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Federal Register / Vol. 86, No. 17 / Thursday, January 28, 2021 / Notices
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 costeffective 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 CDCs 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 K3 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 K2
or in Head Start Programs. 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 ASTDDs 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 CDCs public-facing Oral Health Data website www.cdc.gov/
oralhealthdata.
BSS for children serves as a key state oral health surveillance data source and facilitates state capacity to 1 monitor childrens 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.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of respondents
Type of respondents
Form name
Child
Parent/caretaker
Screener
School/site
State Official

Screening form
Consent
Screening form
Participation form
Data Submission form

Jeffrey M. Zirger, Lead, Information Collection Review Office, Office of Scientific Integrity, Office of Science, Centers for Disease Control and Prevention.
FR Doc. 202101912 Filed 12721; 8:45 am BILLING CODE 416318P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and Prevention 30Day211243

Agency Forms Undergoing Paperwork Reduction Act Review In accordance with the Paperwork Reduction Act of 1995, the Centers for Disease Control and Prevention CDC
has submitted the information collection request titled Rapid Response Suicide Investigation Data
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Number of responses per respondent 1
1 1
1 1

Average burden per response in hours 5/60
1/60
666/60
68/60
32,742/60

Collection to the Office of Management and Budget OMB for review and approval. CDC previously published a Proposed Data Collection Submitted for Public Comment and Recommendations notice on October 13,2020 to obtain comments from the public and affected agencies. CDC
received one comment related to the previous notice. This notice serves to allow an additional 30 days for public and affected agency comments.
CDC will accept all comments for this proposed information collection project.
The Office of Management and Budget
E:FRFM28JAN1.SGM

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