Federal Register / Vol. 88, No. 197 / Friday, October 13, 2023 / Notices 71081 

4. Termination for Failure To Make 

Progress on an Award 

After providing written notice to the 

recipient of a project selected for 

funding, FTA may withdraw its support 

for the selected project (if a cooperative 

agreement has not yet been awarded) or 

suspend or terminate all or any part of 

the federal assistance for the award if 

the recipient has failed to make 

reasonable progress implementing the 

project. FTA may withdraw its support 

for a project or terminate an award 

agreement if: 

1. A recipient has not completed its 

application for funding in TrAMS 

within 60 days of the date FTA 

announces project selection. 

2. A recipient has not begun its 

demonstration project within one year 

after funding was awarded in TrAMS. 

3. A recipient has not delivered a 

project evaluation to FTA within one 

year of completing its demonstration 

project. 

4. FTA may also withdraw support 

from a project or terminate an award 

agreement if the proposed activities are 

no longer needed or if the recipient has 

violated the terms of FTA’s Annual 

Agreement. 

G. Federal Awarding Agency Contacts 

For further information concerning 

this Notice, please contact the ADCMS 

Program Team, FTA Office of Research, 

Demonstration, and Innovation, by 

email at ADCMS@dot.gov. A TDD is 

available for individuals who are deaf or 

hard of hearing at 800–877–8339. In 

addition, FTA will post answers to 

questions and requests for clarifications 

on FTA’s website at: https://

www.transit.dot.gov/researchinnovation/ADCMS. 

To ensure applicants receive accurate 

eligibility information, applicants are 

encouraged to contact FTA directly, 

rather than through intermediaries or 

third parties, with questions. FTA staff 

may also conduct briefings on the 

competitive grants selection and award 

process upon request. 

For issues with Grants.gov, please 

contact Grants.gov by phone at 1–800– 

518–4726 or by email at support@

grants.gov. 

H. Other Information 

This program is not subject to 

Executive Order 12372, 

‘‘Intergovernmental Review of Federal 

Programs.’’ 

Nuria I. Fernandez, 

Administrator. 

[FR Doc. 2023–22521 Filed 10–12–23; 8:45 am] 

BILLING CODE 4910–57–P 

DEPARTMENT OF TRANSPORTATION 

National Highway Traffic Safety 

Administration 

[DOT–NHTSA–2023–0037] 

Emergency Medical Services 

Education Agenda 2050: Request for 

Information 

AGENCY: National Highway Traffic 

Safety Administration (NHTSA), U.S. 

Department of Transportation (DOT). 

ACTION: Notice of Request for 

Information (RFI). 

SUMMARY: This notice announces a RFI. 

The NHTSA Office of Emergency 

Medical Services (EMS) is seeking 

comments from all sources (public, 

private, government, academic, 

professional, public interest groups, and 

other interested parties) on the planned 

re-envisioning of the 2000 EMS 

Education Agenda for the Future: A 

Systems Approach. The purpose of this 

document is to solicit comments on 

EMS Education Agenda 2050, and 

request responses to specific questions 

provided in this document. This is 

neither a request for proposals nor an 

invitation for bids. 

DATES: It is requested that comments on 

this announcement be submitted by 

October 31, 2023. 

FOR FURTHER INFORMATION CONTACT: 

Clary Mole, EMS Specialist, National 

Highway Traffic Safety Administration, 

U.S. Department of Transportation is 

available by phone at (202) 868–3275 or 

by email at Clary.Mole@dot.gov. 

SUPPLEMENTARY INFORMATION: In 2012, 

the National EMS Advisory Council 

(NEMSAC) convened a national 

roundtable meeting on the EMS 

Education Agenda for the Future: A 

Systems Approach. In a 2014 report on 

these proceedings, NEMSAC advised 

that stakeholders at the State and local 

level had just begun to experience the 

full impact of the evolution toward a 

national integrated system of education 

for EMS personnel. While stakeholders 

were reticent to move forward with a 

new education agenda, they did provide 

feedback about themes that should be 

considered in the future publication. 

From the feedback collected at the 

meeting, NEMSAC developed 

recommendations to be used in the 

eventual re-envision of the agenda for 

EMS. These recommendations are 

summarized below: 

• Educational content should retain 

the flexibility accorded by the National 

EMS Education standards, but programs 

should use nationally recognized 

evidence-based guidelines to drive local 

curriculum development. 

• The National EMS Information 

System data, evidence-based research, 

and practice analyses should be sourced 

in developing evidence-based 

guidelines and curriculum. 

• Mobile Integrated Healthcare has 

received considerable attention from the 

EMS Community. This and other 

alternative community-based healthcare 

delivery models (of the future) should 

evoke an expanded foundational 

knowledge and critical thinking 

capabilities that will poise future EMS 

practitioners to be able to evolve with 

the changing healthcare system or 

rapidly adjust to emerging healthcare 

crises. 

• EMS educators should begin a 

career in academia with expertise in 

adult learning, educational theory, 

curriculum development, and 

competency evaluation but also possess 

experiential knowledge in evidencebased care. 

In the 10 years since NEMSAC’s 

roundtable meeting, the national EMS 

education system continued to evolve— 

especially during the COVID–19 

pandemic. In late 2021, the Federal 

Interagency Committee on EMS 

(FICEMS) began sponsoring listening 

sessions to inform a consensus-driven, 

national report entitled, FICEMS: EMS 

and 911 COVID–19 Response White 

Paper. This publication cited challenges 

and solutions collected during 

stakeholder listening sessions for the 

EMS education system. Among the 

challenges, EMS education stakeholders 

cited scarcity (in some cases deficits) in 

resources for education, rigidity of 

curriculum delivery modalities, the 

increased employer demands on 

students, and inconsistent or delayed 

responses to the needs of the national 

EMS education system as major 

contributors that led to the breakdown 

in the EMS workforce pipeline. 

Prior to the COVID–19 pandemic, 

NHTSA published EMS Agenda 2050: A 

People-centered Vision for the Future of 

EMS (Agenda 2050). This collaborative 

project set a vision for a people-centered 

EMS systems that serves every 

individual in every community across 

the Nation. Later this year, NHTSA and 

its partners will begin a new project to 

develop EMS Education Agenda 2050. 

This project will not replace but build 

upon the achievements of the 2000 EMS 

Education Agenda for the Future: A 

Systems Approach to lead a national 

conversation around the future vision 

for EMS Education and EMS as a 

profession. 

I. Background 

NHTSA, in partnership with Health 

Resources and Services Administration, 


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71082 Federal Register / Vol. 88, No. 197 / Friday, October 13, 2023 / Notices 

published EMS Education Agenda for 

the Future: A Systems Approach 

(Education Agenda) in 2000. This 

document was founded on the broad 

national EMS education system 

concepts introduced in the EMS Agenda 

for the Future (1996). The Education 

Agenda described a consensus vision of 

an EMS education system with a high 

degree of structure, coordination, and 

interdependence. It proposed a less 

prescriptive system that offered 

educators flexibility in creating a 

student-centered learning environment 

and a process for accommodating future 

advancements in technology and 

medicine. The proposed system 

maximized efficiency, consistency in 

instructional quality, and entry level 

graduate competency by prescribing a 

high degree of structure, coordination, 

and interdependence. To achieve this 

vision, the education system of the 

future centered on five integrated 

primary components: 

• National EMS Core Content 

• National EMS Scope of Practice 

Model 

• National EMS Education Standards 

• National EMS Education Program 

Accreditation 

• National EMS Certification 

After the Education Agenda was 

published, stakeholders began 

implementing their respective 

integrated system components. Almost 

25 years later, the national EMS 

education system has successfully 

evolved into one that exemplifies both 

consistency and flexibility. System 

interdependencies have helped to avoid 

duplication of effort in curriculum and 

education program development, 

evaluating the minimum competencies 

of graduates, certification and licensing 

processes, and facilitation of 

practitioner reciprocity. 

In 2020, the EMS education system 

interdependencies modernized by the 

Education Agenda were tested. 

Challenges presented by the COVID–19 

pandemic forced a variety of 

adaptations. Traditional education 

programs reported a lag in students’ 

capabilities of achieving the 

programmatic competencies 

requirements for graduation. The lag 

was attributed to a variety of causes 

including a focus on pandemic response 

activities over training and education, 

employer demands on working 

students, and the rigidity of in-person, 

classroom-based education delivery 

models. After the majority of programs 

adjusted to the challenges, lags in 

graduation were cured, and students 

achieved programmatic competencies at 

rates similar to those pre-pandemic. 

The response to the pandemic did not 

impact education programs only. The 

impact to EMS agency daily operations 

was felt as well. During the COVID 

pandemic, agencies experienced 

increases in EMS activation and 

response rates which created additional 

stressors for student EMS practitioners 

already working in a high stress job 

environment but also enrolled in an 

EMS education program. These stressors 

were a major contributor to a migration 

of practitioners away from the EMS 

workforce. Agencies and organizational 

stakeholders asserted that it could be 

education program graduation 

requirements causing breakdown in the 

workforce pipeline; however, there were 

no observed decreases in graduation or 

certification testing rates. These 

observations prompt two questions: If 

graduation and certification testing rates 

have remained unchanged, why have 

agencies reported recruitment and 

retention issues? If graduates are not 

entering the EMS workforce, where are 

they finding jobs? 

With agencies experiencing increased 

demand and a deficiency in qualified 

EMS practitioners to respond to it, 

service delivery models had to evolve. 

To bridge the gap in community-based 

care resources, community 

paramedicine and mobile integrated 

healthcare (CP–MIH) service delivery 

models increased in prevalence, and 

improvised training programs were used 

to close new job-specific competency 

gaps among existing EMS practitioners 

and individuals in training. 

Other themes brought to the forefront 

during the pandemic include addressing 

healthcare disparities; the use of EMS 

data as a tool for surveillance and 

nationwide quality of care 

improvements; and a greater value to 

having an EMS workforce that is not 

only equitable, inclusive, and 

accessible, but as diverse as the 

community it serves. These themes, 

evolving service delivery models, and 

the subsequent evolution of 

competencies needed by practitioners 

suggest that it is time for NHTSA to 

gather our partners to begin a new 

conversation about the future of EMS 

Education and EMS as a profession in 

the United States. 

II. Questions Regarding EMS Education 

Agenda 2050 

Responses to the following questions 

are requested to help plan the revision 

of the Education Agenda. Please be as 

specific as possible and as appropriate 

please provide references. 

1. What are the most critical issues 

facing EMS education system that 

should be addressed in the revision of 

the EMS Education Agenda? Please 

provide specific examples. 

2. What progress has been made in 

implementing the EMS Education 

Agenda since 2000? 

3. How have you used EMS Education 

Agenda? Please provide specific 

examples. 

4. As an EMS Stakeholder, how might 

a revised EMS Education Agenda be 

most useful to you? 

5. What significant changes have 

occurred in the EMS education system 

at the national, Federal, State, and local 

levels since 2000? 

6. What significant changes will 

impact the EMS education system in the 

next 25 years? 

7. How might the revised EMS 

Education Agenda contribute to 

enhanced EMS for children? 

8. How might the revised EMS 

Education Agenda support and/or 

promote data-driven and evidencebased improvements in EMS education 

systems and EMS practitioner practice? 

9. How could the revised EMS 

Education Agenda enhance 

collaboration among EMS systems, 

health care providers and facilities, 

public safety answering points, public 

health, public safety, emergency 

management, insurers, and others? 

10. How could the revised EMS 

Education Agenda be used to promote 

community sustainability and 

resilience? 

11. How could the revised EMS 

Education Agenda contribute to 

improved coordination for disaster 

response, recovery, preparedness, and 

mitigation? 

12. How could the revised EMS 

Education Agenda enhance the 

exchange of evidence-based practices 

between national, Federal (and 

military), State, and local levels? 

13. How could the revised EMS 

Education Agenda support the seamless 

and unimpeded transfer of military EMS 

personnel to roles as civilian EMS 

providers? 

14. How could the revised EMS 

Education Agenda support interstate 

credentialing of EMS personnel? 

15. How could the revised EMS 

Education Agenda support improved 

patient outcomes in rural and frontier 

communities? 

16. How could the revised EMS 

Education Agenda lead to improved 

EMS systems in tribal communities? 

17. How could the revised EMS 

Education Agenda promote a culture of 

safety among EMS personnel, agencies, 

and organizations? 

18. Are there additional EMS 

attributes that should be included in the 

revised EMS Education Agenda? If so, 


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Federal Register / Vol. 88, No. 197 / Friday, October 13, 2023 / Notices 71083 

please provide an explanation for why 

these additional EMS attributes should 

be included. 

19. Are there EMS attributes in the 

2000 EMS Education Agenda that 

should be eliminated from the revised 

edition? If so, please provide an 

explanation for why these EMS 

attributes should be eliminated. 

20. What are your suggestions for the 

process that should be used in revising 

the EMS Education Agenda? 

21. What specific agencies/ 

organizations/entities are essential to 

involve, in a revision of the EMS 

Education Agenda? 

22. Do you have any additional 

comments regarding the revision of the 

EMS Education Agenda? 

(Authority: 23 U.S.C. 403(b)(1)(A)(iv); 49 CFR 

1.95; 501.8) 

Issued in Washington, DC. 

Nanda Narayanan Srinivasan, 

Associate Administrator, Research and 

Program Development. 

[FR Doc. 2023–22625 Filed 10–12–23; 8:45 am] 

BILLING CODE 4910–59–P 

DEPARTMENT OF THE TREASURY 

Office of the Comptroller of the 

Currency 

FEDERAL RESERVE SYSTEM 

FEDERAL DEPOSIT INSURANCE 

CORPORATION 

Agency Information Collection 

Activities; Submission for OMB 

Review; Comment Request 

AGENCY: Office of the Comptroller of the 

Currency (OCC), Treasury; Board of 

Governors of the Federal Reserve 

System (Board); and Federal Deposit 

Insurance Corporation (FDIC). 

ACTION: Joint notice and request for 

comment. 

SUMMARY: In accordance with the 

requirements of the Paperwork 

Reduction Act of 1995 (PRA), the OCC, 

the Board, and the FDIC (the agencies) 

may not conduct or sponsor, and the 

respondent is not required to respond 

to, an information collection unless it 

displays a currently valid Office of 

Management and Budget (OMB) control 

number. On June 29, 2023, the Federal 

Financial Institutions Examination 

Council (FFIEC), of which the agencies 

are members, requested public comment 

for 60 days on a proposal to extend for 

three years, without revision, the 

Regulatory Capital Reporting for 

Institutions Subject to the Advanced 

Capital Adequacy Framework (FFIEC 

101), which is currently an approved 

collection of information for each 

agency. The comment period for the 

June notice expired on August 28, 2023. 

No comments were received, and the 

agencies will proceed with the 

extension, without revision, of the 

FFIEC 101. In addition, the agencies are 

giving notice that they are sending the 

collections to OMB for review. 

DATES: Comments must be submitted on 

or before November 13, 2023. 

ADDRESSES: Interested parties are 

invited to submit written comments to 

any or all of the agencies. All comments, 

which should refer to the OMB control 

number(s), will be shared among the 

agencies. 

OCC: Commenters are encouraged to 

submit comments by email, if possible. 

You may submit comments by any of 

the following methods: 

• Email: prainfo@occ.treas.gov. 

• Mail: Chief Counsel’s Office, 

Attention: Comment Processing, Office 

of the Comptroller of the Currency, 

Attention: 1557–0239, 400 7th Street 

SW, Suite 3E–218, Washington, DC 

20219. 

• Hand Delivery/Courier: 400 7th 

Street SW, Suite 3E–218, Washington, 

DC 20219. 

• Fax: (571) 293–4835. 

Instructions: You must include 

‘‘OCC’’ as the agency name and ‘‘1557– 

0239’’ in your comment. In general, the 

OCC will publish comments on 

www.reginfo.gov without change, 

including any business or personal 

information provided, such as name and 

address information, email addresses, or 

phone numbers. Comments received, 

including attachments and other 

supporting materials, are part of the 

public record and subject to public 

disclosure. Do not include any 

information in your comment or 

supporting materials that you consider 

confidential or inappropriate for public 

disclosure. 

Written comments and 

recommendations for the proposed 

information collection should also be 

sent within 30 days of publication of 

this notice to www.reginfo.gov/public/ 

do/PRAMain. You can find this 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

You may review comments and other 

related materials that pertain to this 

information collection following the 

close of the 30-day comment period for 

this notice by the method set forth in 

the next bullet. 

• Viewing Comments Electronically: 

Go to www.reginfo.gov. Hover over the 

‘‘Information Collection Review’’ tab 

and click on ‘‘Information Collection 

Review’’ from the drop-down menu. 

From the ‘‘Currently under Review’’ 

drop-down menu, select ‘‘Department of 

Treasury’’ and then click ‘‘submit.’’ This 

information collection can be located by 

searching OMB control number ‘‘1557– 

0239’’ or ‘‘Regulatory Capital Reporting 

for Institutions Subject to the Advanced 

Capital Adequacy Framework (FFIEC 

101).’’ Upon finding the appropriate 

information collection, click on the 

related ‘‘ICR Reference Number.’’ On the 

next screen, select ‘‘View Supporting 

Statement and Other Documents’’ and 

then click on the link to any comment 

listed at the bottom of the screen. 

• For assistance in navigating 

www.reginfo.gov, please contact the 

Regulatory Information Service Center 

at (202) 482–7340. 

Board: You may submit comments, 

which should refer to ‘‘FFIEC 101,’’ by 

any of the following methods: 

• Agency website: http://

www.federalreserve.gov. Follow the 

instructions for submitting comments at: 

http://www.federalreserve.gov/ 

generalinfo/foia/ProposedRegs.cfm. 

• Email: regs.comments@

federalreserve.gov. Include ‘‘FFIEC 101’’ 

in the subject line of the message. 

• Fax: (202) 452–3819 or (202) 452– 

3102. 

• Mail: Ann E. Misback, Secretary, 

Board of Governors of the Federal 

Reserve System, 20th Street and 

Constitution Avenue NW, Washington, 

DC 20551. 

All public comments are available 

from the Board’s website at https://

www.federalreserve.gov/apps/foia/ 

proposedregs.aspx as submitted, unless 

modified for technical reasons. 

Accordingly, your comments will not be 

edited to remove any identifying or 

contact information. 

FDIC: You may submit comments, 

which should refer to ‘‘FFIEC 101,’’ by 

any of the following methods: 

• Agency website: https://

www.fdic.gov/resources/regulations/ 

federal-register-publications. Follow the 

instructions for submitting comments 

on the FDIC’s website. 

• Email: comments@FDIC.gov. 

Include ‘‘FFIEC 101’’ in the subject line 

of the message. 

• Mail: Manuel E. Cabeza, Counsel, 

Attn: Comments, Room MB–3007, 

Federal Deposit Insurance Corporation, 

550 17th Street NW, Washington, DC 

20429. 

• Hand Delivery: Comments may be 

hand delivered to the guard station at 

the rear of the 550 17th Street NW 

building (located on F Street NW) on 

business days between 7 a.m. and 5 p.m. 


lotter on DSK11XQN23PROD with NOTICES1