Federal Register Notice (60-day)

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Federal Register / Vol. 82, No. 197 / Friday, October 13, 2017 / Notices

Following approval, course sponsors
submit any subsequent changes to the
course via letter or email. In addition,
NIOSH staff review subsequent changes
to assure that the changes in faculty or
course content continue to meet course
requirements. Course sponsors also
voluntarily submit an annual report to
inform NIOSH of their class activity
level and any faculty changes.
Sponsors who elect to have their
approval renewed for an additional fiveyear period submit a renewal
application and supporting
documentation for review by NIOSH
staff to ensure the course curriculum
meets all current standard requirements.

Approved courses that elect to offer
NIOSH-Approved Spirometry Refresher
Courses must submit a separate
application and supporting documents
for review by NIOSH staff. Institutions
and organizations throughout the
country voluntarily submit applications
and materials to become course
sponsors and carry out training.
Submissions are required for NIOSH to
evaluate a course and determine
whether the course meets the Standard’s
criteria and whether technicians meet
the training requirements.
NIOSH will disseminate a one-time
customer satisfaction survey to course
directors and sponsor representatives to

evaluate our service to courses, the
effectiveness of the program changes
implemented since 2005, and the
usefulness of potential Program
enhancements. The annualized figures
slightly overestimate the actual burden,
due to rounding of the number of
respondents for even allocation over the
three-year clearance period.
The respondent burden hours have
decreased from 201 burden hours to 147
burden hours. Over the last three-year
period, there are fewer sponsors, fewer
refresher course applications, and all
collection instruments are now available
in electronic submittal formats.
There will be no cost to respondents.

ESTIMATED ANNUALIZED BURDEN HOURS
Form name

Potential Sponsors ..................

Initial Application ....................................................................
Annual Report ........................................................................
Report for Course Changes ...................................................
Renewal Application ...............................................................
Refresher Course Application ................................................
One-time Customer Satisfaction Survey ................................

Leroy A. Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.
[FR Doc. 2017–22198 Filed 10–12–17; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–17–17BAM; Docket No. CDC–2017–
0080]

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

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

SUMMARY:
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Number of
respondents

Type of respondents

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Jkt 244001

proposed information collection project
entitled Implementing the 6|18
Initiative: Case Studies. CDC proposes
to seek a three-year clearance to conduct
semi-structured interviews with state
public health department and Medicaid
agency officials. CDC designed this
information collection project to
improve understanding of facilitators
and barriers to increased utilization of
evidence-based interventions for
selected chronic and infectious diseases.
DATES: CDC must receive written
comments on or before December 12,
2017.
You may submit comments,
identified by Docket No. CDC–2017–
0080 by any of the following methods:
• Federal eRulemaking Portal:
Regulations.gov. Follow the instructions
for submitting comments.
• Mail: Leroy A. Richardson,
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
Regulations.gov. Access
Regulations.gov.
Please note: Submit all public
comments through the Federal
eRulemaking portal (regulations.gov) or
by U.S. mail to the address listed above.

ADDRESSES:

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Frm 00052

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3
30
24
13
3
32

Number of
responses
per
respondent

Average
burden per
response
(in hours)
1
1
1
1
1
1

3.5
30/60
30/60
6
8
12/60

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 Leroy A.
Richardson, Information Collection
Review Office, Centers for Disease
Control and Prevention, 1600 Clifton
Road NE., MS–D74, Atlanta, Georgia
30329; phone: 404–639–7570; Email:
omb@cdc.gov.
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 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

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Federal Register / Vol. 82, No. 197 / Friday, October 13, 2017 / Notices
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.
Proposed Project
Implementing the 6|18 Initiative: Case
Studies—New—Office of the Director
(OD), Centers for Disease Control and
Prevention (CDC).

asabaliauskas on DSKBBXCHB2PROD with NOTICES

Background and Brief Description
Major trends in health care are
providing new opportunities to pay for
and deliver prevention and to improve
population health. New and alternative
health care payment and delivery
models are more patient-centered and
facilitate the delivery of greater
comprehensive care and prevention.
Public health departments have been
eager to leverage their skill sets and
resources to complement those of the
health care sector, to maximize impact
for population health in this time of
dynamic health system change and
opportunity.
In this context, CDC developed the
CDC’s 6|18 Initiative to provide health
care purchasers, payers, and providers
with rigorous evidence about highburden health conditions and associated
evidence-based interventions. With a
focus on the greatest short-term health
and potential cost impact (generally in
less than five years), the evidence
informs their coverage decisions.
The name ‘‘6|18’’ comes from the
initial focus on six common, costly and
preventable health conditions (tobacco
use, high blood pressure, diabetes,
asthma, healthcare-associated infections
and unintended pregnancies) and 18
evidence-based prevention and control
interventions, which form the content of

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Jkt 244001

dialogue with health care purchasers,
payers and providers. More information
on the Initiative content and progress
can be found at http://www.cdc.gov/
sixeighteen.
The 6|18 initiative links the health
care and public health sectors by
providing a shared focus across a
spectrum of prevention interventions,
from traditional clinical settings to care
outside the clinical setting. Public
health’s strength in identifying and
analyzing scientific evidence
complements the purchaser, payer, and
provider role of financing and
delivering care.
Since cross-sector public healthhealth care collaboration to improve
population health is still not a standard
practice, information regarding publicpayer collaboration with public health
agencies is scarce. There are few or no
case studies related to public healthhealth care collaboration around
increasing preventive service
utilization. CDC intends to fill this
knowledge gap through this data
collection effort.
As part of the 6|18 Initiative, CDC and
its partners (Center for Health Care
Strategies, Inc. (CHCS) and the Centers
for Medicare and Medicaid Services
(CMS)) provided technical assistance to
state teams (i.e., State Medicaid and
Public Health Agencies), to support and
accelerate their implementation of the
6|18 Initiative’s interventions. In Year 1
of the 6|18 Initiative (2016), CDC and its
partners worked with nine state teams.
In Year 2 (2017), CDC and its partners
will work with 8 new teams from 6
states, the District of Columbia, and a
large city (hereafter, ‘‘states’’). No data
has been collected to date.
To document qualitative lessons
learned related to the collaboration,
CDC and its cooperative agreement subcontractor, George Washington
University, plan to conduct in-person
and telephone semi-structured
individual interviews with state Public
Health Department and State Medicaid
Agency officials.
Interview participants will have been
directly involved in conceptualizing,
planning, and/or implementing 6|18
Initiative-related activities, and will
have participated in the cross-sector
collaboration. CDC plans to engage up to
82 respondents (four to seven officials
from each of the 17 state teams who

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47739

participated in the 6|18 Initiative). The
officials from each state team will be
leadership and staff from public health
agencies at the state, city, and tribal
level. For each state, we will request
interviews with: One Public Health
Division Director, one to four Public
Health Services Managers (one per
health condition), one Medicaid
Director, and one Medicaid Services
Manager. When joining the 6|18
Initiative, each state selected one to four
conditions from the list of 6|18
conditions, and assigned one public
health manager to each condition.
CDC plans to administer the
interviews from 2018 to 2021, to allow
time for unanticipated delays; and to
accommodate state team schedules,
busy seasons, and holidays. All
participants will speak in their official
capacity as state public health
department or Medicaid agency
officials. Prior to granting public access
to written products, CDC will provide
participants the opportunity to review
written products.
CDC anticipates using the interview
findings: (1) To describe, disseminate,
and scale best practices to participating
and non-participating states, and (2) for
program improvement of the CDC’s 6|18
Initiative. CDC will disseminate
findings via written products such as
peer-reviewed manuscripts and indepth written case studies. The written
products, which will share lessons
learned and effective approaches to
collaboration, can inform and
potentially accelerate related efforts by
other state teams. In addition, 6|18
participants can use findings and
written products to highlight their
accomplishments to their stakeholders,
such as their Medicaid leadership, and/
or governors.
Participants will have a maximum
estimated burden of one hour and 15
minutes: One hour for the interview,
and fifteen minutes for any needed
preparation. CDC will base all
interviews on the same interview guide.
CDC will seek a three-year OMB
approval for this information collection
project. CDC estimates that they will
conduct 29 interviews per year.
Participation is voluntary and
respondents will not receive incentives
for participation. There are no costs to
respondents other than their time.

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47740

Federal Register / Vol. 82, No. 197 / Friday, October 13, 2017 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS
Type of respondents

State
State
State
State

Public Health Director ........................................................
Public Health Manager ......................................................
Medicaid Director ...............................................................
Medicaid Manager .............................................................

Total ......................................................................................

Leroy A. Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.
[FR Doc. 2017–22200 Filed 10–12–17; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–17–0621; Docket No. CDC–2017–
0092]

Proposed Data Collections Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

The Centers for Disease
Control and Prevention (CDC), as part of
its continuing efforts to reduce public
burden and maximize the utility of
government information, invites the
general public and other Federal
agencies to take this opportunity to
comment on proposed and/or
continuing information collections, as
required by the Paperwork Reduction
Act of 1995. This notice invites
comment on the proposed revision of
the information collection project
entitled National Youth Tobacco
Surveys (NYTS) 2018–2020, which aims
to collect data on tobacco use among
middle- and high school students.
DATES: Written comments must be
received on or before December 12,
2017.

asabaliauskas on DSKBBXCHB2PROD with NOTICES

SUMMARY:

You may submit comments,
identified by Docket No. CDC–2017–
0092 by any of the following methods:
• Federal eRulemaking Portal:
Regulations.gov. Follow the instructions
for submitting comments.
• Mail: Leroy A. Richardson,
Information Collection Review Office,

ADDRESSES:

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18:05 Oct 12, 2017

Jkt 244001

Number of
respondents

Form name

Interview
Interview
Interview
Interview

Guide
Guide
Guide
Guide

Frm 00054

Average
burden per
response
(in hours)

Total
burden
(in hours)

......
......
......
......

6
11
6
6

1
1
1
1

75/60
75/60
75/60
75/60

8
14
8
8

................................

....................

....................

....................

38

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
Regulations.gov.
Please note: Submit all Federal
comments through the Federal
eRulemaking portal (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 Leroy A.
Richardson, Information Collection
Review Office, Centers for Disease
Control and Prevention, 1600 Clifton
Road NE., MS–D74, Atlanta, Georgia
30329; phone: 404–639–7570; Email:
omb@cdc.gov.
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
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,

PO 00000

Number of
responses
per
respondent

Fmt 4703

Sfmt 4703

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
National Youth Tobacco Surveys
(NYTS) 2018–2020 (OMB Control
Number 0920–0621, expires 01/31/
2018)—Revision—National Center for
Chronic Disease Prevention and Health
Promotion (NCCDPHP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
Tobacco use is the leading cause of
preventable disease and death in the
United States, and nearly all tobacco use
begins during youth and young
adulthood. A limited number of health
risk behaviors, including tobacco use,
account for the overwhelming majority
of immediate and long-term sources of
morbidity and mortality. Because many
health risk behaviors are established
during adolescence, there is a critical
need for public health programs
directed towards youth, and for
information to support these programs.
Since 2004, the Centers for Disease
Control and Prevention (CDC) has
periodically collected information about
tobacco use among adolescents
(National Youth Tobacco Survey
(NYTS) 2004, 2006, 2009, 2011, 2012,
2013–2017, OMB Control Number
0920–0621). This surveillance activity
builds on previous surveys funded by
the American Legacy Foundation in
1999, 2000, and 2002.
At present, the NYTS is the most
comprehensive source of nationally
representative tobacco data among
students in grades 9–12, moreover, the

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