Federal Register / Vol. 88, No. 179 / Monday, September 18, 2023 / Notices 63953 

DATES: The meeting will be held on 

October 11, 2023, from 10:30 a.m. to 

5:30 p.m., eastern time. 

ADDRESSES: This will be a virtual 

meeting. There will be no in-person 

gathering for this meeting. For more 

information about attending, providing 

oral statements, and accessibility for the 

meeting, as well as sending written 

comments, see the SUPPLEMENTARY

INFORMATION section of this 

announcement. 

FOR FURTHER INFORMATION CONTACT: 

Elizabeth Corr, NDWAC Designated 

Federal Officer, Office of Ground Water 

and Drinking Water (Mail Code 4601), 

U.S. Environmental Protection Agency, 

1200 Pennsylvania Avenue NW, 

Washington, DC 20460; telephone 

number: (202) 564–3798; email address: 

corr.elizabeth@epa.gov. 

SUPPLEMENTARY INFORMATION: 

Attending the Meeting: The meeting 

will be open to the general public. The 

meeting agenda and information on how 

to register for and attend the meeting 

online will be provided on EPA’s 

website at: https://www.epa.gov/ndwac 

prior to the meeting. 

Oral Statements: EPA will allocate 

one hour for the public to present oral 

comments during the meeting. Oral 

statements will be limited to three 

minutes per person during the public 

comment period. It is preferred that 

only one person present a statement on 

behalf of a group or organization. 

Persons interested in presenting an oral 

statement should send an email to 

NDWAC@epa.gov by noon, eastern time, 

on October 4, 2023. 

Written Statements: Any person who 

wishes to file a written statement can do 

so before or after the Council meeting. 

Send written statements by email to 

NDWAC@epa.gov or see the FOR

FURTHER INFORMATION CONTACT section if 

sending statements by mail. Written 

statements received by noon, eastern 

time, on October 4, 2023, will be 

distributed to all members of the 

Council prior to the meeting. Statements 

received after that time will become part 

of the permanent file for the meeting 

and will be forwarded to the Council 

members after conclusion of the 

meeting. Members of the public should 

be aware that their personal contact 

information, if included in any written 

comments, may be posted to the 

NDWAC website. Copyrighted material 

will not be posted without the explicit 

permission of the copyright holder. 

Accessibility: For information on 

access or services for individuals with 

disabilities, or to request 

accommodations for a disability, please 

contact Elizabeth Corr by email at 

corr.elizabeth@epa.gov, or by phone at 

(202) 564–3798, preferably at least 10 

days prior to the meeting to allow as 

much time as possible to process your 

request. 

National Drinking Water Advisory 

Council: The NDWAC was created by 

Congress on December 16, 1974, as part 

of the Safe Drinking Water Act (SDWA) 

of 1974, Public Law 93–523, 42 U.S.C. 

300j–5, and is operated in accordance 

with the provisions of the Federal 

Advisory Committee Act (FACA), 5 

U.S.C. App. 2. The NDWAC was 

established to advise, consult with, and 

make recommendations to the EPA 

Administrator on matters relating to 

activities, functions, policies, and 

regulations under the SDWA. General 

information concerning the NDWAC is 

available at: https://www.epa.gov/ 

ndwac. 

Jennifer L. McLain, 

Director, Office of Ground Water and Drinking 

Water. 

[FR Doc. 2023–20144 Filed 9–15–23; 8:45 am] 

BILLING CODE 6560–50–P 

FEDERAL ELECTION COMMISSION 

Sunshine Act Meetings 

FEDERAL REGISTER CITATION NOTICE OF

PREVIOUS ANNOUNCEMENT: 88 FR 62358. 

PREVIOUSLY ANNOUNCED TIME AND DATE OF

THE MEETING: Thursday, September 14, 

2023 at 10:30 a.m. 

CHANGE IN THE MEETING: The September 

14, 2023 Open Meeting has been 

canceled. 

CONTACT PERSON FOR MORE INFORMATION: 

Judith Ingram, Press Officer, Telephone: 

(202) 694–1220. 

(Authority: Government in the Sunshine Act, 

5 U.S.C. 552b) 

Vicktoria J. Allen, 

Deputy Secretary of the Commission. 

[FR Doc. 2023–20230 Filed 9–14–23; 4:15 pm] 

BILLING CODE 6715–01–P 

FEDERAL RESERVE SYSTEM 

Change in Bank Control Notices; 

Acquisitions of Shares of a Bank or 

Bank Holding Company 

The notificants listed below have 

applied under the Change in Bank 

Control Act (Act) (12 U.S.C. 1817(j)) and 

§ 225.41 of the Board’s Regulation Y (12 

CFR 225.41) to acquire shares of a bank 

or bank holding company. The factors 

that are considered in acting on the 

applications are set forth in paragraph 7 

of the Act (12 U.S.C. 1817(j)(7)). 

The public portions of the 

applications listed below, as well as 

other related filings required by the 

Board, if any, are available for 

immediate inspection at the Federal 

Reserve Bank(s) indicated below and at 

the offices of the Board of Governors. 

This information may also be obtained 

on an expedited basis, upon request, by 

contacting the appropriate Federal 

Reserve Bank and from the Board’s 

Freedom of Information Office at 

https://www.federalreserve.gov/foia/ 

request.htm. Interested persons may 

express their views in writing on the 

standards enumerated in paragraph 7 of 

the Act. 

Comments regarding each of these 

applications must be received at the 

Reserve Bank indicated or the offices of 

the Board of Governors, Ann E. 

Misback, Secretary of the Board, 20th 

Street and Constitution Avenue NW, 

Washington, DC 20551–0001, not later 

than October 3, 2023. 

A. Federal Reserve Bank of Chicago 

(Colette A. Fried, Assistant Vice 

President) 230 South LaSalle Street, 

Chicago, Illinois 60690–1414. 

Comments can also be sent 

electronically to 

Comments.applications@chi.frb.org: 

1. Sandra Kay Fowler 2023 

Irrevocable Trust, Kenneth Fowler, as 

trustee, both of Lansing, Michigan; to 

acquire voting shares of Bank Michigan 

Financial Corporation, Ann Arbor, 

Michigan, and thereby indirectly 

acquire voting shares of Bank Michigan, 

Brooklyn, Michigan. 

Board of Governors of the Federal Reserve 

System. 

Michele Taylor Fennell, 

Deputy Associate Secretary of the Board. 

[FR Doc. 2023–20070 Filed 9–15–23; 8:45 am] 

BILLING CODE P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Toxic Substances and 

Disease Registry 

[30Day–23–0057] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

In accordance with the Paperwork 

Reduction Act of 1995, the Agency for 

Toxic Substances and Disease Registry 

(ATSDR) has submitted the information 

collection request titled ‘‘APPLETREE 

Performance Measures’’ to the Office of 

Management and Budget (OMB) for 

review and approval. ATSDR previously 

published a ‘‘Proposed Data Collection 

Submitted for Public Comment and 


lotter on DSK11XQN23PROD with NOTICES1
63954 Federal Register / Vol. 88, No. 179 / Monday, September 18, 2023 / Notices 

Recommendations’’ notice on June 27, 

2023, to obtain comments from the 

public and affected agencies. ATSDR 

did not receive comments related to the 

previous notice. This notice serves to 

allow an additional 30 days for public 

and affected agency comments. 

ATSDR 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; 

(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 

APPLETREE Performance Measures 

(OMB Control No. 0923–0057, Exp. 09/ 

30/2023)—Revision—Agency for Toxic 

Substances and Disease Registry 

(ATSDR). 

Background and Brief Description 

The Agency for Toxic Substances and 

Disease Registry (ATSDR) seeks to build 

and sustain the capacity to evaluate 

exposures to hazardous waste across the 

country. Releases from hazardous waste 

sites are a major source of harmful 

exposures in homes, schools, 

workplaces, and communities. These 

exposures are often complex and may be 

difficult to identify and control. 

Hazardous waste sites may involve 

various toxic substances, exposure 

pathways, and health impacts. ATSDR’s 

primary goal is to keep communities 

safe from harmful exposures and related 

diseases. To accomplish this goal, the 

agency works closely with partnering 

agencies to evaluate exposures at 

hazardous waste sites, educate 

communities, and seek new ways to 

better protect public health. 

ATSDR’s Partnership to Promote 

Local Efforts to Reduce Environmental 

Exposure (APPLETREE) Program is 

critical to ATSDR’s success in 

accomplishing its mission in 

communities nationwide. ATSDR’s 

recipients will use APPLETREE funding 

to advance ATSDR’s primary goal of 

keeping communities safe from harmful 

environmental exposures and related 

diseases. APPLETREE gives recipients 

the resources to build their capacity to 

assess and respond to site-specific 

issues involving human exposure to 

hazardous substances in the 

environment. APPLETREE helps 

recipients identify exposure pathways at 

specific sites; educate affected 

communities about site contamination 

and potential health effects; make 

recommendations to prevent exposure; 

review health outcome data to evaluate 

potential links between site 

contaminants and community health 

outcomes. APPLETREE also facilitates 

the implementation of State-level 

programs to ensure that potential early 

care and education facilities are in areas 

free from harmful environmental 

exposures. Additionally, it motivates 

the recipients to innovate and 

implement progressive public health 

interventions that can prevent exposure 

to environmental contamination. Due to 

the local connections and partnerships 

of APPLETREE recipients, there is an 

enhancement in community engagement 

and implementation of 

recommendations. This program is 

authorized under sections 104(i)(15) of 

the Comprehensive Environmental 

Response, Compensation, and Liability 

Act (CERCLA) of 1980, as amended by 

the Superfund Amendments and 

Reauthorization Act (SARA) of 1986 [42 

U.S.C. 9604(i)(15)]. 

Under the next five-year APPLETREE 

cooperative agreement NOFO (No. CDC– 

RFA–TS–23–0001), eligible applicants 

include federally recognized American 

Indian/Alaska Native Tribal 

governments; American Indian/Alaska 

native tribally designated organizations; 

political subdivisions of States (in 

consultation with States); and State and 

local governments or their bona fide 

agents. ATSDR technical project officers 

(TPOs) will assist approximately 30 

APPLETREE recipients to address sitespecific issues involving human 

exposure to hazardous substances. Key 

capacities include identification of 

human exposure pathways at ATSDR 

sites, education of affected communities 

and local health professionals about site 

contamination and potential health 

effects; making appropriate 

recommendations to prevent exposure; 

reviewing health outcome data to 

evaluate potential links between site 

contaminants and community health; 

and documenting the effects of 

environmental remediation on health. 

Under this Revision, ATSDR will 

continue to collect information related 

to recipient activities, and the process 

and outcome performance measures 

outlined by the cooperative agreement 

program. Information will be used to 

monitor progress toward program goals 

and objectives, and for program quality 

improvement. The first nine forms were 

previously approved by OMB 

(APPLETREE Performance Measures, 

OMB Control No. 0923–0057, Expiration 

Date 09/30/2023). The first of these 

three forms were migrated to the new 

information technology (IT) system 

called ATSDR’s Request Management 

Service System (ARMSS). 

1. ATSDR Health Education Activity 

(HE) Form: For each environmental 

health assessment and health education 

activity conducted at ATSDR sites, 

APPLETREE Recipients shall 

quantitatively assess and report efforts 

to educate community members about 

site recommendations and health risks 

using indicators to assess community 

understanding of site findings about 

health risks and community 

understanding of agency 

recommendations to reduce health risks. 

This information will be entered into 

ARMSS for each health education 

activity at ATSDR sites. 

2. ATSDR Technical Assistance 

Activity (TA) Form: Throughout the 

budget year, this form will be used to 

record the routine requests made by the 

recipients and their program responses. 

These responses do not evaluate 

environmental data and do not make 

health calls but are monitored by 

ATSDR as part of the recipients’ 

performance. 

3. ATSDR Site Impact Assessment 

(SIA) Form: For each environmental 

health assessment and health education 


lotter on DSK11XQN23PROD with NOTICES1
Federal Register / Vol. 88, No. 179 / Monday, September 18, 2023 / Notices 63955 

activity conducted at ATSDR sites, 

recipients shall estimate and report the 

number of people protected from 

exposure to toxic substances at each site 

where implementation of agency 

recommendations has taken place and at 

each childcare center where safe siting 

guidelines have been implemented. To 

the extent possible, recipients shall 

estimate and report the disease burden 

prevented due to the implementation of 

site recommendations and safe siting 

guidelines. 

The fourth form is currently being 

migrated from SharePoint to ARMSS. 

This transition is currently taking place. 

4. ATSDR Success Story Form: 

Recipients will provide one success 

story per quarter (four success stories 

total per year) that highlights the impact 

of any of their programs. Recipients will 

report a summary, background, 

intervention/action taken, and 

accomplishment/impact for each story. 

Optionally, they may include a photo or 

quote. 

Recipients will continue to submit the 

following five forms to ATSDR via 

email. In the future, these forms will be 

moved to an electronic system (e.g., 

ARMSS or REDCap) to simplify data 

collection. 

5. APPLETREE Annual Performance 

Report (APR) Template: Recipients will 

continue to provide an APR each year 

and at the end of the funding cycle, 

which summarizes their annual and 

funding cycle performances, 

respectively. APRs will be due in 

December of each year to coincide with 

the CDC Grants Management annual 

reports to reduce the overall reporting 

burden, and the final report will be due 

at the end of the funding cycle. The 

purpose of the performance reports will 

be to assess Partners based on 

performance measures and evaluation 

projects. The reports should include a 

summary of performance measures, 

results of any evaluation projects, an 

accompanying narrative of progress and 

interpretation of results, optional 

successes, challenges, and an updated 

work plan. These reports will be entered 

into a Microsoft Word form. 

6. Choose Safe Places for Early Care 

and Education (CSPECE) Qualitative 

Narrative Form: Recipients will 

continue to provide a narrative report of 

their CSPECE Programs to document 

descriptive details of their State’s 

landscape, program plan, program 

implementation, and results that cannot 

be captured through numbers. 

Recipients will complete and submit the 

narrative once a year as a supplement 

with their APRs in a Microsoft Word 

form. 

7. CSPECE Quantitative Form: 

Recipients will continue to provide data 

on their CSPECE Programs to quantify 

aspects of their program such as 

children reached, target audiences 

educated, early care and education 

programs referred and screened, and 

recommendations implemented. To 

supplement their APRs, recipients will 

complete and submit a Microsoft Excel 

form once a year as a supplement with 

their APRs. 

In addition to the required annual 

reporting, at the end of the five-year 

program, each recipient will report 

cumulative five-year performance 

measures for three forms: the APR, the 

CSPECE Qualitative Narrative Form, 

and the CSPECE Quantitative Form. 

This will result in six total responses in 

a five-year period for each form. The 

estimated annualized number of 

required responses is thus rounded to 

once per year for these three forms (six 

hours divided by three years equals 1.2 

hours per year). 

8. ATSDR SoilSHOP Form: 

SoilSHOPs are not a required activity; 

however, if conducted, a recipient will 

need to complete the ATSDR SoilSHOP 

Form. This form gathers data on the 

inputs, activities, outputs, and outcomes 

of the event, such as the number of soil 

samples screened, the number of 

elevated soil samples, the number of 

individuals receiving health 

consultations, and the number of 

individuals receiving referrals. The form 

will be submitted to ATSDR via email 

within three weeks of the SoilSHOP 

completion. 

9. ATSDR Recommendation Followup Form: For each environmental health 

assessment, recipients will provide an 

update on the status of acceptance and 

implementation of all recommendations 

to understand whether and how 

recommendations have been 

implemented, and the subsequent 

impact on communities. Recipients will 

complete a Microsoft Excel reporting 

form annually on the anniversary date 

of the release of each health assessment. 

As part of this Revision request, the 

last form is new. 

10. ATSDR Requests for Certified and 

Non-certified Public Health 

Assessments and Health Consultations 

Form: For each environmental health 

assessment, recipients will provide the 

request, dates, and triage information 

and can associate the request with a 

hazardous waste site. Site scoping and 

clearance information are completed for 

about 15% of environmental health 

assessments that complete ATSDR’s 

clearance process (i.e., certified). This 

information will be entered into 

ARMSS. 

ATSDR is seeking a three-year 

Paperwork Reduction Act (PRA) 

clearance for this Revision. The total 

annual time burden requested is 269 

hours. This reflects an increase of two 

hours from the previously 267 approved 

in 2020. ATSDR will fund 30 recipients. 

Recipient reporting is required to 

receive funding under the APPLETREE 

cooperative agreement. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hrs.) 

APPLETREE Recipients ......... ATSDR Health Education (HE) Activity Form ........................ 30 17 4/60 

ATSDR Technical Assistance (TA) Activity Form .................. 30 17 4/60 

ATSDR Site Impact Assessment (SIA) Form ........................ 30 3 7/60 

ATSDR Success Story Form ................................................. 30 4 30/60 

APPLETREE Annual Performance Report (APR) Template 30 1 2 

Choose Safe Places for Early Care and Education 

(CSPECE) Qualitative Narrative Form.

30 1 1 

CSPECE Quantitative Form ................................................... 30 1 15/60 

ATSDR SoilSHOP Form ........................................................ 10 1 7/60 

ATSDR Recommendation Follow-up ..................................... 30 4 10/60 

ATSDR Requests ................................................................... 30 3 7/60 


lotter on DSK11XQN23PROD with NOTICES1
63956 Federal Register / Vol. 88, No. 179 / Monday, September 18, 2023 / Notices 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Public Health Ethics and 

Regulations, Office of Science, Centers for 

Disease Control and Prevention. 

[FR Doc. 2023–20067 Filed 9–15–23; 8:45 am] 

BILLING CODE 4163–70–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–23–23FJ] 

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 ‘‘Evaluating 

Deep Learning Algorithm Assessment of 

Digital Photographs for Dental Public 

Health Surveillance’’ 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 June 5, 

2023 to obtain comments from the 

public and affected agencies. CDC 

received two comments. 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; 

(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 

Evaluating Deep Learning Algorithm 

Assessment of Digital Photographs for 

Dental Public Health Surveillance— 

New—National Center for Chronic 

Disease Prevention and Health 

Promotion (NCCDPHP), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

By age 19, 57% of U.S. adolescents 

have experienced tooth decay and 17% 

have at least one decayed tooth needing 

treatment. Prevalence of untreated tooth 

decay among non-Hispanic Black and 

Mexican American adolescents is about 

30% higher than among non-Hispanic 

White adolescents, and among lowincome, almost twice the prevalence of 

higher-income adolescents. Untreated 

tooth decay will not resolve and can 

cause pain, infection, and difficulties in 

learning. Poor oral health in youth is 

associated with both lower school 

attendance and grades. More than 34 

million school hours are lost annually 

due to unplanned dental visits for acute 

care needs. Reducing the percentage of 

youths who have experienced tooth 

decay and the percentage with untreated 

tooth decay are national health goals 

(Healthy People 2030). 

There are two highly effective 

interventions to prevent tooth decay. 

Dental sealants prevent about 80% of 

cavities over two years in the permanent 

molars where about 90% of tooth decay 

occurs. Fluoride can prevent decay in 

permanent teeth by 15% to 43% per 

year depending on mode of delivery. 

Although the American Dental 

Association recommends dentists 

provide topical fluoride and dental 

sealants to youth at risk for caries, 

uptake of these services is low with 

about 20% of low-income youth 

receiving them during an annual dental 

visit. Access to these preventive services 

as measured by dental sealant 

prevalence and receipt of preventive 

dental services among low-income 

children are national health goals. 

The Centers for Disease Control and 

Prevention (CDC) has collected national 

data on caries, sealant, and fluorosis 

prevalence in the National Health and 

Nutrition Examination Survey 

(NHANES) for over 30 years and has 

supported State oral health programs to 

collect data on caries and sealant 

prevalence through cooperative 

agreements since 2001. Twenty States 

are currently funded from September 

2018 to August 2023 by Actions to 

Improve Oral Health Outcomes, CDC– 

RFA–DP18–1810. Collecting these data 

can be resource intensive as they are 

obtained through visual/tactile 

examinations conducted by dental 

professionals. These data, however, 

have enabled Federal and State agencies 

to: (1) prioritize groups at elevated risk 

for enhanced prevention efforts; (2) 

monitor trends in children’s oral health 

status and disparities; (3) inform 

planning, implementation and 

evaluation of effective oral health 

interventions, programs, and policies; 

(4) measure progress toward Healthy 

People objectives; and (5) educate the 

public and policy makers regarding 

cross-cutting public health programs. 

Having local estimates of these 

measures would enable decision-makers 

to better prioritize communities for 

programs that increase access to 

preventive dental services. 

CDC is examining the feasibility and 

validity of using digital photos taken by 

non-dental professionals, which in turn 

would be analyzed by deep learning 

algorithms to assess youth’s oral health 

status in lieu of human examination. 

This deep learning assessment tool 

ultimately could be used by public 

health officials for dental public health 

surveillance at the local, State, and 

national level. It is anticipated that 

obtaining information on dental 

conditions via deep learning assessment 

of digital images as opposed to human 

assessment will: (1) be more cost 

effective as it would not require dental 

personnel; and (2) improve the accuracy 

of assessment due to minimal bias and 

less confounding factors associated with 

the examiner (e.g., subjective index and 

thresholding). This tool also would offer 

mobility, simplicity, and affordability 

for rapid and scalable adaptation in 

community-based settings. 

In order to train and test the deep 

learning algorithms to identify caries, 

sealants, and fluorosis, data on these 

conditions as assessed by standardized 

examiners and corresponding photos are 

required. The CDC requests a one-year 

OMB approval for the one-time 


lotter on DSK11XQN23PROD with NOTICES1