Title: Proposed data collection for Prenatal Assessment of Environmental Risk
Docket ID: ATSDR-2018-0007
Agency: Agency for Toxic Substances and Disease Registry, Department of Health and Human Services
Comments Close: November 5, 2018
This notice invites public comment on a proposed information collection project titled “Prenatal Assessment of Environmental Risk”, or PAER. The long-term goal of PAER is to be widely adopted by reproductive health care professionals to provide informational resources and to facilitate reduction in harms associated with environmental chemical exposure to pregnant women and their babies (see CONTEXT below).
The Agency for Toxic Substances and Disease Registry is proposing a new information collection project called “Prenatal Assessment of Environmental Risk”, or PAER. Comments are being collected on the…
Necessity of the proposed information collection
Accuracy of the estimate of the burden of collection
The quality, utility, and clarity of the information to be collected
Collection techniques or information technology
In response to call from the American College of Obstetricians and Gynecologists (ACOG) and other obstetrician-gynecologist professional societies for timely action to identify and reduce exposure to toxic environmental agents, the Agency for Toxic Substances and Disease Registry is requesting a three-year clearance for a new information collection, PAER. Federal agencies are required under the Paperwork Reduction Act of 1995 to obtain approval from the Office of Management and Budget for collection of information.
The long-term goal of PAER is to be widely adopted by reproductive health care professionals to provide informational resources and to facilitate reduction in harms associated with environmental chemical exposure to pregnant women and their babies. It also establishes a public health surveillance system that covers nationwide regions. Participation is voluntary. The Agency for Toxic Substances and Disease Registry will maintain anonymous patient PAER survey responses. The Agency will not receive any information from the electronic health records.
PAER is a web-based survey of 17 multiple-choice questions and one open-ended question. It covers five topic areas (“Lifestyle; home; food and water; cans, bottles, and containers; and getting ready for the baby”) and 11 common types of environmental exposures (“Air pollution, benzene, bisphenol A (BPA), flame retardants, lead, mercury, polychlorinated biphenyls (PCBs), pesticides, phthalates, smoking, and volatile organic compounds (VOCs)”). Respondents to PAER will include reproductive health care clinicians (RHCCs) and women of reproductive age who are seeking preconception or prenatal care.
In the next three years, the Agency for Toxic Substances and Disease Registry estimates that 5338 reproductive health care clinicians (clinician) and 66441 patients will adopt PAER. Online registration and training module components are estimated to take 30 minutes per clinician. Each clinician is estimated to have 12 patients participating in PAER each year and spend 30 minutes on each patient. Each patient is estimated to spend 10 minutes on answering the survey. The estimated annualized burden hours for the whole country is 45,722 hours.
Contributor: Post-doctoral Fellow, Environmental Health