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Federal Register / Vol. 86, No. 17 / Thursday, January 28, 2021 / Notices The term fetal alcohol spectrum disorders describes the full continuum of effects that can occur in an individual exposed to alcohol in utero. These effects include physical, mental, behavioral, and learning disabilities. All of these have lifelong implications. The purpose of this program is to build upon previous efforts from FASD training programs and shift the perspective from individual training for practicing healthcare professionals to one that capitalizes on prevention opportunities and the ability to impact health care practice at the systems level.
Since 2002, CDC funded FASD
Regional Training Centers RTCs to provide education and training to healthcare professionals and students about FASD prevention, identification, and treatment. In July 2013, CDC
convened an expert review panel to evaluate the effectiveness of the RTC
program overall and to make recommendations about the program.
The panel highlighted several accomplishments of the RTCs and proposed several changes for future
programming: 1 The panel identified a need for more comprehensive coverage nationally with discipline-specific trainings, increased use of technology, greater collaboration with medical societies, and stronger linkages with national partner organizations to increase the reach of training opportunities, and 2 The panel suggested that the training centers focus on demonstrable practice change and sustainability and place a stronger emphasis on primary prevention of FASDs. In addition, it was recommended that future initiatives have stronger evaluation components.
Based on the recommendations of the expert review panel, CDC is placing increased focus on prevention, demonstrating practice change, achieving national coverage, and strengthening partnerships between medical societies and national partner organizations. While a major focus of the grantees work will be national, regional approaches will be used to develop new content and test out feasibility and acceptability of materials,
especially among healthcare providers and medical societies.
CDC requests OMB approval to collect program evaluation information from 1
healthcare practitioners from disciplines targeted by each grantee, including training participants, and 2 health system staff.
Healthcare practitioners will complete surveys to provide information on whether project trainings impacted their knowledge and practice behavior regarding FASD identification, prevention, and treatment. The information will be used to improve future trainings and assess whether knowledge and practice changes occurred. Some participants will also complete qualitative key informant interviews to gain additional information on practice change. Health system employees will be interviewed or complete surveys as part of activities to assess readiness of healthcare systems to implement recommended practice changes.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of respondents
Number of responses per respondent
Average burden per response in hours
Type of respondents
Form name
Health Professionals
FASD Core Training Participants
FASD Core Training Participants
Nurses
Nurses
Certified Medical Assistants and students.
Certified Medical Assistants and students.
Certified Medical Assistants and students.
Pediatricians
Pediatricians
Pediatricians
Pediatricians
Pediatricians
Pediatricians
Family medicine physicians, social workers, social work students.
Family medicine physicians, social workers, social work students.
Health Systems Professionals

Health Professionals Survey
FASD Core Training SurveyPre-Test
FASD Core Training SurveyPost-Test
Health Professionals Survey Nursing
Key Informant Interviews with Champions
Medical AssistantPre-Test Survey

4,013
4,013
4,013
667
14
334

1
1 1
1 2
1

9/60
9/60
5/60
9/60
45/60
10/60

Medical AssistantPost-Test Survey

334

1

10/60

Medical Assistants Change in Practice Survey

250

1

15/60

Pre-Test Screening, Assessment, and Diagnosis
Post-Test Screening, Assessment, and Diagnosis
Pre-Test NDPAE
Post-Test NDPAE
Pre-Test Treatment Across the Lifespan
Post-Test Treatment Across the Lifespan
Social Work and Family Physicians Pre-training Survey.
Social Work and Family Physicians 6-Month Follow Up Survey.
TCU Organizational Readiness Survey

120
120
120
120
120
120
1,167

1
1 1
1 1
1 1

10/60
10/60
10/60
10/60
7/60
7/60
8/60

1,167

1

8/60

246

2

10/60

Jeffrey M. Zirger, Lead, Information Collection Review Office, Office of Scientific Integrity, Office of Science, Centers for Disease Control and Prevention.
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