[Federal Register: April 13, 2005 (Volume 70, Number 70)]
[Notices]
[Page 19476-19477]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr13ap05-125]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-05-05BU]
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 404-371-5983 or
send comments to Seleda Perryman, CDC Assistant Reports Clearance
Officer, 1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send an e-mail
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.
Proposed Project
Assessment and Monitoring of Breastfeeding-Related Maternity Care
Practices in Intrapartum Care Facilities in the United States and
Territories--New--National Center for Chronic Disease Prevention and
Health Promotion (NCCDPHP), Centers for Disease Control and Prevention
(CDC).
Background and Brief Description
There is substantial evidence on the social, economic and health
benefits of breastfeeding for both the mother and infant and the
importance of the health care system in promoting the initiation and
maintenance of breastfeeding. Yet breastfeeding initiation rates and
duration in the United States did not achieve Healthy People 2000
goals, and significant disparities continue to exist between African
American and White
[[Page 19477]]
women in breastfeeding rates. The Healthy People 2010 goals are to
increase the proportion of mothers who breastfeed in the early
postpartum period from 64% to 75%, the proportion who breastfeed their
babies through 6 months of age from 29% to 50%, and to increase from
16% to 25% the proportion of mothers who breastfeed to 1 year of age
(the first figure in each comparison is a 1998 estimate). In addition,
Healthy People 2010 seeks to decrease the disparities in breastfeeding
initiation, exclusivity, and duration between African American and
White women. Along with ethnic and racial disparities, there is
evidence of significant variation in state breastfeeding rates. For
example, in 2003 the breastfeeding initiation rate in Louisiana was
46.4 percent and in Oregon was 88.8 percent.
One important and effective means to promote and support the
initiation and maintenance of breastfeeding is through the health care
system. The few studies on breastfeeding practices at intrapartum care
facilities (facilities that manage and deliver care to women in labor)
within individual states show significant variation in practices.
However, with the data currently available it is not possible to assess
and monitor breastfeeding-related practices and policies in hospitals
and free-standing childbirth centers across the United States.
CDC plans to conduct an assessment of breastfeeding-related
maternity care practices in intra-partum care facilities in the United
States and Territories to provide information to individual facilities,
state health departments, and CDC on the extent to which facilities are
providing effective breastfeeding-related maternity care. The
assessment will provide detailed information on general facility
characteristics related to maternity care such as: facility management
and support policies relevant to breastfeeding-related maternity care
practices, practices relevant to the training of health care staff on
breastfeeding instruction, rooming-in, infant supplementation, and
discharge from facility. CDC will provide facility-specific information
based on the assessment to the individual facilities and state-specific
information to state health departments. The information from the
survey can be used by facilities to evaluate and modify breastfeeding-
related maternity care practices, and by states and CDC to inform and
target programs and policies to improve breastfeeding-related maternity
care practices at intrapartum care facilities.
Approximately 3,500 facilities providing maternity care in the
United States and Territories will be mailed a survey every other year
in this 4-year study. The survey will be administered for the first
time in 2005 and for the second time in 2007. Survey content will be
similar in each of the administrations to examine changes in practices
and policies over time. It is expected that approximately 3,000
facilities will complete the fifteen minute questionnaire in each
administration. The facilities will be identified from the American
Hospital Association's (AHA) Annual Survey of Hospitals and the
National Association of Childbearing Centers (NACC). A five minute
screening telephone call will be made prior to survey administrations
to all facilities identified as providing maternity care by AHA and
NACC to ensure they are currently providing maternity care, to identify
possible satellite clinics providing maternity care, and to identify
survey respondents in each of the facilities. The respondents will have
the option of either responding by mail or through a web-based system.
The survey will provide detailed information about breastfeeding-
related maternity care practices and policies at hospitals and free-
standing birthing centers. There are no costs to respondents other than
their time to respond.
Estimate of Annualized Burden Table
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Number of Average burden
Questionnaire/respondents Number of responses/ per response Total burden
respondents respondent (in hours) (in hours)
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Screening call/facilities that have at least one 3,500 1 5/60 292
registered maternity bed (2005)................
Mail survey/facilities providing maternity care 3,000 1 15/60 750
in the past calendar year (2005)...............
Screening call/facilities that have at least one 3,500 1 5/60 292
registered maternity bed (2007)................
Mail survey/facilities providing maternity care 3,000 1 15/60 750
in the past calendar year (2007)...............
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Total....................................... 13,000 2,084
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Dated: April 6, 2005.
Betsey Dunaway,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. 05-7385 Filed 4-12-05; 8:45 am]
BILLING CODE 4163-18-P