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20888

Federal Register / Vol. 88, No. 67 / Friday, April 7, 2023 / Notices

Proposed Project
The National Survey of Family
Growth (NSFG) (OMB Control No.
0920–0314, Exp. 12/31/2024)—
Revision—National Center for Health
Statistics (NCHS), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
Section 306 of the Public Health
Service (PHS) Act (42 U.S.C. 242k), as
amended, authorizes that the Secretary
of Health and Human Services (DHHS),
acting through NCHS, shall collect
statistics on ‘‘family formation, growth,
and dissolution,’’ as well as
‘‘determinants of health’’ and
‘‘utilization of health care’’ in the
United States. This clearance request
includes the data collection in 2024–
2026 for the continuous National Survey
of Family Growth (NSFG).
The NSFG was conducted
periodically between 1973 and 2002,
continuously from 2006–2010, and after
a break of 15 months, continuously from
2011–2019, by the NCHS, CDC. Each
year, about 13,500 households will be
screened, with about 5,000 participants
interviewed annually. Participation in
the NSFG is completely voluntary and
confidential. Interviews are expected to
average 50 minutes for males and 75
minutes for females. The response rate
during the 2011–2019 data collection

• CDC’s Division of STD Prevention
(CDC/NCHHSTP/DSTDP)
• CDC’s Division of Adolescent and
School Health (CDC/NCHHSTP/
DASH)
• CDC’s Division of Reproductive
Health (CDC/NCCDPHP/DRH)
• CDC’s Division of Cancer Prevention
and Control (CDC/NCCDPHP/DCPC)
• CDC’s Division of Violence
Prevention (CDC/NCIPC/DVP)
The NSFG is also used by state and
local governments (primarily for
benchmarking to national data); private
research and action organizations
focused on men’s and women’s health,
child well-being, and marriage and the
family; academic researchers in the
social and public health sciences;
journalists; and many others.
This submission requests approval for
a revision to NSFG data collection for
three years. The revision request
includes the increase of the main survey
incentive from $40 to $60, a small set
of questionnaire revisions beginning in
Year 3 (2024) data collection and to
conduct several methodological studies
designed to improve the efficiency and
validity of NSFG data collection for the
purposes described above. The total
estimated annualized time burden to
respondents is 6,584 hours. There is no
cost to respondents other than their
time.

period ranged from 64.5% to 74%, and
the cumulative response rate for this
eight-year fieldwork period was 67.7%.
The NSFG program produces
descriptive statistics which document
factors associated with birth and
pregnancy rates, including
contraception, infertility, marriage,
cohabitation, and sexual activity, in the
U.S. household population 15–49 years
(15–44 prior to 2015), as well as
behaviors that affect the risk of HIV and
other sexually transmitted diseases
(STD). The survey also disseminates
statistics on the medical care associated
with contraception, infertility,
pregnancy, and related health
conditions.
NSFG data users include the DHHS
programs that fund the survey,
including CDC/NCHS and 11 others
within DHSS:
• Eunice Kennedy Shriver National
Institute for Child Health and Human
Development (NIH/NICHD)
• Office of Population Affairs (OPA)
• Children’s Bureau in the
Administration for Children and
Families (ACF/CB)
• Office of Planning, Research, and
Evaluation (ACF/CB)
• Office on Women’s Health (OASH/
OWH)
• CDC’s Division of HIV/AIDS
Prevention (CDC/NCHHSTP/DHAP)

ESTIMATED ANNUALIZED BURDEN HOURS
Respondents

Household
Household
age.
Household
Household
Household
age.

Number of
responses

Form name

Total burden
hours

member ...........................
Female 15–49 years of

Screener Interview ...........................
Female Interview ..............................

15,000
2,750

1
1

5/60
75/60

1,250
3,438

Male 15–49 years of age
member ...........................
Individual 15–49 years of

Male Interview ..................................
Screener Verification ........................
Main Verification ...............................

2,250
230
150

1
1
1

50/60
2/60
5/60

1,875
8
13

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

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

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

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

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

6,584

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2023–07350 Filed 4–6–23; 8:45 am]

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention

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Average
burden per
response
(in hours)

Responses
per
respondent

[60Day–23–23DV; Docket No. CDC–2023–
0023]

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).

AGENCY:

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ACTION:

Notice with comment period.

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 proposed information collection, as
required by the Paperwork Reduction
Act of 1995. This notice invites
comment on a proposed information
collection project titled Focus groups
among adults with or caring for
individuals with congenital heart

SUMMARY:

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Federal Register / Vol. 88, No. 67 / Friday, April 7, 2023 / Notices
defects (CHD), muscular dystrophy
(MD), and spina bifida (SB). The
purpose of this project is to conduct
focus groups to obtain firsthand
perspectives from individuals with
CHD, MD, and SB.
DATES: CDC must receive written
comments on or before June 6, 2023.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2023–
0023 by either of the following methods:
• Federal eRulemaking Portal:
www.regulations.gov. Follow the
instructions for submitting comments.
• 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
www.regulations.gov.
Please note: Submit all comments
through the Federal eRulemaking portal
(www.regulations.gov) 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: omb@
cdc.gov.
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
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;

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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
Focus groups among adults with or
caring for individuals with congenital
heart defects (CHD), muscular
dystrophy (MD), and spina bifida (SB)—
New—National Center on Birth Defects
and Developmental Disabilities
(NCBDDD), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
Congenital Heart Defects (CHD) are
the most common type of structural
birth defects in the United States,
affecting approximately one in 110 liveborn children, and are a leading cause
of birth defect-associated infant
mortality, morbidity, and healthcare
costs. Due to advances in diagnosis and
medical interventions, CHD mortality
has decreased over the past few
decades. Therefore, more individuals
are living into adulthood with CHD, a
lifelong condition, that can increase the
need for specialist care and clinical
interventions due to the higher risk of
CHD related long-term sequelae.
There is limited data on adults living
with CHD who have fallen out of
cardiac care, and the available
information is strictly among those who
returned to care. Currently, there is no
information on adults with CHD who
remain out of care and what might bring
them back into cardiac care.
Understanding what may bring adults
with CHD back into care, aside from an
urgent cardiac need, would help in
developing interventions, as well as
improving access and retention to
cardiac care, ultimately improving longterm health and wellbeing.
Focus group participants with CHD
will be recruited from adults that
participated in the Congenital Heart
Survey to Recognize Outcomes, Needs
and well-beinG (CH STRONG). Between
2016 and 2019, CH STRONG was
administered to adults ages 19–38 with
a confirmed CHD diagnosis, born in

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20889

Arizona, Arkansas, and 5-county MetroAtlanta, Georgia. CH STRONG assessed
many factors, including access to care
and healthcare utilization. Through
survey responses we will identify a
subpopulation of respondents whose
last cardiology encounter was ≥3 years
before survey completion, creating a
unique opportunity to better understand
this population not typically available
to researchers.
Muscular Dystrophies (MD) are a
group of rare inherited disorders
characterized by progressive and
irreversible muscle weakness and
wasting. The nine major types of MD
(Duchenne and Becker [DBMD],
myotonic dystrophy [DM], congenital
[CMD], limb girdle [LGMD], EmoryDreifuss [EDMD], facioscapulohumeral
[FSHD], distal, and oculopharyngeal
[OPMD]) vary by age of onset, muscle
groups affected, genes involved,
severity, and progression of disease. In
2002, CDC implemented the Muscular
Dystrophy Surveillance, Tracking, and
Research Network (MD STARnet [DD–
19–002]). Now in its fourth funding
cycle, MDSTARnet has conducted
surveillance and collected
epidemiologic and clinical data on
people with DBMD, DM, FSHD, LGMD,
CMD, OPMD, EDMD, and distal MD and
has published numerous articles in
scientific journals. However, qualitative
data on the experiences of individuals
with certain types of MD (DBMD, DM,
FSHD, LGMD, and CMD) or their
caregivers are limited. The MD portion
of this collection will focus on gathering
qualitative information to better
understand the personal experiences of
adults (≥18 years) with DBMD, FSHD,
DM, and LGMD as well as adult
caregivers of youth (<18 years) with
DBMD, congenital or juvenile onset DM,
and CMD. Specifically, qualitative data
on barriers to accessing and receiving
care, the journey to diagnosis, and for
those diagnosed early in life the
transition into adulthood will help to
address a gap in the literature and
inform future research and surveillance
efforts.
Spina bifida (SB) is among the most
common disabling birth defects in the
United States. Based on national data
from 2010–2014, the estimated birth
prevalence for spina bifida is 3.9 per
10,000 live births. SB impacts different
organ systems, resulting in the need for
various types of clinical specialists. In
2008, CDC implemented the National
Spina Bifida Patient Registry (NSBPR;
[DD–19–001]) with SB clinics across the
United States. In 2014, CDC funded a
subset of NSBPR clinics to establish and
implement the ‘‘Urologic Management
to Preserve Initial Renal Function

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Federal Register / Vol. 88, No. 67 / Friday, April 7, 2023 / Notices

Protocol for Young Children with Spina
Bifida’’ (UMPIRE Protocol; [DD–14–
002]). NSBPR and UMPIRE have
generated numerous publications on
clinical interventions, health outcomes,
and lessons learned. However, increases
in survival for individuals with SB have
prompted the need for greater
understanding of the complexities
involved in their clinical and
psychological care. Qualitative data on
individual and caregiver experiences
with SB, including barriers to accessing
specialty care, managing one’s skin

accessing, receiving, or reengaging care;
the journey to diagnosis; and the
transition period from pediatric to adult
care (for persons diagnosed during
childhood). This information may be
used to address gaps in knowledge,
inform future surveillance, research,
and data collection, and gather patient
perspectives that may be shared with
clinicians and inform clinical care.
CDC requests OMB approval for an
estimated 533 annual burden hours.
There is no cost to respondents other
than their time to participate.

health and bowel and bladder function,
and the transition from childhood to
adulthood (for those with MD diagnosed
prior to adulthood) are needed to guide
future SB surveillance and research
projects as well as the care of those
aging into adulthood.
The purpose of this project is to
conduct virtual focus groups among
adults with or caring for individuals
with CHD, MD, and SB with a special
focus on: receipt of and access to
medical care (including specialist care),
and barriers and facilitators to

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent

Average
burden per
response
(in hours)

Total burden
(in hours)

Form name

Adults with a CHD that have been
out of cardiac care for ≥3.
Adults with a CHD that have been
out of cardiac care for ≥3.
Adults with MD or adult caregivers of
individuals with MD.
Adults with MD or adult caregivers of
individuals with MD.
Adults with SB or adult caregivers of
individuals with SB.
Adults with SB or adult caregivers of
individuals with SB.

CHD Screening Questionnaire .........

410

1

10/60

68

CHD Focus Group Guide .................

80

1

90/60

120

MD Screening Tool ..........................

215

1

10/60

36

MD Focus Group Guide ...................

135

1

90/60

203

SB Screening Tool ...........................

95

1

10/60

16

SB Focus Group Guide ....................

60

1

90/60

90

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

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

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

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

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

533

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2023–07348 Filed 4–6–23; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Toxic Substances and
Disease Registry

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Agency for Toxic Substances
and Disease Registry (ATSDR),
Department of Health and Human
Services (HHS).
ACTION: Notice with comment period.
AGENCY:

The Agency for Toxic
Substances and Disease Registry
(ATSDR), 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

SUMMARY:

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comment on a continuing information
collection, as required by the Paperwork
Reduction Act of 1995. This notice
invites comment on a proposed
information collection project titled
Environmental Health and Land Reuse
Certificate Training. This certification is
a joint collaboration between ATSDR
and the National Environmental Health
Association (NEHA), and is designed to
build capacity among environmental
professionals.
ATSDR must receive written
comments on or before June 6, 2023.
ADDRESSES: You may submit comments,
identified by Docket No. ATSDR–2023–
0001 by either of the following methods:
• Federal eRulemaking Portal:
www.regulations.gov. Follow the
instructions for submitting comments.
• 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. ATSDR will post,
without change, all relevant comments
to www.regulations.gov.
Please note: Submit all comments
through the Federal eRulemaking portal
DATES:

[60Day–23–0060; Docket No. ATSDR–2023–
0001]

ddrumheller on DSK120RN23PROD with NOTICES1

Number of
respondents

Type of respondents

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(www.regulations.gov) or by U.S. mail to
the address listed above.
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: 404–639–7118; Email: omb@
cdc.gov.

FOR FURTHER INFORMATION CONTACT:

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
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

SUPPLEMENTARY INFORMATION:

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