69188 Federal Register / Vol. 88, No. 192 / Thursday, October 5, 2023 / Notices 

PICOTS (POPULATIONS, INTERVENTIONS, COMPARATORS, OUTCOMES, TIMING, AND SETTINGS)—Continued 

PICOTS elements Inclusion criteria Exclusion criteria 

• Congregate meal sites and home-delivered meal programs.

• Personal assistance such as dressing, bathing, toileting, eating, transferring to or 

from a bed or chair, etc.

• Transportation and access including physical access to their homes (ramps, rails, 

etc.) or access to places (doctor’s offices, etc.) or could also be access to 

healthcare setting (ride to the doctor’s office).

• Home repairs and modifications.

• Home safety assessments.

• Homemaker and chore services.

• Information and referral services (to clinical care or other community-based services).

• Community integration services and day support.

• Behavioral health services.

• Financial services.

• Legal services, such as help preparing a will.

• Telephone reassurance.

Comparators .............. • Institutional care (nursing care, long-term care) without HCBS .................................. • None. 

• No HCBS while living in the home or community.

Outcomes .................. • Mortality ........................................................................................................................ • None. 

• Time to nursing home placement.

• Patient satisfaction.

• Person-centered outcomes.

• Hospitalization, rehospitalization.

• Clinical outcomes (falls, disease-related outcomes).

• Social isolation.

• Quality of life (see NQF HCBS Quality Domains Report).

• Harms of the intervention.

Timing ........................ • All ................................................................................................................................. • None. 

Settings ...................... • Home settings .............................................................................................................. • Nursing home. 

• Independent living. • Healthcare setting. 

• Assisted living.

• Studies conducted in the United States.

Subgroup analysis ..... • Geography .................................................................................................................... • None. 

• Race/ethnicity.

• Sex.

• Comorbidities.

• Social situations (community, home).

• Clinical needs (includes activities of daily living as well as other needs to care for a 

person).

Study design .............. • Guiding Question 1: • In vitro studies. 

Æ RCTs. • Erratum. 

Æ Comparative observational studies. • Editorials. 

Æ Systematic reviews or meta-analyses. • Letters. 

• Guiding Questions 2–3: • Case reports/series. 

Æ RCTs.

Æ Comparative observational studies.

Æ Surveys.

Æ Qualitative studies.

Æ Mixed-method studies.

Æ Narrative reviews.

Æ Systematic review or meta-analysis.

Publications ............... • Studies published in English as peer reviewed full-text articles ................................. • Foreign language studies. 

• Studies published after Year 2000. • Conference abstracts. 

• Studies conducted outside of the United States.

Abbreviations: HCBS = Home and Community Based Services; NQF = National Quality Forum; RCT = randomized clinical trials. 

Dated: September 29, 2023. 

Marquita Cullom, 

Associate Director. 

[FR Doc. 2023–22131 Filed 10–4–23; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Reorganization of the National Center 

for Chronic Disease Prevention and 

Health Promotion 

AGENCY: Centers for Disease Control and 

Prevention (CDC), the Department of 

Health and Human Services (HHS). 

ACTION: Notice. 

SUMMARY: CDC has modified its 

structure. This notice announces the 

reorganization of the National Center for 

Chronic Disease Prevention and Health 

Promotion (NCCDPHP). NCCDPHP has 

realigned the Division of Adolescent 

and School Health from the National 

Center National Center for HIV, Viral 

Hepatitis, STD, and TB Prevention 

(NCHHSTP). 


ddrumheller on DSK120RN23PROD with NOTICES1
Federal Register / Vol. 88, No. 192 / Thursday, October 5, 2023 / Notices 69189 

DATES: This reorganization was 

approved by the Director of CDC on, 

September 29, 2023 and became 

effective, September 29, 2023. 

FOR FURTHER INFORMATION CONTACT: 

D’Artonya Graham, Office of Strategic 

Business Initiatives, Office of the Chief 

Operating Officer, Office of the Director, 

Centers for Disease Control and 

Prevention, 1600 Clifton Road NE, MS 

TW–2, Atlanta, GA 30329; Telephone 

770–488–4401; Email: reorgs@cdc.gov. 

SUPPLEMENTARY INFORMATION: Part C 

(Centers for Disease Control and 

Prevention) of the Statement of 

Organization, Functions, and 

Delegations of Authority of the 

Department of Health and Human 

Services (45 FR 67772–76, dated 

October 14, 1980, and corrected at 45 FR 

69296, October 20, 1980, as amended 

most recently at 88 FR 44359–44363, 

dated July 12, 2023) is amended to 

reflect the reorganization of the National 

Center for Chronic Disease Prevention 

and Health Promotion, Centers for 

Disease Control and Prevention. 

Specifically, the changes are as follows: 

I. Under part C, section C–B,

Organization and Functions, delete the 

following: 

• Division of Adolescent and School

Health (CKG)

• Office of the Director (CKG1)

• Program Development and Services

Management (CKGB)

• Research Application and Evaluation

Branch (CKGC)

• School-Based Surveillance Branch

(CKGD)

• Healthy Schools Branch (CLKE)

II. Under part C, section C–B,

Organization and Functions, after the 

Division of Population Health (CLK) 

insert the following organizational 

units: 

• Division of Adolescent and School

Health (CLL)

• Office of the Director (CLL1)

• Program Development and Services

Management (CLLB)

• Research Application and Evaluation

Branch (CLLC)

• School-Based Surveillance Branch

(CLLD)

III. Under part C, section C–B,

Organization and Functions, insert the 

following: 

Division of Adolescent and School 

Health (CLL). (1) in cooperation with 

other CDC components, State, local, 

Territorial, Tribal agencies, and national 

nongovernmental organizations 

administers and supports strategies in 

school settings to address health 

outcomes for priority health risks and 

related health behaviors, including but 

not limited to the promotion of healthy 

eating, physical activity, sexual health, 

and tobacco-free lifestyles, among 

school-aged populations; (2) provides 

consultation, training, educational, and 

other technical services to assist State, 

Territorial, and local education and 

health departments, Tribal governments, 

national nongovernmental 

organizations, and other societal 

institutions to implement a coordinated 

approach to school health and evaluate 

policy, systems, and environmental 

changes and interventions to reduce 

priority health risks among youth and 

improve the health of students and 

school staff; (3) identifies and monitors 

priority health risks and related health 

behaviors among school-aged 

populations that result in obesity, 

smoking, physical inactivity, chronic 

disease, the transmission of HIV, other 

sexually transmitted infections, and 

unintended pregnancy; (4) in 

coordination with other CDC 

components, supports international, 

national, State, Tribal, and local schoolbased surveillance systems to monitor 

priority health risk behaviors and health 

outcomes among school-aged 

populations, along with the policies, 

programs, and practices schools 

implement to address them; (5) 

conducts evaluation research to expand 

knowledge of the determinants of 

priority health risk behaviors among 

school-aged populations and to identify 

effective policies and practices that 

schools and other societal institutions 

can implement to reduce priority health 

risks; (6) develops and disseminates 

guidelines and tools to help schools and 

other societal institutions apply 

research synthesis findings to reduce 

priority health risks among school-aged 

populations; (7) supports 

implementation and evaluation of a 

coordinated approach to school health 

and best practices in (a) health 

education, (b) physical education and 

other physical activity programs, (c) 

nutrition services, (d) school health 

services, (e) school counseling, 

psychological, and social services, (f) 

health promotion for staff, (g) family 

and community involvement, and (h) 

school health and safety policies and 

environment; (8) provides information 

to the scientific community and the 

general public through publications and 

presentations; (9) in accomplishing the 

functions listed above, collaborates with 

(a) other components of CDC and HHS,

(b) the U.S. Department of Education,

U.S. Department of Agriculture, and

other Federal agencies, (c) national

professional, voluntary, and

philanthropic organizations, (d) 

international agencies, (e) and other 

societal institutions and organizations, 

as appropriate; and (10) assists other 

nations in reducing chronic diseaserelated health risks among school-aged 

populations in implementing and 

improving school health programs. 

Office of the Director (CLL1). (1) 

plans, directs, and evaluates the 

activities of the division; (2) provides 

national leadership and guidance in 

policy formulation and program 

planning and development to reduce 

health risks among school-aged 

populations and improve school health 

programs, policies, and practices; (3) 

provides leadership and guidance for 

program management and operations; 

(4) provides leadership in coordinating

activities between the division and

other NCCDPHP divisions in addressing

priority health risks among school-aged

populations; (5) provides leadership in

coordinating school-based activities

throughout CDC, including with the

National Center for HIV, Viral Hepatitis,

STD, and TB Prevention, National

Center for Injury Prevention and

Control, and National Center on Birth

Defects and Developmental Disabilities;

(6) maintains a strong focus on schoolaged populations’ health risks and

health-related behaviors, including

sexual risk-taking and teen pregnancy;

(7) promotes collaboration with other

governmental and nongovernmental

organizations for the development of

policies and evaluation methods; (8)

coordinates division responses to

inquiries from national and local

communications media; (9) implements

science and evidence-based

communication programs, initiatives,

and strategies that target State and local

health and education partners, media,

national organizations, and consumers;

(10) systematically translates, promotes,

and disseminates science-based

messages through multiple

communication products and channels;

(11) implements effective internal

communication strategies targeting the

division and other CDC staff; (12)

oversees creation, production,

promotion, and dissemination of

materials designed for use by the media,

partners, national organizations, and

consumers, including press releases,

brochures, fact sheets, toolkits, other

print and electronic materials, and

ensures appropriate clearance of these

materials; (13) assists in the preparation

of speeches and congressional testimony

for the division director, the center

director, and other public health

officials; (14) provides program services

support in extramural programs


ddrumheller on DSK120RN23PROD with NOTICES1
69190 Federal Register / Vol. 88, No. 192 / Thursday, October 5, 2023 / Notices 

management; and (15) collaborates, as 

appropriate, with other Federal agencies 

in carrying out these activities. 

Program Development and Services 

Branch (CLLB). (1) provides 

consultation, training, educational, and 

other technical services to assist State, 

Territorial, and local education and 

health departments, Tribal governments, 

national nongovernmental 

organizations, and other societal 

institutions to implement and improve 

policy, systems, and environmental 

changes and interventions to reduce 

priority health risks among the schoolaged population and improve the health 

of students and school staff; (2) uses the 

results of surveillance and evaluation 

research and research syntheses to 

improve the impact of school- and 

community-based interventions 

designed to reduce priority health risks 

among school-aged populations to 

promote changes in behaviors such as 

obesity, smoking, physical inactivity, 

chronic disease, the transmission of 

HIV, other sexually transmitted 

infections, and unintended pregnancy; 

(3) provides leadership to the 

nationwide network of leaders in school 

health to promote linkages between 

State and local public health 

departments with education agencies; 

(4) assesses training and technical 

assistance needs and develops strategies 

to build the capacity of funded partners, 

other external partners, and division 

staff; (5) strengthens efforts of national, 

State, and local programs to provide 

high quality professional development 

services to support school-based chronic 

disease prevention policies, programs, 

and practices; and (6) provides 

consultation to other divisions within 

NCCDPHP and CDC on how schools 

work and how to foster effective 

collaboration between public health and 

education departments. 

Research Application and Evaluation 

Branch (CLLC). (1) conducts evaluation 

research to expand knowledge of the 

determinants of priority health risk 

behaviors among school-aged 

populations and to identify effective 

policies, systems, environmental 

changes, interventions and practices 

that schools and other societal 

institutions can implement to reduce 

priority health risks; (2) synthesizes and 

disseminates research findings to 

improve the impact of interventions 

designed to reduce priority sexual 

health risks among school-aged 

populations, including those designed 

to address cross-cutting issues and 

protective factors; (3) synthesizes and 

translates scientific research to develop 

and disseminate guidance, tools, and 

resources to help schools and other 

societal institutions apply research 

synthesis findings to reduce priority 

health risks; and (4) in collaboration 

with other NCCDPHP divisions and 

with other governmental and 

nongovernmental organizations, 

develops and promotes evidence-based 

policies, practices, and evaluation 

methods. 

School-Based Surveillance Branch 

(CLLD). (1) maintains international, 

national, State, Tribal, and local schoolbased surveillance systems to identify 

and monitor priority health risk 

behaviors and health outcomes; (2) 

maintains and supports national, State, 

Tribal, and local surveillance systems to 

monitor health risk behaviors among 

school-aged populations along with the 

school health policies, programs, and 

practices designed to address priority 

health risk behaviors and health 

outcomes; (3) designs, develops, and 

disseminates a wide variety of products 

describing school-based surveillance 

data; (4) provides national leadership 

and comprehensive technical assistance 

to State and local education and health 

agencies, Tribal governments, and 

ministries of health and education in 

the planning and implementation of 

school-based surveillance systems; (5) 

manages extramural funding of schoolbased surveillance systems; and (6) 

collaborates with other branches, 

divisions, and offices in NCCDPHP and 

other components throughout CDC to 

accomplish the functions listed above. 

IV. Under part C, section C–B, 

Organization and Functions, retitle the 

following organizational components: 

• Strategic Business Initiatives (CAJT) 

to the Office of Strategic Business 

Initiatives (CAJT) within the Office of 

the Chief Operating Officer 

• Office of the Deputy Director of 

Management and Operations (CAK13) 

to the Office of the Deputy Director 

for Management and Operations 

(CAK13) within the Office of Public 

Health Data, Surveillance, and 

Technology 

• Management and Operations Office 

(CAK133) to the Office of 

Management and Operations 

(CAK133) within the Office of Public 

Health Data, Surveillance, and 

Technology 

V. Under part C, section C–B, 

Organization and Functions, delete the 

respective mission or functional 

statements for and replace with the 

following: 

Office of the Director (CAKC1). (5) 

ensures the OPHDST strategy is 

executed in the Investigate and Respond 

Division and aligned with overall CDC 

and the Public Health Data Strategy 

goals; (9) identifies dependencies and 

coordinates synergies between 

Investigate and Respond Division and 

OPHDST offices and divisions. 

Office of the Director (CAKD1). (9) 

identifies dependencies and coordinates 

synergies between Inform and 

Disseminate Division, OPHDST offices 

and divisions, and other CDC programs. 

Data Standards Branch (CAKEB). (5) 

collaborates with the Technology 

Strategy Office to develop and adopt 

interoperability standards for systems 

and health information technology 

functional services. 

Office of the Director (CAKG1). (8) 

identifies dependencies and coordinates 

synergies between the Platforms 

Division and OPHDST offices and 

divisions; (9) ensures communications 

are aligned within OPHDST/OD and 

shared across the Platforms Division. 

Delegations of Authority 

All delegations and redelegations of 

authority made to officials and 

employees of affected organizational 

components will continue in them or 

their successors pending further 

redelegation, provided they are 

consistent with this reorganization. 

(Authority: 44 U.S.C. 3101.) 

Robin Bailey, Jr., 

Chief Operating Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. 2023–22160 Filed 10–4–23; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for Office of Management 

and Budget (OMB) Review; ORR–3 and 

ORR–4 Report Forms for the 

Unaccompanied Refugee Minors 

Program (OMB #0970–0034) 

AGENCY: Office of Refugee Resettlement, 

Administration for Children and 

Families, U.S. Department of Health and 

Human Services. 

ACTION: Request for public comments. 

SUMMARY: The Office of Refugee 

Resettlement (ORR) is requesting a 3- 

year extension of the ORR–3 and ORR– 

4 Report Forms (OMB #: 0970–0034, 

expiration 02/29/2024). There are very 

minimal changes requested to the report 

forms; ORR proposes minor revisions to 

the form instructions to improve clarity 

in certain sections and provide 

additional guidance for providers on 

how to assess youth functioning. 

DATES: Comments due within 30 days of 

publication. OMB must make a decision 


ddrumheller on DSK120RN23PROD with NOTICES1