[Federal Register Volume 85, Number 128 (Thursday, July 2, 2020)]
[Notices]
[Pages 39911-39913]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-14332]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-20-20PM; Docket No. CDC-2020-0072]
Proposed Data Collection Submitted for Public Comment and
Recommendations
AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).
ACTION: Notice with comment period.
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SUMMARY: 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 and/or
continuing information collection, as required by the Paperwork
Reduction Act of 1995. This notice invites comment on a proposed
information collection project titled Oral Health Basic Screening
Survey for Children. The project provides state-specific data on dental
caries (tooth decay) and dental sealants from a state-representative
sample of elementary school children or children enrolled in Head Start
programs and has been used by states to monitor oral health status of
children and evaluate public health programs and policies.
DATES: CDC must receive written comments on or before August 31, 2020.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2020-
0072 by any of the following methods:
Federal eRulemaking Portal: http://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-D74, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. CDC will post, without change, all relevant comments
to http://www.regulations.gov/.
Please note: Submit all comments through the Federal
eRulemaking portal (http://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-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email:
[email protected].
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
[[Page 39912]]
functions of the agency, including whether the information will have
practical utility;
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; and
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.
5. Assess information collection costs.
Proposed Project
Oral Health Basic Screening Survey for Children--Existing Collection in
Use Without an OMB Control Number--National Center for Chronic Disease
Prevention and Health Promotion (NCCDPHP), Centers for Disease Control
and Prevention (CDC)
Background and Brief Description
Dental caries (tooth decay) is one of the most common chronic
diseases among children in the United States and can lead to pain,
infection, and diminished quality of life throughout the lifespan.
Dental sealants are a cost-effective measure to prevent caries but
remain underutilized.
To address states' critical need for state-level oral health
surveillance data on dental caries and sealants, the Association of
State and Territorial Dental Directors (ASTDD) developed and released
an oral health screening survey protocol referred to as the Basic
Screening Survey (BSS) in 1999 in collaboration with the Ohio
Department of Health and with technical assistance from the CDC's
Division of Oral Health.
BSS is a non-invasive visual observation of the mouth performed by
trained screeners including dental and non-dental health professionals
(e.g., dentists, hygienists, school nurses). The BSS data collection is
not duplicative of any other federal collection. Though the National
Health and Nutrition Examination Survey (NHANES) collects national data
on oral health status including dental caries and sealants based on
clinical examination, it is not designed to provide state-level data.
BSS is designed to be easy to perform, while being consistent and
aligned with the oral health Healthy People objectives, which are based
on NHANES measures. BSS is the only data source that provides state-
representative data on oral health status based on clinical
examination. BSS is also used to monitor state progress toward key
national oral health objectives.
The BSS is a state-tailored survey administered and conducted by
individual states. CDC has supported some of the 50 states to build and
maintain their oral health surveillance system and ASTDD to provide
technical assistance to states through state and partner cooperative
agreements since 2001. Conducting BSS for third graders is a key
component of that support.
The target populations include school children in grades K-3 and
children enrolled in Head Start in 50 states and Washington, DC. ASTDD
and CDC recommend that states conduct BSS at minimum for third graders
at least once every five years. Individual states determine how often
to conduct BSS and which grade or grades to target based on their
program needs and available resources. Forty-seven states have
conducted BSS for children, and all 47 conducted third grade BSS.
Thirty-two states also have conducted BSS in one or more other grades
(K-2) or in Head Start. CDC estimates that approximately 34 states,
including 20 states currently funded by CDC, will conduct one BSS, at
least for third grade, during the period for which this approval is
being sought.
State health departments administer the survey by determining
probability samples, arranging logistics with selected schools or Head
Start sites, gaining consent, obtaining demographic data, training
screeners, conducting the oral health screening at schools or Head
Start sites. Screeners record four data points either electronically or
on a paper form: (1) Presence of treated caries, (2) presence of
untreated tooth decay, (3) urgency of need for treatment, and (4)
presence of dental sealants on at least one permanent molar tooth.
State programs enter, clean and analyze the data; de-identify it;
and respond to ASTDD's annual email request for state-aggregated
prevalence of dental caries and sealants. ASTDD reviews the data to
ensure that both survey design and data meet specific criteria before
sending it to CDC for publication on the CDC's public-facing Oral
Health Data website (http://www.cdc.gov/oralhealthdata).
BSS for children serves as a key state oral health surveillance
data source and facilitates state capacity to (1) monitor children's
oral health status, trends, and disparities, and compare with other
states; (2) inform planning, implementation and evaluation of effective
oral health programs and policies; (3) measure state progress toward
Healthy People objectives; and (4) educate the public and policy makers
regarding cross-cutting public health programs. CDC also uses the data
to evaluate performance of CDC oral health funding recipients.
There are no costs to children respondents except their time. The
estimated total annualized burden hours for the survey across the 34
states over the three years of this request are 40,207 with an average
of 1,183 per state.
Estimated Annualized Burden Hours
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Average
Number of Number of burden per Total burden
Type of respondents Form name respondents responses per response (in (in hours)
respondent hours)
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Child......................... Screening form.. 150,370 1 5/60 12,531
Parent/caretaker.............. Consent......... 150,370 1 1/60 2,506
Screener...................... Screening form.. 301 1 666/60 3,341
School/site................... Participation 2,890 1 68/60 3,275
form.
State Official................ Data Submission 34 1 32,742/60 18,554
form.
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Total..................... ................ .............. .............. .............. 40,207
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[[Page 39913]]
Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2020-14332 Filed 7-1-20; 8:45 am]
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