1112 Federal Register / Vol. 86, No. 4 / Thursday, January 7, 2021 / Notices 

of violence and abuse. An estimated 10 

million children in the US have 

experienced child abuse and neglect. 

Each day, about a dozen youth are 

victims of homicide and more than 100 

times that number (∼1,400) are treated 

annually in emergency rooms for 

physical assault injuries. 

Youth are also involved in high levels 

of peer violence, which is one of the 

leading causes of death for people ages 

10–24. A body of research has shown 

that the impact of violence against 

children goes far beyond the initial 

incident, and that those who have 

experienced emotional, physical, and 

sexual violence can experience severe 

short to long-term health and social 

consequences. Given the serious and 

lasting impact on children, it is critical 

to understand the magnitude and nature 

of violence against children in order to 

develop effective prevention and 

response strategies. Currently, data to 

guide state and local violence 

prevention and response efforts in the 

United States are quite limited. While 

some studies have provided information 

on the risks and impact on violence 

against children, they are mostly limited 

in scale and cannot be generalized to the 

scope of violence against youth across 

the US or for specific regions. 

VACS is a methodology which CDC 

has conducted in 24 countries globally 

to measure the magnitude of physical, 

sexual, and emotional violence against 

children as well as associated risk and 

protective factors. VACS has 

contributed to research throughout the 

world, demonstrating the high 

prevalence of violence against children 

in a variety of countries and cultures, 

and have proven to be critical tools that 

can fill data gaps in ways that are vital 

to informing strategic planning and 

evidence-based public health efforts in 

many countries. However, VACS have 

not been implemented in the U.S., and 

the existing representative datasets of 

violence against youth in the U.S. have 

significant limitations that prevent the 

data from being actionable for 

prevention planning by public health 

departments at the local level. VACS in 

the U.S will help fill this gap with 

rigorous probability-based estimates of 

the problem of youth violence combined 

with an internationally tested approach 

to embed the VACS survey into the local 

strategic planning process of local 

public health partners. 

The present project will implement a 

pilot testing for the adapted VACS 

survey and methodology in two 

contexts: (1) a representative sample of 

13–24 year old youth in Baltimore and 

(2) a convenience sample of 13–24 year 

old youth in rural Garrett County, 

Maryland to test the VACS in-person 

methodology in a rural location. Data 

will be collected through in-person 

probability-based household surveys, 

which will be conducted using a 

combination of intervieweradministration and Audio ComputerAssisted Self-Interview Software on 

tablets. Data will be analyzed using 

statistical software to account for the 

complexity of the survey design to 

compute weighted counts, percentages, 

and confidence intervals using 

probability-based survey data at the 

local level. 

The findings from this pilot study will 

be used primarily to better understand 

the feasibility and effectiveness of 

implementing VACS in the U.S., which 

will ultimately determine the magnitude 

of violence against children and 

underlying risk and protective factors in 

order to make recommendations to 

national and international agencies and 

non-governmental organizations on 

developing strategies to identify, treat 

and prevent violence against children. 

CDC is requesting three years approval 

from OMB for this collection with a 

total estimated annualized burden of 

800 hours There are no costs to 

respondents other than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(hours) 

Head of Household ......................................... Invitation letter ................................................ 3,121 1 2/60 

Screener Questionnaire ................................. 2,808 1 3/60 

Head of Household Consent .......................... 702 1 2/60 

Head of Household Questionnaire ................. 632 1 15/60 

Youth ages 13–24 in Baltimore or Garrett 

County, Maryland.

Youth participant consent/assent ................... 632 1 3/60 

Core Youth Participant Questionnaire ........... 377 1 1 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2021–00002 Filed 1–6–21; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–21–1080] 

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 HIV Outpatient 

Study 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 September 14, 2020 to obtain 

comments from the public and affected 

agencies. CDC did not receive comments 

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 

is particularly interested in comments 

that: 

(a) 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; 


jbell on DSKJLSW7X2PROD with NOTICES
Federal Register / Vol. 86, No. 4 / Thursday, January 7, 2021 / Notices 1113 

(b) Evaluate the accuracy of the 

agencies estimate of the burden of the 

proposed collection of information, 

including the validity of the 

methodology and assumptions used; 

(c) Enhance the quality, utility, and 

clarity of the information to be 

collected; 

(d) 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 submission of 

responses; and 

(e) Assess information collection 

costs. 

To request additional information on 

the proposed project or to obtain a copy 

of the information collection plan and 

instruments, call (404) 639–7570. 

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 Review—Open 

for Public Comments’’ or by using the 

search function. Direct written 

comments and/or suggestions regarding 

the items contained in this notice to the 

Attention: CDC Desk Officer, Office of 

Management and Budget, 725 17th 

Street, NW, Washington, DC 20503 or by 

fax to (202) 395–5806. Provide written 

comments within 30 days of notice 

publication. 

Proposed Project 

HIV Outpatient Study (HOPS) (OMB 

Control No. 0920–1080, Exp. 9/30/ 

2021)—Extension—National Center for 

HIV/AIDS, Hepatitis, STD and TB 

Prevention (NCHHSTP), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

The Centers for Disease Control and 

Prevention requests OMB approval to 

continue collecting information for HIV 

Outpatient Study (HOPS). The study is 

based on a prospective longitudinal 

cohort of adults living with HIV in 

outpatient care at eight well-established 

private HIV care practices and 

university-based clinics in the U.S. The 

HOPS study sites are located in six 

cities: Tampa, Florida; Washington, DC; 

Stony Brook, New York; Chicago, 

Illinois; Denver, Colorado; and 

Philadelphia, Pennsylvania. The study 

currently collects information on a 

maximum of 2,700 outpatients per year. 

A portion of HOPS participants are lost 

to follow-up each year (most due to 

transferring out of the HOPS clinics), 

and our target goal is to enroll up to 450 

new participants (50–60 per site) 

annually. Patients are approached 

during one of their routine clinic visits 

and invited to participate in the HOPS. 

There are two sources of information 

for the HOPS. First, clinical data are 

abstracted on ongoing basis from the 

medical records of study participants. 

Medical records provide data in five 

general categories: demographics and 

risk behaviors for HIV infection; 

symptoms; diagnosed conditions 

(definitive and presumptive); 

medications prescribed (including dose, 

duration, and reasons for stopping); and 

all laboratory values, including CD4+ T 

lymphocyte (CD4+) cell counts, plasma 

HIV–RNA determinations, and 

genotype, phenotype, and trophile 

results. Clinic charts also provide data 

about visit frequency, AIDS, and death. 

Medical records abstraction is 

conducted by trained study staff and 

does not impose ongoing burden on 

HOPS participants, however, CDC does 

account for burden associated with the 

initial study consent and orientation 

process. The estimated burden per 

response is 15 minutes. 

The second source of HOPS 

information is the annual behavioral 

assessment, an optional activity 

scheduled in conjunction with the 

participant’s annual clinic visit. For 

convenience, the behavioral assessment 

can be completed in either of two 

modes: A brief Telephone AudioComputer Assisted Self-Interview (T– 

ACASI) survey or an identical Webbased Audio-Computer Assisted SelfInterview (ACASI). Data collection 

includes: Age, sex at birth, use of 

alcohol and drugs, cigarette smoking, 

adherence to antiretroviral medications, 

types of sexual intercourse, condom use, 

and disclosure of HIV status to partners. 

The estimated burden per response is 

seven minutes. 

The core areas of HOPS research 

extending through the present HIV 

treatment era include (i) investigating 

and characterizing (new) problems 

associated with long-term HIV infection 

and its treatments using the longitudinal 

cohort data, (ii) monitoring death rates 

and causes of death, (iii) characterizing 

the optimal patient management 

strategies to reduce HIV related 

morbidity and mortality (e.g., 

effectiveness of antiretroviral therapies 

and other clinical interventions), (iv) 

assessing sexual and drug use behaviors 

and other patient reported outcomes 

that supplement data from chart 

abstraction, and (v) investigating 

disparities in the HIV care continuum 

by various demographic factors. In 

recent years, the HOPS has been 

instrumental in bringing attention to 

emerging issues in chronic HIV 

infection with actionable opportunities 

for prevention, including cardiovascular 

disease, fragility fractures, renal and 

hepatic disease, and cancers. The 

HOPS remains an important source for 

multiyear trend data concerning 

conditions and behaviors for which data 

are not readily available elsewhere, 

including: rates of opportunistic 

illnesses, rates of comorbid conditions 

(e.g., hypertension, obesity, diabetes) 

and antiretroviral drug resistance. 

OMB approval is requested for three 

years. The estimated number of 

participants in the annual behavioral 

assessment will increase from 2,500 

respondents to 2,700 respondents, 

resulting in an increase of 23 burden 

hours. There are no changes to the 

information collection forms or 

methods. Participation is voluntary and 

there are no costs to respondents other 

than their time. The total estimated 

annualized burden is 428 hours. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

HOPS study Patients ...................................... Behavioral survey ........................................... 2,700 1 7/60 

HOPS Study Patients ..................................... Consent form .................................................. 450 1 15/60 


jbell on DSKJLSW7X2PROD with NOTICES
1114 Federal Register / Vol. 86, No. 4 / Thursday, January 7, 2021 / Notices 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2021–00003 Filed 1–6–21; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Child Care and Development 

Fund (CCDF) ACF–696T Financial 

Report (OMB #0970–0195) 

AGENCY: Office of Child Care, 

Administration for Children and 

Families, HHS. 

ACTION: Request for public comment. 

SUMMARY: The Administration for 

Children and Families (ACF) is 

requesting a 3-year extension of the 

form ACF–696T: Child Care and 

Development Fund Annual Financial 

Report. This form is currently approved 

under the ACF Generic Clearance for 

Financial Reports (OMB #0970–0510; 

expiration May 31, 2021), and ACF is 

proposing to reinstate the previous OMB 

number under which this form had been 

approved. There are no changes 

requested to the form. 

DATES: Comments due within 60 days of 

publication. In compliance with the 

requirements of Section 3506(c)(2)(A) of 

the Paperwork Reduction Act of 1995, 

ACF is soliciting public comment on the 

specific aspects of the information 

collection described above. 

ADDRESSES: Copies of the proposed 

collection of information can be 

obtained and comments may be 

forwarded by emailing infocollection@

acf.hhs.gov. Alternatively, copies can 

also be obtained by writing to the 

Administration for Children and 

Families, Office of Planning, Research, 

and Evaluation (OPRE), 330 C Street 

SW, Washington, DC 20201, Attn: ACF 

Reports Clearance Officer. All requests, 

emailed or written, should be identified 

by the title of the information collection. 

SUPPLEMENTARY INFORMATION: 

Description: The ACF–696T Financial 

Report along with the instruction for 

completion of Form ACF–696T 

Financial Reporting Form for the Child 

Care and Development Fund (CCDF) are 

being submitted for renewal with no 

changes. The form collects CCDF 

financial expenditures data for the 221 

Tribal Lead Agencies that receive CCDF 

funding. This report form is submitted 

annually by the referenced CCDF grant 

recipients. The form collects 

expenditures data for all respondents 

that receive CCDF funding. 

Respondents: The 221 Tribal Lead 

Agencies that receive CCDF funding. 

ANNUAL BURDEN ESTIMATES

Instrument 

Annual 

number of 

respondents 

Annual 

number of 

responses per 

respondent 

Average 

burden hours 

per response 

Annual 

burden hours 

Child Care and Development Fund ACF–696T Financial Report ........... 221 1 5 1,105 

Estimated Total Annual Burden 

Hours: 1,105. 

Comments: The Department 

specifically requests comments on (a) 

whether the proposed collection of 

information is necessary for the proper 

performance of the functions of the 

agency, including whether the 

information shall have practical utility; 

(b) the accuracy of the agency’s estimate 

of the burden of the proposed collection 

of information; (c) the quality, utility, 

and clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 

or other forms of information 

technology. Consideration will be given 

to comments and suggestions submitted 

within 60 days of this publication. 

Authority: Section 658G(d), Pub. L. 113– 

186, 128 Stat. 1971. 

Mary B. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2021–00017 Filed 1–6–21; 8:45 am] 

BILLING CODE 4184–43–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Mental Health Care Services 

for Unaccompanied Alien Children 

(New Collection) 

AGENCY: Office of Refugee Resettlement, 

Administration for Children and 

Families, Department of Health and 

Human Services. 

ACTION: Request for public comment. 

SUMMARY: The Office of Refugee 

Resettlement (ORR), Administration for 

Children and Families (ACF), U.S. 

Department of Health and Human 

Services (HHS), is inviting public 

comments on the proposed collection. 

The request consists of several forms 

that allow the Unaccompanied Alien 

Children (UAC) Program to provide 

mental health care services to UAC. 

DATES: Comments due within 60 days of 

publication. In compliance with the 

requirements of Section 3506(c)(2)(A) of 

the Paperwork Reduction Act of 1995, 

ACF is soliciting public comment on the 

specific aspects of the information 

collection described above. 

ADDRESSES: Copies of the proposed 

collection of information can be 

obtained and comments may be 

forwarded by emailing infocollection@

acf.hhs.gov. Alternatively, copies can 

also be obtained by writing to the 

Administration for Children and 

Families, Office of Planning, Research, 

and Evaluation (OPRE), 330 C Street 

SW, Washington, DC 20201, Attn: ACF 

Reports Clearance Officer. All requests, 

emailed or written, should be identified 

by the title of the information collection. 

SUPPLEMENTARY INFORMATION: 

Description 

1. Initial Mental Health Evaluation 

(Form MH–1): This instrument is used 

by clinicians to document the UAC’s 

mental state upon arrival to the care 

provider facility. It includes an 

assessment of the UAC’s current mental 

state, psychiatric history, and substance 

use history. 

2. Columbia Suicide Severity Rating 

Scale (SSRS) Risk Assessment (Form 

MH–2): This instrument is used by 

clinicians to assess suicide risk for UAC 

who verbalize or demonstrate suicidal 

thoughts or behavior. It is a shorter 

version of the standard Columbia SSRS 

used to triage mental health care for 

UAC, a tool designed to support suicide 


jbell on DSKJLSW7X2PROD with NOTICES