

........................

........................

........................

1,613

Leroy A. Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

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Number of
respondents

Type of respondents

Centers for Disease Control and
Prevention

Proposed Data Collections Submitted
for Public Comment and
Recommendations
The Centers for Disease Control and
Prevention (CDC) and the Agency for
Toxic Substances and Disease Registry
(ATSDR), as part of their continuing
efforts to reduce paperwork and
respondent burden, invites the general
public and other Federal agencies to
take this opportunity to comment on a
proposed information collection, as

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required by the Paperwork Reduction
Act of 1995 (PRA).
Under the PRA, Federal agencies are
required to publish notice in the
Federal Register concerning each
proposed collection of information,
including each proposed extension of an
existing collection of information and to
allow 60 days for public comment in
response to the notice.
In accordance with the requirements
of the PRA, CDC/ATSDR may not
conduct or sponsor, and the respondent
is not required to respond to, an
information collection unless it displays
a currently valid Office of Management
and Budget (OMB) control number.
CDC/ATSDR is soliciting comment
concerning the renewal of its
information collection titled, ‘‘Generic

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Clearance for the Collection of
Qualitative Feedback on Agency Service
Delivery.’’ To request more information
on the proposed projects or to obtain a
copy of the data collection plans and
instruments, call 404–639–7570 or send
comments to Leroy A. Richardson, 1600
Clifton Road, MS–D74, Atlanta, GA
30333 or send an email to omb@cdc.gov.
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and
clarity of the information to be
collected; (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology; and (e) estimates of capital
or start-up costs and costs of operation,
maintenance, and purchase of services
to provide information. Burden means
the total time, effort, or financial
resources expended by persons to
generate, maintain, retain, disclose or
provide information to or for a Federal
agency. This includes the time needed
to review instructions; to develop,
acquire, install and utilize technology
and systems for the purpose of
collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information, to search
data sources, to complete and review
the collection of information; and to
transmit or otherwise disclose the
information.
Written comments should be received
within 60 days of this notice. All
comments received, including
attachments and other supporting
materials, are part of the public record
and subject to public disclosure. Do not
enclose any information in your
comment or supporting materials that
you consider confidential or
inappropriate for public disclosure.
Proposed Project
Generic Clearance for the Collection
of Qualitative Feedback on Agency
Service Delivery—Revision—Centers for
Disease Control and Prevention (CDC)

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and Agency for Toxic Substances and
Disease Registry (ATSDR).
Background and Brief Description
The information collection activity
provides a means to garner qualitative
customer and stakeholder feedback in
an efficient, timely manner, in
accordance with the Federal
government’s commitment to improving
service delivery. By qualitative feedback
we mean information that provides
useful insights on perceptions and
opinions, but are not statistical surveys
that yield quantitative results that can
be generalized to the population of
study.
This feedback will provide insights
into customer or stakeholder
perceptions, experiences and
expectations, provide an early warning
of issues with service, or focus attention
on areas where communication, training
or changes in operations might improve
delivery of products or services. These
collections will allow for ongoing,
collaborative and actionable
communications between the Agency
and its customers and stakeholders. It
will also allow feedback to contribute
directly to the improvement of program
management.
The solicitation of feedback will target
areas such as: Timeliness,
appropriateness, accuracy of
information, courtesy, efficiency of
service delivery, and resolution of
issues with service delivery. Responses
will be assessed to plan and inform
efforts to improve or maintain the
quality of service offered to the public.
If this information is not collected, vital
feedback from customers and
stakeholders on the Agency’s services
will be unavailable.
CDC/ATSDR will only submit a
collection for approval under this
generic clearance if it meets the
following conditions:
• The collections are voluntary;
• The collections are low-burden for
respondents (based on considerations of
total burden hours, total number of
respondents, or burden-hours per
respondent) and are low-cost for both
the respondents and the Federal
Government;
• The collections are noncontroversial and do not raise issues of
concern to other Federal agencies;
• Any collection is targeted to the
solicitation of opinions from

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24433

respondents who have experience with
the program or may have experience
with the program in the near future;
• Personally identifiable information
(PII) is collected only to the extent
necessary and is not retained;
• Information gathered is intended to
be used only internally for general
service improvement and program
management purposes and is not
intended for release outside of the
agency (if released, the agency must
indicate the qualitative nature of the
information);
• Information gathered will not be
used for the purpose of substantially
informing influential policy decisions;
and
• Information gathered will yield
qualitative information; the collections
will not be designed or expected to
yield statistically reliable results or used
as though the results are generalizable to
the population of study.
Feedback collected under this generic
clearance provides useful information,
but it does not yield data that can be
generalized to the overall population.
This type of generic clearance for
qualitative information will not be used
for quantitative information collections
that are designed to yield reliably
actionable results, such as monitoring
trends over time or documenting
program performance. Such data uses
require more rigorous designs that
address: The target population to which
generalizations will be made, the
sampling frame, the sample design
(including stratification and clustering),
the precision requirements or power
calculations that justify the proposed
sample size, the expected response rate,
methods for assessing potential nonresponse bias, the protocols for data
collection, and any testing procedures
that were or will be undertaken prior to
fielding the study. Depending on the
degree of influence the results are likely
to have, such collections may still be
eligible for submission for other generic
mechanisms that are designed to yield
quantitative results.
As a general matter, information
collections will not result in any new
system of records containing privacy
information and will not ask questions
of a sensitive nature, such as sexual
behavior and attitudes, religious beliefs,
and other matters that are commonly
considered private.

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Federal Register / Vol. 79, No. 83 / Wednesday, April 30, 2014 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS
Average
expected
annual
number of
activities

Average
number of
respondents
per activity

Annual
responses

Frequency
of response
(per request)

Average
burden per
response
(in hrs.)

Total burden
(in hrs.)

50

6,000

300,000

1

30/60

150,000

........................

........................

........................

........................

........................

........................

Type of respondents

Individuals and Households, Businesses
and Organizations, State, Local or
Tribal Government ................................
Total ..................................................

Leroy Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.
[FR Doc. 2014–09765 Filed 4–29–14; 8:45 am]
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Proposed Project
Reaching Underserved Populations
through Learn the Signs. Act Early.
Materials—New—National Center on
Birth Defects and Developmental
Disabilities (NCBDDD), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60 Day–14–14VT]

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Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–7570 or send
comments to LeRoy Richardson, at 1600
Clifton Road, MS D74, Atlanta, GA
30333 or send an email to omb@cdc.gov.
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and
clarity of the information to be
collected; and (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology. Written comments should
be received within 60 days of this
notice.

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The Learn the Signs. Act Early.
(LTSAE) campaign, developed by the
Centers for Disease Control and
Prevention, is designed to increase
awareness of developmental milestones
among parents, healthcare professionals,
childcare providers and others who
regularly interact with young children.
Increased awareness is expected to lead
to increased developmental screening,
the first in a series of steps toward early
intervention which is essential for the
health and well-being of children with
developmental delays.
Developmental delays are
increasingly common among all young
children, with recent national estimates
ranging from 13–15%. However,
children from minority and low-income
groups are particularly vulnerable due
to lags in identification. Not only do
healthcare and early childhood
professionals frequently fail to identify
children with developmental
disabilities, but parents also need to be
educated about child development,
especially parents living in poverty who
are less likely to recognize a child’s
special needs. Because early
identification of developmental delays
is critical to positive outcomes, young
children from minority and low-income
groups may miss a critical window of
opportunity if developmental concerns
are not identified in a timely way.
The purpose of this study is to
understand how the LTSAE campaign is
meeting the needs of underserved
families when delivered as part of the
Women, Infant and Children (WIC)
nutrition program. By understanding
how LTSAE materials and messages
affect awareness and behavior of WIC
participants and staff, the CDC can
determine what improvements may be

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needed in order to effectively reach this
at-risk population. The three phases of
the study will measure changes in
parents’ awareness, knowledge and
intention to act, and WIC staff responses
to the LTSAE materials and messages.
This information will help guide the
CDC in developing the messages,
materials, partnerships and strategies
that are most effective for families
served by WIC.
The data collection system consists of
four questionnaires and a structured
focus group. These form the basis of
three phases of the study designed to
determine the effectiveness of LTSAE
materials and messages with WIC
participants and staff.
In Phase 1, pre- and postimplementation parent-report surveys
will determine the LTSAE campaign’s
impact on parental awareness,
knowledge and intention to act if there
is a developmental concern. These will
be paper surveys administered during
routine WIC clinic visits. The parent
survey was pilot tested by three parents
receiving WIC services and reviewed by
14 WIC staff. The Pre-intervention
Survey will be completed by 450
respondents, who are parents/guardians
of children enrolled in the WIC
Nutrition Program at nine WIC clinics in
four counties in the St. Louis, Missouri
area. The Post-intervention Survey will
be completed by the same 450 parents/
guardians of children enrolled in the
WIC Nutrition Program who completed
the Pre-intervention Survey.
In Phase 2, a referral outcome tracking
form will be completed by 100 parents/
guardians of children enrolled in the
WIC Nutrition Program and will
document whether the study protocols
will impact the behavior of parents of
children with possible delays. If a
developmental delay is suspected, WIC
staff will give the parent a referral to the
child’s doctor and encourage the parent
to talk with the doctor about the child’s
development. WIC staff will complete a
referral outcome tracking form during
the parent’s subsequent visits to the
WIC clinic to determine whether the
parent followed up with the doctor, how

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