69186 Federal Register / Vol. 88, No. 192 / Thursday, October 5, 2023 / Notices 

b. To share participants’ biographical 

and/or contact information with other 

participants for the purpose of 

facilitating networking, mentoring 

relationships, and/or other cooperative 

professional development opportunities. 

c. To disclose information to vendors, 

venues, or other Federal agencies for the 

purposes of event planning and/or 

venue security. 

d. To provide confirmation or 

certification of completion and/or 

evaluations to the individuals registered 

for OGE meetings, events, educational 

and training programs, and professional 

development offerings. 

e. To provide confirmation or 

certification of completion and/or 

evaluations for executive branch ethics 

officials registered for OGE meetings, 

events, educational and training 

programs, and professional 

development offerings to any 

individuals responsible for reviewing, 

approving, and/or recommending 

training at the ethics officials’ 

employing agencies. 

f. To disclose to other executive 

branch agencies and the public, 

summary data on OGE meetings, events, 

educational and training programs, and 

professional development offerings as 

part of internal OGE Annual 

Performance Reports, Equity and DEIA 

reports, and other evaluations of OGE 

programs. 

g. To disclose information when OGE 

determines that the records are arguably 

relevant and necessary to a proceeding 

before a court, grand jury, or 

administrative or adjudicative body; or 

in a proceeding before an administrative 

or adjudicative body when the 

adjudicator determines the records to be 

relevant and necessary to the 

proceeding. 

h. To disclose information to the 

National Archives and Records 

Administration in records management 

inspections conducted under authority 

of 44 U.S.C. 2904 and 2906. 

i. To disclose information to 

appropriate agencies, entities, and 

persons when: (1) OGE suspects or has 

confirmed that there has been a breach 

of the system of records; (2) OGE has 

determined that as a result of the 

suspected or confirmed breach there is 

a risk of harm to individuals, the agency 

(including its information systems, 

programs, and operations), the Federal 

Government, or national security; and 

(3) the disclosure made to such 

agencies, entities, and persons is 

reasonably necessary to assist in 

connection with OGE’s efforts to 

respond to the suspected or confirmed 

breach or to prevent, minimize, or 

remedy such harm. 

j. To disclose information to another 

Federal agency or Federal entity, when 

OGE determines that information from 

this system of records is reasonably 

necessary to assist the recipient agency 

or entity in (1) responding to a 

suspected or confirmed breach or (2) 

preventing, minimizing, or remedying 

the risk of harm to individuals, the 

recipient agency or entity (including its 

information systems, programs, and 

operations), the Federal Government, or 

national security, resulting from a 

suspected or confirmed breach. 

POLICIES AND PRACTICES FOR STORAGE OF

RECORDS: 

These records are maintained in paper 

and/or electronic form. 

POLICIES AND PRACTICES FOR RETRIEVAL OF

RECORDS: 

These records may be retrieved by 

name or other data elements such as an 

individual’s agency. 

POLICIES AND PRACTICES FOR RETENTION AND

DISPOSAL OF RECORDS: 

In accordance with General Records 

Schedule 6.4, item 010, Public affairsrelated routine operational records, 

administrative event records are 

destroyed when 3 years old, or no 

longer needed, whichever is later. In 

accordance with General Records 

Schedule 2.6, item 020, Ethics training 

records, ethics training records are 

destroyed when 6 years old or when 

superseded, whichever is later. 

ADMINISTRATIVE, TECHNICAL, AND PHYSICAL

SAFEGUARDS: 

Hardcopy records are maintained in 

file cabinets which may be locked or in 

specified areas to which only authorized 

personnel have access. Electronic 

records are maintained either on the 

OGE network, in OGE internal 

applications, or in third party 

applications like Pay.gov, which is used 

to manage paid registrations. They are 

protected from unauthorized access 

through password identification 

procedures, limited access, firewalls, 

and other system-based protection 

methods. 

RECORD ACCESS PROCEDURES: 

Individuals requesting access to this 

system of records must follow the 

procedures set forth in OGE’s Privacy 

Act regulations at 5 CFR part 2606. 

CONTESTING RECORD PROCEDURES: 

Individuals wishing to request 

amendment of records about themselves 

must follow the procedures set forth in 

OGE’s Privacy Act regulations at 5 CFR 

part 2606. 

NOTIFICATION PROCEDURES: 

Individuals wishing to inquire 

whether this system of records contains 

information about them must follow the 

procedures set forth in OGE’s Privacy 

Act regulations at 5 CFR part 2606. 

EXEMPTIONS CLAIMED FOR THE SYSTEM: 

None. 

HISTORY: 

84 FR 70191. 

Approved: September 28, 2023. 

Shelley K. Finlayson, 

Acting Director, U.S. Office of Government 

Ethics. 

[FR Doc. 2023–22168 Filed 10–4–23; 8:45 am] 

BILLING CODE 6345–03–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Supplemental Evidence and Data 

Request on Evidence Map on Home 

and Community Based Services 

AGENCY: Agency for Healthcare Research 

and Quality (AHRQ), HHS. 

ACTION: Request for supplemental 

evidence and data submissions. 

SUMMARY: The Agency for Healthcare 

Research and Quality (AHRQ) is seeking 

scientific information submissions from 

the public. Scientific information is 

being solicited to inform our review on 

Evidence Map on Home and Community 

Based Services, which is currently being 

conducted by the AHRQ’s Evidencebased Practice Centers (EPC) Program. 

Access to published and unpublished 

pertinent scientific information will 

improve the quality of this review. 

DATES: Submission Deadline on or 

before November 6, 2023. 

ADDRESSES: 

Email submissions: epc@

ahrq.hhs.gov. 

Print submissions: 

Mailing Address: Center for Evidence 

and Practice Improvement, Agency for 

Healthcare Research and Quality, 

ATTN: EPC SEADs Coordinator, 5600 

Fishers Lane, Mail Stop 06E53A, 

Rockville, MD 20857. 

Shipping Address (FedEx, UPS, etc.): 

Center for Evidence and Practice 

Improvement, Agency for Healthcare 

Research and Quality, ATTN: EPC 

SEADs Coordinator, 5600 Fishers Lane, 

Mail Stop 06E77D, Rockville, MD 

20857. 

FOR FURTHER INFORMATION CONTACT: 

Kelly Carper, Telephone: 301–427–1656 

or Email: epc@ahrq.hhs.gov. 


ddrumheller on DSK120RN23PROD with NOTICES1
Federal Register / Vol. 88, No. 192 / Thursday, October 5, 2023 / Notices 69187 

SUPPLEMENTARY INFORMATION: The 

Agency for Healthcare Research and 

Quality has commissioned the 

Evidence-based Practice Centers (EPC) 

Program to complete a review of the 

evidence for Evidence Map on Home 

and Community Based Services. AHRQ 

is conducting this review pursuant to 

Section 902 of the Public Health Service 

Act, 42 U.S.C. 299a. 

The EPC Program is dedicated to 

identifying as many studies as possible 

that are relevant to the questions for 

each of its reviews. In order to do so, we 

are supplementing the usual manual 

and electronic database searches of the 

literature by requesting information 

from the public (e.g., details of studies 

conducted). We are looking for studies 

that report on Evidence Map on Home 

and Community Based Services. The 

entire research protocol is available 

online at: https://effectivehealthcare.

ahrq.gov/products/evidence-map/ 

protocol. This is to notify the public that 

the EPC Program would find the 

following information on Evidence Map 

on Home and Community Based 

Services helpful: 

D A list of completed studies that 

your organization has sponsored for this 

topic. In the list, please indicate 

whether results are available on 

ClinicalTrials.gov along with the 

ClinicalTrials.gov trial number. 

D For completed studies that do not 

have results on ClinicalTrials.gov, a 

summary, including the following 

elements, if relevant: study number, 

study period, design, methodology, 

indication and diagnosis, proper use 

instructions, inclusion and exclusion 

criteria, primary and secondary 

outcomes, baseline characteristics, 

number of patients screened/eligible/ 

enrolled/lost to follow-up/withdrawn/ 

analyzed, effectiveness/efficacy, and 

safety results. 

D A list of ongoing studies that your 

organization has sponsored for this 

topic. In the list, please provide the 

ClinicalTrials.gov trial number or, if the 

trial is not registered, the protocol for 

the study including, if relevant, a study 

number, the study period, design, 

methodology, indication and diagnosis, 

proper use instructions, inclusion and 

exclusion criteria, and primary and 

secondary outcomes. 

D Description of whether the above 

studies constitute ALL Phase II and 

above clinical trials sponsored by your 

organization for this topic and an index 

outlining the relevant information in 

each submitted file. 

Your contribution is very beneficial to 

the Program. Materials submitted must 

be publicly available or able to be made 

public. Materials that are considered 

confidential; marketing materials; study 

types not included in the review; or 

information on topics not included in 

the review cannot be used by the EPC 

Program. This is a voluntary request for 

information, and all costs for complying 

with this request must be borne by the 

submitter. 

The draft of this review will be posted 

on AHRQ’s EPC Program website and 

available for public comment for a 

period of 4 weeks. If you would like to 

be notified when the draft is posted, 

please sign up for the email list at: 

https://www.effectivehealthcare.

ahrq.gov/email-updates. 

The review will answer the following 

questions. This information is provided 

as background. AHRQ is not requesting 

that the public provide answers to these 

questions. 

Guiding Questions 

1. Describe the available research on 

the effectiveness of person-centered 

HCBS interventions, for adults aged 60 

or older with a functional limitation in 

home and community-based settings. 

a. What HCBS interventions have 

been studied in relation to personcentered approaches? 

1. For which person-centered HCBS 

interventions are systematic reviews 

available? 

2. For which person-centered HCBS 

interventions are sufficient primary 

research studies available to justify a 

new systematic review? 

b. What populations have been 

studied with person-centered HCBS 

interventions? 

c. What primary outcomes of personcentered HCBS interventions have been 

studied? 

d. What mediating factors have been 

identified in the literature that could 

affect outcomes such as the presence of 

unpaid family caregivers as part of the 

overall care team? 

e. What study designs have been used 

to evaluate the effectiveness of personcentered approaches to HCBS 

interventions? 

2. What quality measures related to 

person-centered HCBS interventions 

exist or are under development (See 

NCQA measures of person-centered 

outcomes (https://www.ncqa.org/hedis/ 

reports-and-research/pco-measures/) 

under development, including the 

University of Minnesota’s efforts 

(https://acl.gov/sites/default/files/ 

news%202022-11/ACL%20HCBS

%20Outcome%20Measurement

%20Webinar%20Slides%2005.26.22_

AR%20%28002%29.pdf))? 

3. Describe the gaps that exist in the 

current research. 

a. Which person-centered HCBS 

interventions identified by experts as 

currently relevant have no or inadequate 

evidence? 

b. Which patient populations and 

outcome measures have no or 

inadequate evidence? 

c. Are there gaps in evidence related 

to taking person-centered planning 

approaches to these interventions? 

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

PICOTS elements Inclusion criteria Exclusion criteria 

Population .................. • Adults aged 60 years or older with a functional limitation, requiring assistance with 

activities of daily living, regardless of payer source.

• Animals. 

• Children. 

• Adults without disabilities. 

• Adults aged <60 years, exclusively. 

Interventions .............. Person-centered HCBS, including the following person-centered approach, used 

alone or in combination: 

• None. 

• Occupational, speech, and physical therapy.

• Durable medical equipment.

• Case management (in home or via phone).

• Caregiver and client training (training on skills to take care of a patient at home).

• Health promotion and disease prevention (training to enabling people to increase 

control over, and to improve, their health like cook a healthier meal, or doing 

stretches to maintain flexibility again to prevent falls).

• Hospice care.

• Senior centers and adult daycares.


ddrumheller on DSK120RN23PROD with NOTICES1
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