71878 Federal Register / Vol. 88, No. 200 / Wednesday, October 18, 2023 / Notices 

We recognize data often are sourced 

from multiple systems. Please share any 

promising practices in aggregating and 

assessing data from multiple source 

systems in a cohesive and standard way. 

During response incidents, immediate 

patient care needs, power outages, and 

competing priorities can be significant 

challenges in maintaining shared 

situational awareness. Please share any 

promising practices for continued 

reporting during incidents. 

We recognize that some healthcare 

partners have more advanced data and 

situational awareness programs while 

others may have minimal resources. 

Please share any promising practices for 

effectively leveraging minimal 

resources. 

Please share any ongoing or 

anticipated challenges with reporting or 

collecting data related to hospital 

capacity, facility status, hospital stress, 

supply inventory, or other information 

that is needed to inform hospital 

emergency preparedness and response. 

Please share any non-financial 

resources that would be useful to 

improve your reporting capability. 

Title: Request for Information on AllHazards Hospital Data. 

Abstract: The Administration for 

Strategic Preparedness and Response 

(ASPR), Centers for Disease Control and 

Prevention (CDC), Centers for Medicare 

& Medicaid Services (CMS), and the 

Office of the National Coordinator for 

Health Information Technology (ONC) 

are co-leading an effort to define the 

vendor-agnostic technical and policy 

infrastructure, standards, and 

capabilities necessary to support allhazard data reporting by all hospitals 

nationally including rehabilitation, 

psychiatric, and long-term care acute 

care hospitals as well as those providing 

acute medical care. This effort will 

gather information to provide 

recommendations for a standardized 

lens into the readiness of, stress on, and 

resources available in hospitals before, 

during, and after emergencies (including 

all-hazard incidents such as public 

health emergencies, hurricanes, mass 

casualty incidents, infectious disease 

outbreaks, etc.) for needs across the 

country. While this effort is led by 

federal partners, it is intended to also 

support local response efforts. For 

example, standardized essential 

elements of information (EEIs) may help 

to facilitate coordination across 

jurisdictions when load balancing or 

medical operations coordination centers 

are needed. The effort will leverage past 

efforts and collaborate with ongoing 

initiatives across the healthcare 

situational awareness sphere, such as 

the National Biodefense Strategy. 

Importantly, this is a nationwide 

effort for which partner input across the 

healthcare readiness community is 

essential. The healthcare community 

rose to increased demands during the 

COVID–19 public health emergency, 

reinforcing their commitment to always 

providing the highest quality level of 

safe care to patients. ASPR, CDC, CMS, 

and ONC are committed to working 

together with partners to help shape the 

path forward towards efficient 

information sharing, minimizing burden 

and increasing transparency on how 

information is used to drive action. 

Partners such as jurisdictions, hospital 

associations, hospitals, healthcare 

coalitions, medical operations 

coordination centers, transfer centers, 

nurses, emergency medical services, 

health information technology, and 

more will help to inform the project. 

ASPR, CDC, CMS, and ONC will be cohosting a series of listening sessions in 

addition to seeking comments through 

this RFI. 

To date there has been a limited 

unified, all-hazards understanding of 

national level hospital-facility status, 

capacity, resources, and capabilities. An 

all-hazards approach addresses 

capabilities-based preparedness to 

prevent, protect against, respond to, and 

recover from terrorist attacks, major 

disasters, and other emergencies. 

Existing efforts have included the 

COVID–19 hospital data collection, adhoc surveys performed after incidents 

such as hurricanes, targeted surveillance 

systems for specific communicable 

diseases and/or specific types of care 

(ex. Emergency Department (ED) visits), 

and individual efforts within 

jurisdictions. While each existing effort 

has been important, data collection 

efforts are patchwork, crisis-driven, and 

not standardized with respect to how 

EEIs are defined and operationalized. As 

a result, the nation continues to lack a 

comprehensive, standardized view of 

the state of the healthcare system that 

can be shared across partners at all 

levels to inform coordinated action. 

In addition to informing nationwide 

EEIs, input provided will also be used 

for related initiatives such as the 

National Healthcare Safety Network 

(NHSN) hospital bed capacity data pilot 

project, the Health Level 7 (HL7) Helios 

Fast Healthcare Interoperability 

Resources (FHIR) Accelerator, the 

Medical Countermeasures and Data 

Information Technology Ecosystem, and 

CDC data modernization efforts. 

Nationwide EEIs identified through this 

effort will directly inform updates to the 

USCDI+ for Public Health, Situational 

Awareness, and Emergency Response 

dataset, where additional input will be 

solicited on how to represent concepts 

for data exchange purposes. The effort 

also aligns with programs across the 

ASPR Health Care Readiness Portfolio 

and the CDC Public Health Emergency 

Program. 

Sherrette A. Funn, 

Paperwork Reduction Act Reports Clearance 

Officer, Office of the Secretary. 

[FR Doc. 2023–22931 Filed 10–17–23; 8:45 am] 

BILLING CODE 4150–37–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Substance Abuse and Mental Health 

Services Administration 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

Periodically, the Substance Abuse and 

Mental Health Services Administration 

(SAMHSA) will publish a summary of 

information collection requests under 

OMB review, in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

chapter 35). To request a copy of these 

documents, call the SAMHSA Reports 

Clearance Officer at (240) 276–0361. 

Project: SAMHSA Generic Clearance 

for the Collection of Qualitative 

Research and Assessment 

SAMHSA is requesting approval from 

the Office of Management and Budget 

(OMB) for their Generic clearance for 

purposes of conducting qualitative 

research. SAMHSA conducts qualitative 

research to gain a better understanding 

of emerging substance use and mental 

health policy issues, improve the 

development and quality of 

instruments, and to ensure SAMHSA 

leadership, centers and offices have 

recent data and information to inform 

program and policy decision-making. 

SAMHSA is requesting approval for at 

least four types of qualitative research: 

(a) interviews, (b) focus groups, (c) 

questionnaires, and (d) other qualitative 

methods. 

SAMHSA is the agency within the 

U.S. Department of Health and Human 

Services (HHS) that leads public health 

efforts to advance the behavioral health 

of the nation and to improve the lives 

of individuals living with mental and 

substance use disorders, and their 

families. It’s mission is to lead public 

health and service delivery efforts that 

promote mental health, prevent 

substance misuse, and provide 

treatments and supports to foster 

recovery while ensuring equitable 

access and better outcomes. SAMHSA 

pursues this mission by providing grant 


ddrumheller on DSK120RN23PROD with NOTICES1
Federal Register / Vol. 88, No. 200 / Wednesday, October 18, 2023 / Notices 71879 

funding opportunities and guidance to 

states and territories, as well as tribal 

and local communities; technical 

assistance to grantees and practitioners; 

publishing and sharing resources for 

individuals and family members seeking 

information on prevention, harm 

reduction, treatment and recovery; 

collecting, analyzing, and sharing 

behavioral health data; collaborating 

with other Federal agencies to evaluate 

programs and improve policies; and 

raising awareness of available resources 

through educational messaging 

campaigns and events. Integral to this 

role, SAMHSA conducts qualitative 

research and evaluation studies, 

develops policy analyses, and estimates 

the cost and benefits of policy 

alternatives for SAMHSA related 

programs. 

The goal of establishing the SAMHSA 

Generic Clearance for the Collection of 

Qualitative Research and Assessmentis 

to help public health officials, 

policymakers, community practitioners, 

and the public to understand mental 

health and substance use trends and 

how they are evolving; inform the 

development and implementation of 

targeted evidence-based interventions; 

focus resources where they are needed 

most; and evaluate the success of 

programs and policies. A key objective 

is to decrease the burden on 

stakeholders while expanding and 

improving data collection, analysis, 

evaluation, and dissemination. To 

achieve this objective, SAMHSA is 

streamlining and modernizing data 

collection efforts, while also 

coordinating evaluation across the 

agency to ensure funding and policies 

are data driven. Additionally, the 

agency is utilizing rigorous evaluation 

and analytical processes that are in 

alignment with the Foundations for 

Evidence-Based Policymaking Act of 

2018. SAMHSA, using robust methods 

to collect, analyze, and report valid, 

reliable, trustworthy, and protected 

data, is key to improving and impacting 

behavioral health treatment, prevention, 

and recovery for communities most in 

need. By using rigorous methods, and 

improving the quality and completeness 

of program data, data can be 

disaggregated across different 

population groups to assess disparities 

within the behavioral health care 

system. SAMHSA’s vision will be 

accomplished by better leveraging 

optimal data to inform the agency’s 

policies and programs. 

The qualitative research participants 

will include grant recipients; policy 

experts; national, state, and local public 

health representatives; human service, 

and healthcare providers; and 

representatives of other health 

organizations. A variety of instruments 

and platforms will be used to collect 

information from respondents. The 

annual burden hours requested (15,000) 

are based on the number of collections 

we expect to conduct over the requested 

period for this clearance. The burden 

estimates were calculated based on the 

amount of IC submissions to the 0930– 

0393 Fast Track Generic Clearance for 

the Collection of Qualitative Feedback 

on the Substance Abuse and Mental 

Health Services Administration 

(SAMHSA) Service Delivery that are 

ineligible for OMB approval under it. 

This Generic information collection will 

provide a viable replacement option. 

Internal assessments of projected IC 

submission over the next three years 

estimate the burden hours for this 

information collection to be 

approximately half that of the 0930– 

0393 Fast Track Generic Clearance for 

the Collection of Qualitative Feedback 

on the Substance Abuse and Mental 

Health Services Administration 

(SAMHSA) Service Delivery. 

ESTIMATED ANNUALIZED BURDEN TABLE

Type of respondent Form Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

SAMHSA internal and external 

stakeholders.

Qualitative Research ........................ 15,000 1 1 15,000 

Written 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. 

Alicia Broadus, 

Public Health Advisor. 

[FR Doc. 2023–22972 Filed 10–17–23; 8:45 am] 

BILLING CODE 4162–20–P 

DEPARTMENT OF THE INTERIOR 

Fish and Wildlife Service 

[FWS–R7–NWRS–2023–N071; 

FXRS12630700000–234–FF07R08000; OMB 

Control Number 1018–0141] 

Agency Information Collection 

Activities; Alaska Guide Service 

Evaluation 

AGENCY: Fish and Wildlife Service, 

Interior. 

ACTION: Notice of information collection; 

request for comment. 

SUMMARY: In accordance with the 

Paperwork Reduction Act of 1995, we, 

the U.S. Fish and Wildlife Service 

(Service), are proposing to renew an 

information collection with revisions. 

DATES: Interested persons are invited to 

submit comments on or before 

November 17, 2023. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to https://www.reginfo.gov/ 

public/do/PRAMain. Find this 

particular information collection by 

selecting ‘‘Currently under Review— 

Open for Public Comments’’ or by using 

the search function. Please provide a 

copy of your comments to the Service 

Information Collection Clearance 

Officer, U.S. Fish and Wildlife Service, 

MS: PRB (JAO/3W), 5275 Leesburg Pike, 

Falls Church, VA 22041–3803 (mail); or 

by email to Info_Coll@fws.gov. Please 

reference ‘‘1018–0141’’ in the subject 

line of your comments. 

FOR FURTHER INFORMATION CONTACT: 

Madonna L. Baucum, Service 

Information Collection Clearance 

Officer, by email at Info_Coll@fws.gov, 

or by telephone at (703) 358–2503. 

Individuals in the United States who are 

deaf, deafblind, hard of hearing, or have 

a speech disability may dial 711 (TTY, 

TDD, or TeleBraille) to access 


ddrumheller on DSK120RN23PROD with NOTICES1