[Federal Register: October 4, 2005 (Volume 70, Number 191)]
[Notices]
[Page 57879-57880]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr04oc05-71]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30 Day-05-0439x]
Proposed Data Collections Submitted for Public Comment and
Recommendations
The Centers for Disease Control and Prevention (CDC) publishes a
list of information collection requests under review by the Office of
Management and Budget (OMB) in compliance with the Paperwork Reduction
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call
the CDC Reports Clearance Officer at (404) 371-5983 or send an e-mail
to omb@cdc.gov. Send written comments to CDC Desk Officer, Human
Resources and Housing Branch, New Executive Office Building, Room
10235, Washington, DC 20503 or by fax to (202) 395-6974. Written
comments should be received within 30 days of this notice.
Proposed Project
Assessment of State Early Hearing Detection and Intervention
Programs (EHDI): A Program Operations Evaluation Protocol--New--
National Center on Birth Defects and Developmental Disabilities
(NCBDDD), Centers for Disease Control and Prevention (CDC).
Background and Brief Description: Every year, an estimated 12,000
newborns are diagnosed with permanent hearing loss, a condition that if
not identified and treated early can lead to impaired functioning and
development. CDC's role in the detection, diagnosis, and treatment of
early hearing loss through the ``Early Hearing Detection and
Intervention Program'' (EHDI) is of vital importance for families of
newborns and infants affected by hearing loss. Nonetheless, recent data
indicate that only 60 percent of the newborns that fail hearing
screening are evaluated by the recommended 3 months of age.
The evaluation will involve an integrative evaluation approach that
encompasses the following activities, conducted in Arkansas,
Massachusetts, Michigan, Utah, and Virginia: (1) A 10-minute survey of
3,000 mothers whose newborns have been screened (the ``Maternal Exit
Survey''); and (2) a 20-minute computer-assisted telephone interviewing
(CATI) survey of 1,000 mothers of newborns who have been referred for
additional hearing evaluation (the ``Maternal CATI Interview.'') To
complete these interviews, it is expected that 5,000 will be contacted.
The overall burden on all contacted women is expected to be
approximately 940 hours. The Maternal Exit Survey and the Maternal CATI
Interview will address the following research questions: (1) What are
the factors that impede or enable families to follow-up for early
hearing evaluation and intervention; (2) What EHDI strategies
implemented by hospitals appear to be most successful in reducing loss
to follow-up; and (3) Is loss to follow-up associated with maternal
characteristics such as parity, age or ethnicity? Both surveys will be
available in English and Spanish.
Hearing loss is the most common disorder that can be detected
through newborn screening programs. Prior to the implementation of
newborn hearing screening, children with hearing loss typically were
not identified until 2 to 3 years of age. This is well beyond the
period of early language development. Now, with comprehensive EHDI
programs, the average age of identification of children with hearing
loss has been reduced so that it is now possible to provide
interventions for children younger than one year of age. With early
identification, children with hearing loss can begin receiving
appropriate intervention services that provide the best opportunity for
these children to reach their maximum potential in such areas as
language, communication, social and emotional development, and school
achievement.
Newborn hearing screening is only the first step in the
identification of children with hearing loss. Children who do not pass
their screening need to be further evaluated to determine if they have
hearing loss. The value of newborn hearing screening cannot be realized
unless children complete the screening, evaluation, and intervention
process. Since recent data indicate that nearly 40 percent of children
do not complete the evaluation-intervention process, this project is
designed to understand what barriers exist in following through with
evaluation and intervention. This evaluation also plans to provide data
necessary to develop innovative solutions that can be applied by
states, hospitals, and local programs. Results from this collection
have the potential to strengthen the EHDI process and minimize social
and economic disability among persons born with hearing loss.
By evaluating the policy, structural, personal, and financial
factors and barriers associated with loss to follow-up in the EHDI
program, this study seeks to identify ``best practices'' for improving
detection, referral to
[[Page 57880]]
evaluation and intervention, and adherence to intervention. CDC's plan
to publish data and results from this evaluation will help state health
officials, other Federal agencies, and other stakeholders to improve
the EHDI process-providing direct benefit to infants with hearing loss
and their families. The total estimated burden hours are 940.
Estimated Annualized Total Burden Hours
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Average burden
Instrument Number of Responses per per response
respondents respondent (in hrs.)
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Maternal Exit Survey
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Request to Participate.......................................... 3,750 1 \1/60\
Complete Survey................................................. 3,000 1 \10/60\
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Maternal CATI Interview
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Request to Participate.......................................... 1,250 1 \2/60\
Consent and Screening, but no Hearing Test...................... 8 1 \1/60\
Consent and Partially Completed Screening, Hearing Test but no 8 1 \15/60\
Results........................................................
Consent and Completed Interview................................. 1,000 1 \20/60\
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Dated: September 28, 2005.
Betsey Dunaway,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. 05-19880 Filed 10-3-05; 8:45 am]
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