66004 Federal Register / Vol. 88, No. 185 / Tuesday, September 26, 2023 / Notices 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of 

respondents Form name Number of respondents 

Number 

of responses 

per 

respondent 

Average 

burden 

per response 

(in hours) 

Physician ................................ Chronic Q fever Enhanced Surveillance Report Form—Initial 

Consult.

50 1 20/60 

Physician ................................ Chronic Q fever Enhanced Surveillance Report Form—Follow-up.50 2 10/60 

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. 2023–20759 Filed 9–25–23; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–23–23IE; Docket No. CDC–2023– 

0077] 

Proposed Data Collection Submitted 

for Public Comment and 

Recommendations 

AGENCY: Centers for Disease Control and 

Prevention (CDC), Department of Health 

and Human Services (HHS). 

ACTION: Notice with comment period. 

SUMMARY: 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 information collection, as 

required by the Paperwork Reduction 

Act of 1995. This notice invites 

comment on a proposed information 

collection project titled Social and 

Economic Barriers to Receiving Optimal 

Services Along the Cancer Care 

Continuum. This mixed methods data 

collection effort will help CDC 

understand the social and economic 

barriers that colorectal, breast, and 

cervical cancer survivors and their 

caregivers face at each stage of the 

cancer care continuum, from screening 

through survivorship, and how these 

barriers may vary by population. 

DATES: CDC must receive written 

comments on or before November 27, 

2023. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2023– 

0077 by either of the following methods: 

• Federal eRulemaking Portal: 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Mail: Jeffrey M. Zirger, Information 

Collection Review Office, Centers for 

Disease Control and Prevention, 1600 

Clifton Road NE, MS H21–8, Atlanta, 

Georgia 30329. 

Instructions: All submissions received 

must include the agency name and 

Docket Number. CDC will post, without 

change, all relevant comments to 

www.regulations.gov. 

Please note: Submit all comments 

through the Federal eRulemaking portal 

(www.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 Jeffrey M. Zirger, 

Information Collection Review Office, 

Centers for Disease Control and 

Prevention, 1600 Clifton Road NE, MS 

H21–8, Atlanta, Georgia 30329; 

Telephone: 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, 

including the validity of the 

methodology and assumptions used; 

3. Enhance the quality, utility, and 

clarity of the information to be 

collected; 

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; and 

5. Assess information collection costs. 

Proposed Project 

Social and Economic Barriers to 

Receiving Optimal Services Along the 

Cancer Care Continuum—New— 

National Center for Chronic Disease 

Prevention and Health Promotion 

(NCCDPHP), Centers for Disease Control 

and Prevention (CDC) 

Background and Brief Description 

The purpose of this project is to: (1) 

examine and better understand social 

and economic barriers faced by 

colorectal, breast, and cervical cancer 

survivors and their caregivers at each 

stage of the Cancer Care Continuum 

(CCC); and (2) quantify the impact of 

individual and compounded barriers on 

health outcomes along the CCC for 

survivors. CDC will use a mixed 

methods data collection approach. 

First, CDC plans to pull our sample 

from cancer registry data in California, 

North Carolina, and Texas based on 

inclusion criteria (received first cancer 

diagnosis of either breast, cervical or 

colorectal cancer in 2021; 18–75 years of 

age at time of diagnosis; are nonHispanic Black/African American, nonHispanic White, or Hispanic; alive at the 

time of data extraction/sample 

selection). Then, CDC will administer a 

Wave 1 (baseline) and Wave 2 (followup) survey to cancer survivors, as well 

as a survey to their caregivers. 

Additionally, CDC will conduct 

interviews with survivors and caregivers 

as well as focus groups with 


lotter on DSK11XQN23PROD with NOTICES1
Federal Register / Vol. 88, No. 185 / Tuesday, September 26, 2023 / Notices 66005 

representatives from patient/survivor 

advocacy organizations. CDC will 

incorporate cancer registry data into the 

quantitative data analysis, and 

triangulate findings from the 

quantitative and qualitative data 

collection efforts. Results will be used to 

inform efforts aimed at increasing access 

to cancer care services, reducing the 

burden of cancers and closing the 

disparities gap. 

CDC requests OMB approval for an 

estimated 1,681 annual burden hours. 

There are no costs to respondents other 

than their time to participate. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total 

burden 

(in hours) 

Wave 1 Survivor Survey Respondents.W1 Survey Instrument ..................... 3,000 1 20/60 1,000 

Wave 2 Survivor Survey Respondents.W2 Survey Instrument ..................... 1,200 1 20/60 400 

Survivor Interviewees ........................ Survivor Interview Guide .................. 20 1 1 20 

Caregiver Survey Respondents ........ Caregiver Survey Instrument ........... 900 1 15/60 225 

Caregiver Interviewees ..................... Caregiver Interview Guide ............... 20 1 1 20 

Patient Advocacy Group—Focus 

Group Participants.

Advocacy Representatives Focus 

Group Guide.

16 1 1 16 

Total ........................................... ........................................................... ........................ ........................ ........................ 1,681 

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. 2023–20760 Filed 9–25–23; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

[CFDA Number: 93.568] 

Proposed Reallotment of Fiscal Year 

2022 Funds for the Low Income Home 

Energy Assistance Program 

AGENCY: Office of Community Services, 

Administration for Children and 

Families, Department of Health and 

Human Services. 

ACTION: Notice of public comment. 

SUMMARY: The Administration for 

Children and Families (ACF), Office of 

Community Service (OCS), Division of 

Energy Assistance announces a 

preliminary determination that funds 

from the Federal fiscal year (FFY) 2022 

Low Income Home Energy Assistance 

Program (LIHEAP) are available for 

reallotment to States, Territories, Tribes, 

and Tribal organizations that received 

FFY 2023 direct LIHEAP grants. The 

purpose of this award is to redistribute 

FFY 2022 annual LIHEAP funds that 

grant recipients were unable to obligate 

or carry over to FFY 2023. No subrecipients of these grant recipients or 

other entities may apply for these funds. 

DATES: Comments are due by: October 

26, 2023. 

ADDRESSES: Comments may be 

submitted to: Peter Edelman, Program 

Analyst, Office of Community Services, 

Administration for Children and 

Families, 330 C Street SW, 5th Floor; 

Mail Room 5425; Washington, DC 20201 

or via email: peter.edelman@

acf.hhs.gov. Comments may also be 

faxed to 202–401–5661. 

FOR FURTHER INFORMATION CONTACT: 

Akm Rahman, Program Operations 

Branch Chief, Division of Energy 

Assistance, Office of Community 

Services, 330 C Street SW, 5th Floor; 

Mail Room 5425; Washington, DC, 

20201. Telephone: 202–401–5306; 

email: Akm.Rahman@acf.hhs.gov. 

SUPPLEMENTARY INFORMATION: After 

receiving Federal Financial Reports 

(FFRs) and Carryover and Reallotment 

Reports (CRRs) from FFY 2022 LIHEAP 

recipients, ACF has determined that 

$21,985,238 in FFY 2022 LIHEAP funds 

were available for reallotment for FFY 

2023. This determination was based on 

the reports of 73 recipients, the total 

obligations of 3 recipients, and minor 

corrections to certain amounts available 

for carryover. LIHEAP recipients 

submitted the FFY 2022 CRRs to OCS, 

as required by regulations applicable to 

LIHEAP at 45 CFR 96.81(b). 

The LIHEAP statute allows grant 

recipients who have funds unobligated 

at the end of the FFY for which they are 

awarded to request that they be allowed 

to carry over up to 10 percent of their 

full-year allotments to the next FFY (42 

U.S.C. 8626(b)(2)). Funds in excess of 

this amount must be returned to the 

U.S. Department of Health and Human 

Services and are subject to reallotment 

under 42 U.S.C. 8626(b)(1). 

FFY 2022 funds appropriated under 

the American Rescue Plan Act of 2022 

(Pub. L. 117–2) were not subject to 42 

U.S.C. 8626(b)(2)(B), which caps 

carryover at 10 percent. Therefore, these 

funds were not included in the 

reallotment calculation. 

In accordance with 42 U.S.C. 

8626(b)(3), ACF notified each of the 76 

recipients that reported or, in the 

absence of reporting, had potentially 

$21,985,238 of unobligated funds above 

their carryover caps. In these notices, 

ACF told each about the amount it 

returned for de-obligation and the 

amount that will be redistributed to FFY 

2023 grant recipients as part of the 

reallotment. It also gave each recipient 

30 calendar days to provide comments 

directly to ACF. 

If funds are reallotted, then they will 

be allocated in accordance with 42 

U.S.C. 8623 and must be treated by 

LIHEAP grant recipients that receive 

them as an amount appropriated for 

FFY 2023. As FFY 2023 funds, they will 

be subject to all requirements of the 

LIHEAP statute, including 42 U.S.C. 

8626(b)(2), which requires that a grantee 

obligate at least 90 percent of its total 

block grant allocation for a fiscal year by 

the end of the fiscal year for which the 

funds are appropriated; that is, by 

September 30, 2023. 

All LIHEAP grant recipients that 

receive a portion of these funds will be 

notified of the final reallotment amount 

redistributed to them for obligation in 

FFY 2023. This decision will also be 

published in the Federal Register and in 

a Dear Colleague Letter that is posted to 


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