30942 Federal Register / Vol. 83, No. 127 / Monday, July 2, 2018 / Notices 

areas (HPSAs) as of May 1, 2018. The 

lists are available on HRSA’s HPSAFind 

website. 

ADDRESSES: Complete lists of HPSAs 

designated as of May 1, 2018, are 

available on the HPSAFind website at 

https://datawarehouse.hrsa.gov/tools/ 

analyzers/hpsafind.aspx. Frequently 

updated information on HPSAs is 

available at http://

datawarehouse.hrsa.gov. Information on 

shortage designations is available at 

https://bhw.hrsa.gov/shortagedesignation. 

FOR FURTHER INFORMATION CONTACT: For 

further information on the HPSA 

designations listed on the HPSAFind 

website or to request additional 

designation, withdrawal, or 

reapplication for designation, please 

contact Melissa Ryan, Acting Director, 

Division of Policy and Shortage 

Designation, Bureau of Health 

Workforce, HRSA, 11SWH03, 5600 

Fishers Lane, Rockville, Maryland 

20857, (301) 594–5168 or MRyan@

hrsa.gov. 

SUPPLEMENTARY INFORMATION: 

Background 

Section 332 of the Public Health 

Service (PHS) Act, 42 U.S.C. 254e, 

provides that the Secretary shall 

designate HPSAs based on criteria 

established by regulation. HPSAs are 

defined in section 332 to include (1) 

urban and rural geographic areas with 

shortages of health professionals, (2) 

population groups with such shortages, 

and (3) facilities with such shortages. 

Section 332 further requires that the 

Secretary annually publish lists of the 

designated geographic areas, population 

groups, and facilities. The lists of 

HPSAs are to be reviewed at least 

annually and revised as necessary. 

Final regulations (42 CFR part 5) were 

published in 1980 that include the 

criteria for designating HPSAs. Criteria 

were defined for seven health 

professional types: Primary medical 

care, dental, psychiatric, vision care, 

podiatric, pharmacy, and veterinary 

care. The criteria for correctional facility 

HPSAs were revised and published on 

March 2, 1989 (54 FR 8735). The criteria 

for psychiatric HPSAs were expanded to 

mental health HPSAs on January 22, 

1992 (57 FR 2473). Currently-funded 

PHS Act programs use only the primary 

medical care, mental health, or dental 

HPSA designations. 

HPSA designation offers access to 

potential federal assistance. Public or 

private nonprofit entities are eligible to 

apply for assignment of National Health 

Service Corps (NHSC) personnel to 

provide primary medical care, mental 

health, or dental health services in or to 

these HPSAs. NHSC health 

professionals enter into service 

agreements to serve in federally 

designated HPSAs. Entities with clinical 

training sites located in HPSAs are 

eligible to receive priority for certain 

residency training program grants 

administered by HRSA’s Bureau of 

Health Workforce (BHW). Other federal 

programs also utilize HPSA 

designations. For example, under 

authorities administered by the Centers 

for Medicare and Medicaid Services, 

certain qualified providers in 

geographic area HPSAs are eligible for 

increased levels of Medicare 

reimbursement. 

Content and Format of Lists 

The three lists of designated HPSAs 

are available on the HPSAFind website 

and include a snapshot of all geographic 

areas, population groups, and facilities 

that were designated HPSAs as of May 

1, 2018. This notice incorporates the 

most recent annual reviews of 

designated HPSAs and supersedes the 

HPSA lists published in the Federal 

Register on June 26, 2017 (Federal 

Register/Vol. 82, No. 121/Monday, June 

26, 2017/Notices 28863). 

In addition, all Indian Tribes that 

meet the definition of such Tribes in the 

Indian Health Care Improvement Act of 

1976, 25 U.S.C. 1603(d), are 

automatically designated as population 

groups with primary medical care and 

dental health professional shortages. 

Further, the Health Care Safety Net 

Amendments of 2002 provides 

eligibility for automatic facility HPSA 

designations for all federally qualified 

health centers (FQHCs) and rural health 

clinics that offer services regardless of 

ability to pay. Specifically, these entities 

include FQHCs funded under section 

330 of the PHS Act, FQHC Look-Alikes, 

and Tribal and urban Indian clinics 

operating under the Indian SelfDetermination and Education Act of 

1975 (25 U.S.C. 450) or the Indian 

Health Care Improvement Act. Many, 

but not all, of these entities are included 

on this listing. Absence from this list 

does not exclude them from HPSA 

designation; facilities eligible for 

automatic designation are included in 

the database when they are identified. 

Each list of designated HPSAs is 

arranged by state. Within each state, the 

list is presented by county. If only a 

portion (or portions) of a county is (are) 

designated, a county is part of a larger 

designated service area, or a population 

group residing in a county or a facility 

located in the county has been 

designated, the name of the service area, 

population group, or facility involved is 

listed under the county name. A county 

that has a whole county geographic 

HPSA is indicated by the phrase ‘‘Entire 

county HPSA’’ following the county 

name. 

Development of the Designation and 

Withdrawal Lists 

Requests for designation or 

withdrawal of a particular geographic 

area, population group, or a facility as 

a HPSA are received continuously by 

BHW. Under a Cooperative Agreement 

between HRSA and the 54 state and 

territorial Primary Care Offices (PCOs), 

PCOs conduct needs assessments and 

submit the majority of the applications 

to HRSA to designate areas as HPSAs. 

BHW refers requests that come from 

other sources to PCOs for review. In 

addition, interested parties, including 

Governors, State Primary Care 

Associations, and state professional 

associations, are notified of requests so 

that they may submit their comments 

and recommendations. 

BHW reviews each recommendation 

for possible addition, continuation, 

revision, or withdrawal. Following 

review, BHW notifies the appropriate 

agency, individuals, and interested 

organizations of each designation of a 

HPSA, rejection of recommendation for 

HPSA designation, revision of a HPSA 

designation, and/or advance notice of 

pending withdrawals from the HPSA 

list. Designations (or revisions of 

designations) are effective as of the date 

on the notification from BHW and are 

updated daily on the HPSAFind 

website. The effective date of a 

withdrawal will be the next publication 

of a notice regarding the list in the 

Federal Register. 

Dated: June 26, 2018. 

George Sigounas, 

Administrator. 

[FR Doc. 2018–14115 Filed 6–29–18; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

[Document Identifier: OS–0990—new] 

Agency Information Collection 

Request; 60-Day Public Comment 

Request 

AGENCY: Office of the Secretary, HHS. 

ACTION: Notice. 

SUMMARY: In compliance with the 

requirement of the Paperwork 

Reduction Act of 1995, the Office of the 

Secretary (OS), Department of Health 

and Human Services, is publishing the 

following summary of a proposed 

collection for public comment. 


daltland on DSKBBV9HB2PROD with NOTICES
Federal Register / Vol. 83, No. 127 / Monday, July 2, 2018 / Notices 30943 

DATES: Comments on the ICR must be 

received on or before August 31, 2018. 

ADDRESSES: Submit your comments to 

Sherrette.Funn@hhs.gov or by calling 

(202) 795–7714. 

FOR FURTHER INFORMATION CONTACT: 

When submitting comments or 

requesting information, please include 

the document identifier 0990–New–60D 

and project title for reference., to 

Sherrette.Funn@hhs.gov, or call the 

Reports Clearance Officer. 

SUPPLEMENTARY INFORMATION: Interested 

persons are invited to send comments 

regarding this burden estimate or any 

other aspect of this collection of 

information, including any of the 

following subjects: (1) The necessity and 

utility of the proposed information 

collection for the proper performance of 

the agency’s functions; (2) the accuracy 

of the estimated burden; (3) ways to 

enhance the quality, utility, and clarity 

of the information to be collected; and 

(4) the use of automated collection 

techniques or other forms of information 

technology to minimize the information 

collection burden. 

Title of the Collection: SMARTool 

Pilot Replication Project. 

Type of Collection: OMB No. 0990– 

NEW—Office of the Assistant Secretary 

for Health (OASH). 

Abstract: The Office of the Assistant 

Secretary for Health (OASH), U.S. 

Department of Health and Human 

Services (HHS), is requesting approval 

by OMB of a new information collection 

request. OASH is updating the Center 

for Relationship Education’s Systematic 

Method for Assessing Risk-Avoidance 

Tool (SMARTool), a tool for sexual risk 

avoidance (SRA) curriculum developers 

and implementing organizations (IOs) to 

ensure that their SRA curricula are 

grounded in evidence. In an effort to 

assess the SMARTool’s impact, OASH 

aims to conduct a formative evaluation 

to (1) provide preliminary evidence on 

the effectiveness of SRA curricula that 

are aligned with the SMARTool, (2) 

derive lessons learned to improve the 

implementation of SRA curricula, and 

(3) develop and test baseline and followup questionnaires that assess SRA 

program effects on the key SMARTool 

constructs. The evaluation will be 

conducted with an estimated four IOs. 

The evaluation will use quantitative and 

qualitative methods and will include 

both a process evaluation and an 

outcome evaluation. 

Need and Proposed Use of the 

Information: To enhance the rigor of the 

evaluation, a comparison group will be 

identified for each IO, if possible. This 

would enable an assessment of whether 

any changes identified in individual 

and contextual risk and protective 

factors in the intervention group differ 

from those in the comparison group. 

The process evaluation will describe in 

detail each IO’s program, how it was 

delivered, and factors that may have 

influenced the success of the program’s 

implementation. Process evaluation data 

are necessary for the interpretation of 

outcome findings and to inform efforts 

to improve program implementation. 

Depending on their performance on 

measures of reliability and validity, the 

baseline and follow-up questionnaires 

may be made available to organizations 

planning to evaluate curricula that are 

aligned with the SMARTool. 

Likely respondents: Respondents will 

include participants in each of the IOs’ 

SRA programs (9th or 10th grade youth), 

their parent(s), program facilitators, 

representatives of schools participating 

in the program (e.g., school principals), 

and school or school district 

administrative staff. 

EXHIBIT 1—TOTAL ESTIMATED ANNUALIZED BURDEN HOURS

Respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(hours) 

Outcome Evaluation 

Parents .............................................. Parental consent .............................. 2,356 1 5/60 196 

High school students ........................ Youth Assent .................................... 2,356 1 5/60 196 

Baseline survey ................................ 2,356 1 30/60 1178 

Follow-up survey .............................. 2,120 1 30/60 1060 

School or school district administrative staff.Classroom roster report ................... 24 1 120/60 48 

Process Evaluation 

Program Facilitators .......................... Process Evaluation Facilitator Session Log.48 20 15/60 240 

Program Facilitators .......................... Process Evaluation Facilitator Survey.38 1 25/60 16 

High school students ........................ Process Evaluation Participant Survey.1,060 1 10/60 177 

Program facilitators, site representatives.Process Evaluation Key Informant 

Interviews.

24 1 60/60 24 

Teachers ........................................... Attendance form ............................... 48 20 5/60 80 

Total burden ............................... ........................................................... ........................ ........................ ........................ 3,135 

Terry Clark, 

Asst Information Collection Clearance 

Officer, Office of the Secretary. 

[FR Doc. 2018–14203 Filed 6–29–18; 8:45 am] 

BILLING CODE 4150–34–P 


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