Quiero saber acerca de...

lotter on DSK11XQN23PROD with NOTICES1

46704

Federal Register / Vol. 86, No. 158 / Thursday, August 19, 2021 / Notices
private or proprietary information such as Social Security numbers, medical information, inappropriate language, or duplicate/near duplicate examples of a mass-mail campaign. CDC will carefully consider all comments submitted in preparation of the final document.
In 20172019 in the United States, 65% of women aged 1549 years used contraception; the most common contraceptive methods used were female sterilization, oral contraceptive pills, implants and intrauterine devices, and male condoms 1. The majority 61% of U.S. women aged 1849 years have ongoing or potential need for contraceptive services 2. Similarly, in 20102016, about 60% of men aged 15
44 years in the United States needed family planning 3. Equitable access to evidence-based, high quality care is critical to meeting the needs of persons seeking contraceptive services, improving reproductive autonomy, and reducing unintended pregnancy in the United States 2.
Since 2010, CDC has published evidence-based recommendations on contraception provision. These recommendations are intended to assist health care providers when they counsel patients about choice and use of contraceptive methods, with the goal of reducing medical barriers to contraception access. U.S. Medical Eligibility Criteria for Contraceptive Use, 2016 US MEC comprises recommendations for the use of specific contraceptive methods by persons with certain characteristics or medical conditions, such as diabetes, hypertension, and being postpartum or breastfeeding 4. U.S. Selected Practice Recommendations for Contraceptive Use, 2016 US SPR addresses common, yet sometimes complex, issues regarding initiation and use of specific contraceptive methods, such as examinations or tests needed before starting a method and management of side effects 5. Both guidance documents are adapted from global guidance developed by the World Health Organization WHO and are based on review of the scientific evidence and consultation with national experts. CDC partners with other federal agencies and professional organizations in the development, dissemination, and implementation of the guidance documents to improve access to contraception and quality of family planning services.
CDC is committed to ensuring that the US MEC and US SPR recommendations are reviewed and updated as new scientific evidence becomes available.
Working with WHO, CDC continuously monitors peer-reviewed literature and
VerDate Sep<11>2014

17:28 Aug 18, 2021

Jkt 253001

updates recommendations as needed, with comprehensive reviews approximately every 5 years. CDC is currently planning for the next update of the US MEC and US SPR and will consider public comments when determining the scope of the guidance update. CDC is seeking feedback from health care providers, professional organizations, community-based organizations, organizations that seek to improve reproductive health, patient advocacy groups, and the public.
The current US MEC may be found at the Supplementary Materials tab of the docket and at https www.cdc.gov/
reproductivehealth/contraception/
mmwr/mec/summary.html. The current US SPR may be found at the Supplementary Materials tab of the docket and at https www.cdc.gov/
reproductivehealth/contraception/
mmwr/spr/summary.html.
References 1. Daniels K, Abma JC. Current contraceptive status among women aged 1549: United States, 20172019. NCHS Data Brief 2020:388;18.
2. Zapata LB, Pazol K, Curtis KM et al. Need for contraceptive services among women of reproductive age45 jurisdictions, United States, 20172019. MMWR Morb Mortal Wkly Rep 2021;70:91015.
3. Marcell AV, Gibbs SE, Choiriyyah I et al.
National needs of family planning among US men aged 15 to 44 years. Am J Public Health 2016:106;7339.
4. Curtis KM, Tepper NK, Jatlaoui TC, et al.
U.S. medical eligibility criteria for contraceptive use, 2016. MMWR
Recomm Rep 2016;65RR3:1103.
5. Curtis KM, Jatlaoui TC, Tepper NK, et al.
U.S. selected practice recommendations for contraceptive use, 2016. MMWR
Recomm Rep 2016;65RR4:166.
Dated: August 16, 2021.
Sandra Cashman, Executive Secretary, Centers for Disease Control and Prevention.
FR Doc. 202117818 Filed 81821; 8:45 am BILLING CODE 416318P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and Families Submission for OMB Review; Tribal Maternal, Infant, and Early Childhood Home Visiting Program: Guidance for Submitting an Annual Report to the Secretary OMB 09700409
Office of Child Care, Administration for Children and Families, HHS.
ACTION: Request for public comment.
AGENCY:

PO 00000

Frm 00032

Fmt 4703

Sfmt 4703

SUMMARY: The Administration for Children and Families ACF, Office of Child Care OCC is requesting a 3-year extension of the Tribal Maternal, Infant, and Early Childhood Home Visiting MIECHV Program: Guidance for Submitting an Annual Report to the Secretary OMB 09700409; expiration 9/30/2021. There are minor updates to the annual guidance which reflects a change in timing for the due date of the final report.
DATES: Comments due within 30 days of publication. OMB must make a decision about the collection of information between 30 and 60 days after publication of this document in the Federal Register. Therefore, a comment is best assured of having its full effect if OMB receives it within 30 days of publication.
ADDRESSES: Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/public/do/
PRAMain. Find this particular information collection by selecting Currently under 30-day ReviewOpen for Public Comments or by using the search function.
SUPPLEMENTARY INFORMATION:
Description: Section 511e8A of Title V of the Social Security Act requires that grantees under the MIECHV
program for states and jurisdictions submit an annual report to the Secretary of Health and Human Services regarding the program and activities carried out under the program, including such data and information as the Secretary shall require. Section 511h2A further states that the requirements for the MIECHV grants to tribes, tribal organizations, and urban Indian organizations are to be consistent, to the greatest extent practicable, with the requirements for grantees under the MIECHV program for states and jurisdictions.
OCC, in collaboration with the Health Resources and Services Administration, Maternal and Child Health Bureau awarded grants for the Tribal MIECHV
Program Tribal Home Visiting to support cooperative agreements to conduct community needs assessments;
plan for and implement high-quality, culturally-relevant, evidence-based home visiting programs in at-risk tribal communities; establish, measure, and report on progress toward meeting performance measures in six legislatively-mandated benchmark areas; and conduct rigorous evaluation activities to build the knowledge base on home visiting among Native populations.

E:FRFM19AUN1.SGM

19AUN1