[Federal Register: November 26, 2007 (Volume 72, Number 226)]
[Notices]
[Page 65966-65968]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr26no07-46]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-08-0692]
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 404-639-5960
and send comments to Maryam I. Daneshvar, CDC Acting 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)
[[Page 65967]]
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
A Survey of the Knowledge, Attitudes and Practice of Medical and
Allied Health Professionals Regarding Fetal Alcohol Exposure--
Extension--National Center on Birth Defects and Developmental
Disabilities (NCBDDD), Centers for Disease Control and Prevention
(CDC).
Background and Brief Description
This data collection is based on the following components of the
Public Health Service Act: (1) Act 42 U.S.C. 241, Section 301, which
authorizes ``research, investigations, experiments, demonstrations, and
studies relating to the causes, diagnosis, treatment, control, and
prevention of physical and mental diseases and impairments of man.''
(2) 42 U.S.C. 247b-4, Section 317 C, which authorizes the activities of
the National Center on Birth Defects and Developmental Disabilities.
This section was created by Public Law 106-310, also known as ``the
Children's Health Act of 2000.'' This portion of the code has also been
amended by Public Law 108-154, which is also known as the ``Birth
Defects and Developmental Disabilities Prevention Act of 2003.''
Maternal prenatal alcohol use is one of the leading, preventable,
causes of birth defects and developmental disabilities. Children
exposed to alcohol during fetal development can suffer a wide array of
disorders, from subtle changes in I.Q. and behaviors to profound mental
retardation. These conditions are known as fetal alcohol spectrum
disorders (FASDs). The most severe condition within the spectrum is
fetal alcohol syndrome (FAS), which involves disorders of the brain,
growth retardation, and facial malformations.
Physicians and other health practitioners play a vital role in
diagnosing FAS and in screening women of child-bearing age for alcohol
consumption and drinking during pregnancy. In Diekman's, et al. 2000,
study of obstetricians and gynecologists, only one-fifth of doctors
surveyed reported abstinence to be the safest way to avoid the adverse
outcomes associated with fetal alcohol exposure.\3\ Importantly, 13% of
doctors surveyed were not sure of levels of alcohol consumption
associated with adverse outcomes.\3\ One of CDC's multifaceted
initiatives in combating alcohol-exposed pregnancies is the education
and reeducation of medical and allied health students and
practitioners.
In fiscal year 2002, the Centers for Disease Control and Prevention
(CDC) received a congressional mandate to develop guidelines for the
diagnosis of FAS and other conditions resulting from prenatal alcohol
exposure; and to incorporate these guidelines into curricula for
medical and allied health students and practitioners [Public Health
Service Act Section 317K (247b-12) b and c] (See Appendices A-1, A-2,
A-3.)
In response to the second congressional mandate listed above, CDC
proposed five national surveys of health providers. In August of 2005,
OMB approved these five surveys under control number 0920-0692. The
purposes of the surveys are to assess, among various health care
provider groups, their knowledge, attitudes, and practices regarding
the prevention, identification, and treatment of FASDs. These health
care provider groups are pediatricians, obstetrician-gynecologists (OB-
GYNs), psychiatrists, family physicians, and allied health
professionals. To date, three of the five surveys have yet to be
conducted--the survey of allied health professionals, the survey of
family physicians, and the survey of pediatricians.
The results of the surveys will help to inform further development
of model FASD curricula to disseminate among medical and allied health
students and professionals nation wide using a variety of formats
including computer interactive learning applications, workshops and
conferences, Continuing Medical Education credit courses, and medical
and allied health school grand rounds and clerkships. Consistent with
OMB's previous terms of clearance, CDC does not expect the results to
be generalizable to the larger populations of the professional
organizations from which the samples were drawn. Instead, the survey
results will provide necessary information to further develop and
refine educational materials for medical and allied health students and
practitioners and to evaluate their effectiveness. No gifts or
compensation will be given to respondents who complete the survey.
There is no cost to respondents other than their time.
Estimate of Annualized Burden Hours
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Number of Average burden
Type of respondent Number of responses per per response Total burden
respondents respondent (in hours) hours
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Pediatricians................................... 900 1 25/60 375
Obstetrician-Gynecologists...................... 900 1 25/60 375
Psychiatrists................................... 900 1 25/60 375
Family Physicians............................... 900 1 25/60 375
Allied Health Professionals..................... 900 1 25/60 375
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Total....................................... .............. .............. .............. ..............
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[[Page 65968]]
Dated: November 16, 2007.
Marilyn S. Radke,
Reports Clearance Officer, Centers for Disease Control and Prevention.
[FR Doc. E7-22920 Filed 11-23-07; 8:45 am]
BILLING CODE 4163-18-P