Federal Register / Vol. 83, No. 173 / Thursday, September 6, 2018 / Notices 45241 

reliable courier service will be costly 

and requires a considerable amount of 

time to complete the registration 

process. 

Response: GSA has taken several 

actions to address alleged fraudulent 

activity in the System for Award 

Management (SAM). The measures GSA 

has put in place to help prevent 

improper activity in SAM include 

masking specific data elements in the 

entity registration even for authorized 

entity users; requiring ‘‘parent’’ 

approval of new registrations for their 

‘‘child’’ entities; multi-factor 

authentication using login.gov and 

notifying Entity Administrators when 

there is a change in the entity’s bank 

account information. Requiring the 

formal appointment of the Entity 

Administrator by original, signed 

notarized letter ensures that the 

individual(s) reporting for their entity 

are associated with the entity and 

provides a validation of the letter 

submitter’s identity by the notary. GSA 

is actively pursuing technical 

alternatives to replace and/or 

supplement the collection of notarized 

letters. 

C. Annual Reporting Burden 

Respondents: 686,400. 

Responses per Respondent: 1. 

Total Annual Responses: 686,400. 

Hours per Response: 2.25. 

Total Burden Hours: 1,544,400. 

The information collection allows 

GSA to request the notarized letter, and 

apply this approach to new registrants 

(an average of 7,200 per month) and to 

existing SAM registrants (an average of 

50,000 re-register per month). 

Entities registered and registering in 

SAM are provided the template for the 

requirements of the notarized letter. It is 

estimated that the Entity Administrator 

will take on average 0.5 hour to create 

the letter and 0.25 hour to mail the hard 

copy letter. GSA proposes that an Entity 

Administrator equivalent to a GS–5, 

Step 5 Administrative Support person 

within the Government would perform 

these tasks. The estimated hourly rate of 

$24.70 (Base + Locality + Fringe) was 

used for the calculation. 

Based on historical data of the ratio of 

small entities to other than small 

entities registering in SAM, GSA 

approximates 32,200 of the 57,200 new 

and existing entities (re-registrants) will 

have in-house resources to notarize 

documents. GSA proposes that the 

entities with in-house notaries will 

typically be large businesses where the 

projected salary of the executive or 

officer responsible for signing the 

notarized letter is on average 

approximately $150 per hour. The 

projected time for signature and 

notarizing the letter internally is 0.5 

hour. 

The other remaining 25,000 new and 

existing entities (re-registrants) per 

month are estimated to be small entities 

where the projected salary of the 

executive or officer responsible signing 

the notarized letter is on average 

approximately $100 per hour. These 

entities will more than likely have to 

obtain notary services from an outside 

source. The projected time for signature 

and notarizing the letter externally is 1 

hour. The estimate includes a nominal 

fee ($5.00) usually charged by thirdparty notaries. 

D. Public Comments 

Public comments are particularly 

invited on: Whether this collection of 

information is necessary, whether it will 

have practical utility; whether our 

estimate of the public burden of this 

collection of information is accurate, 

and based on valid assumptions and 

methodology; ways to enhance the 

quality, utility, and clarity of the 

information to be collected; and ways in 

which we can minimize the burden of 

the collection of information on those 

who are to respond, through the use of 

appropriate technological collection 

techniques or other forms of information 

technology. 

Obtaining Copies of Proposals: 

Requesters may obtain a copy of the 

information collection documents from 

the General Services Administration, 

Regulatory Secretariat Division (MVCB), 

1800 F Street NW, Washington, DC 

20405. ATTN: Information Collection 

3090–0317; Notarized Document 

Submittal for System for Award 

Management Registration. Please cite 

OMB Control No. 3090–0317; Notarized 

Document Submittal for System for 

Award Management Registration, in all 

correspondence. 

Dated: August 22, 2018. 

David A. Shive, 

Chief Information Officer. 

[FR Doc. 2018–19324 Filed 9–5–18; 8:45 am] 

BILLING CODE 6820–EP–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Toxic Substances and 

Disease Registry 

[60Day–18–18ARO; Docket No. ATSDR– 

2018–0007] 

Proposed Data Collection Submitted 

for Public Comment and 

Recommendations 

AGENCY: Agency for Toxic Substances 

and Disease Registry (ATSDR), 

Department of Health and Human 

Services (HHS). 

ACTION: Notice with comment period. 

SUMMARY: The Agency for Toxic 

Substances and Disease Registry 

(ATSDR), as part of its continuing effort 

to reduce public burden and maximize 

the utility of government information, 

invites the general public and other 

Federal agencies the opportunity to 

comment on a proposed and/or 

continuing information collection, as 

required by the Paperwork Reduction 

Act of 1995. This notice invites 

comment on a proposed information 

collection project titled ‘‘Prenatal 

Assessment of Environmental Risk 

(PAER)’’. This web-based data collection 

will provide information on behavioral 

risks for environmental exposures for 

patients seeking preconception and 

prenatal care, and for their reproductive 

health care clinicians (RHCCs). 

DATES: ATSDR must receive written 

comments on or before November 5, 

2018. 

ADDRESSES: You may submit comments, 

identified by Docket No. ATSDR–2018– 

0007 by any of the following methods: 

• Federal eRulemaking Portal: 

Regulations.gov. Follow the instructions 

for submitting comments. 

• Mail: Jeffrey M. Zirger, Information 

Collection Review Office, Centers for 

Disease Control and Prevention, 1600 

Clifton Road NE, MS–D74, Atlanta, 

Georgia 30329. 

Instructions: All submissions received 

must include the agency name and 

Docket Number. ATSDR will post, 

without change, all relevant comments 

to Regulations.gov. 

Please note: Submit all comments 

through the Federal eRulemaking portal 

(regulations.gov) or by U.S. mail to the 

address listed above. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on the 

proposed project or to obtain a copy of 

the information collection plan and 

instruments, contact Jeffery M. Zirger, 

Information Collection Review Office, 

Centers for Disease Control and 


daltland on DSKBBV9HB2PROD with NOTICES
45242 Federal Register / Vol. 83, No. 173 / Thursday, September 6, 2018 / Notices 

Prevention, 1600 Clifton Road NE, MS– 

D74, Atlanta, Georgia 30329; phone: 

404–639–7570; Email: omb@cdc.gov. 

SUPPLEMENTARY INFORMATION: Under the 

Paperwork Reduction Act of 1995 (PRA) 

(44 U.S.C. 3501–3520), Federal agencies 

must obtain approval from the Office of 

Management and Budget (OMB) for each 

collection of information they conduct 

or sponsor. In addition, the PRA also 

requires Federal agencies to provide a 

60-day notice in the Federal Register 

concerning each proposed collection of 

information, including each new 

proposed collection, each proposed 

extension of existing collection of 

information, and each reinstatement of 

previously approved information 

collection before submitting the 

collection to the OMB for approval. To 

comply with this requirement, we are 

publishing this notice of a proposed 

data collection as described below. 

The OMB is particularly interested in 

comments that will help: 

1. Evaluate whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information will have 

practical utility; 

2. Evaluate the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information, 

including the validity of the 

methodology and assumptions used; 

3. Enhance the quality, utility, and 

clarity of the information to be 

collected; 

4. Minimize the burden of the 

collection of information on those who 

are to respond, including through the 

use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology, 

e.g., permitting electronic submissions 

of responses; and 

5. Assess information collection costs. 

Proposed Project 

Prenatal Assessment of Environmental 

Risk (PAER)—NEW—Agency for Toxic 

Substances and Disease Registry 

(ATSDR) 

Background and Brief Description 

Many environmental chemicals 

absorbed or ingested by pregnant 

women can cross the placenta to the 

fetus. The scientific evidence over the 

last 10 to 15 years has shown that 

exposure to toxic environmental agents 

before conception and during pregnancy 

can have significant and long-lasting 

adverse effects on the reproductive 

health of mothers, and on the long-term 

health of mothers and babies. Reducing 

exposure to toxic environmental agents 

is a critical area of intervention for 

reproductive health care professionals 

in the United States and worldwide. In 

2013, the American College of 

Obstetricians and Gynecologists (ACOG) 

and other obstetrician-gynecologist 

professional societies called for timely 

action to identify and reduce exposure 

to toxic environmental agents while 

addressing the consequences of such 

exposure (ACOG, 2013; FIGO, 2105). 

In support of this call to action, the 

Agency for Toxic Substances and 

Disease Registry (ATSDR) is requesting 

a three-year Paperwork Reduction Act 

(PRA) clearance for a new information 

collection request (ICR) entitled 

‘‘Prenatal Assessment of Environmental 

Risk (PAER)’’. 

The long-term goal is for the PAER 

web-based information collection 

system to be widely adopted by 

obstetricians, gynecologists, and other 

reproductive health care professionals. 

Through PAER, practicing clinicians 

will have readily accessible and reliable 

information, and educational resources 

to counsel mothers-to-be on their 

potential environmental exposures and 

associated risks. This will facilitate 

reduction in harm to mothers-to-be and 

their babies. PAER environmental 

exposure assessment results will be 

suitable for incorporation into patients’ 

electronic health records and 

maintenance within health care 

provider organizations. 

Data collected will also establish an 

ongoing public health surveillance 

system that will provide an improved 

understanding of behaviors in daily life 

that put women of reproductive age and 

their babies at higher risk of exposure to 

environmental hazards. ATSDR will 

maintain only anonymous patient PAER 

survey responses and registration 

variables, including the PAER unique 

survey ID number, age, and zip code. 

Age and zip code will serve as the two 

variables for data analysis. Reported 

risk-based aggregate data will be at the 

zip code or higher geographic level, 

excluding zip code tabulation areas 

(ZTCAs) with 20,000 or fewer persons. 

ATSDR plans to analyze the exposure 

risk data by geographic regions and over 

time. This data analysis will allow 

clinician and patient education on the 

most prevalent region-specific 

environmental exposures. ATSDR and 

partner organizations can use this 

information to shape educational 

initiatives and counseling guidance on 

ways women can lower environmental 

exposure risk. 

The PAER survey is web-based, and 

includes 17 multiple-choice questions 

and one open-ended question. These 

questions are divided into five topic 

areas: Lifestyle; home; food and water; 

cans, bottles, and containers; and getting 

ready for the baby. The PAER survey 

focuses on 11 common types of 

environmental exposures: Air pollution, 

benzene, bisphenol A (BPA), flame 

retardants, lead, mercury, 

polychlorinated biphenyls (PCBs), 

pesticides, phthalates, smoking, and 

volatile organic compounds (VOCs). 

There are two types of respondents 

who will participate in the PAER data 

collection, reproductive health care 

clinicians (RHCCs), and women of 

reproductive age who are seeking 

preconception or prenatal care. RHCCs 

will include obstetricians/gynecologists, 

family medicine physicians, nurse 

practitioners and physician assistants, 

and nurse midwives who are involved 

in the care of these women. 

RHCCs (the first type of respondent) 

who choose to participate in the PAER 

process will be required to register with 

ATSDR, and gain approval to participate 

and establish credentials through CDC’s 

Secure Access Management Services 

(SAMS). ATSDR will provide online 

training resources to instruct RHCCs 

how to register themselves and their 

clinic for PAER, to recruit patients, to 

utilize environmental histories and 

PAER resources for patient counseling, 

and to link PAER results to their patient 

health records. Online registration and 

training module components are 

estimated to take 30 minutes per RHCC. 

Each RHCC who participates in PAER 

will also invite their patients to 

complete the environmental exposure 

survey by email or text, link their 

patients’ survey response data with the 

invitations sent and health records, and 

provide counseling to individual 

patients to aid in modifying behavior to 

lower environmental exposure risks. 

These components are estimated to take 

RHCCs 30 minutes per patient. 

Of note, ATSDR will not receive any 

information from the patients’ electronic 

health records. RHCCs will invite their 

patients to participate outside of the 

PAER application, and will be 

responsible for protecting the patient 

information provided to them within 

PAER in accordance with the 1996 

Health Insurance Portability and 

Accountability (HIPAA) guidelines. 

Based on ACOG estimates, the 

number of practicing RHCCs in the U.S. 

is approximately 35,586. On average 

over the next three years, ATSDR 

estimates that up to 15 percent 

(n = 5,338) of these clinicians will 

participate in the PAER process each 

year through online registration and 

training. For purposes of estimation, 

ATSDR assumes the RHCCs represent 

the full effort of clinic staff. The 


daltland on DSKBBV9HB2PROD with NOTICES
Federal Register / Vol. 83, No. 173 / Thursday, September 6, 2018 / Notices 45243 

annualized frequency of response (12 

per RHCC) is based on ATSDR 

assumptions about the number of 

patients who will take part in the PAER 

survey as described below. 

Women who receive preconception or 

prenatal care (the second type of 

respondents) may respond to the PAER 

environmental exposure history by 

accessing the online PAER survey 

through the application internet home 

page or through their RHCC’s email/text 

invitation. ATSDR assumes that 5 

percent of these women will participate 

in PAER over the next three years (or 

1.67 percent per year). Using the 

3,978,497 births reported in the 2015 

U.S. Vital Statistics to represent the 

number women who receive 

preconception or prenatal care, 1.67 

percent equals to 66,441 women who 

will take part in the PAER survey each 

year. Thus, each RHCCH is assumed to 

interact with 12 such patients per year 

(66,441/5,338 = 12). The time for 

women to respond to the survey is 

estimated at 10 minutes per patient. 

Participation in the PAER process and 

survey is voluntary. There is no cost to 

respondents other than their time. The 

total annualized time burden requested 

is 45,772 hours. A summary of the 

estimated annualized burden hours is 

shown in the table that follows. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden 

per response 

(in hours) 

Total 

burden 

hours 

Reproductive Health Care Clinicians 

(RHCCs).

PAER Online Registration for 

RHCCs.

5,338 1 15/60 1,335 

PAER Training Materials for RHCCs 5,338 1 15/60 1,335 

PAER Email/Text Invitation, Data 

Linkage, and Counseling.

5,338 12 30/60 32,028 

Women who Receive Preconception 

or Prenatal Care.

Access and Respond to PAER Survey.66,441 1 10/60 11,074 

Total ........................................... ........................................................... ........................ ........................ ........................ 45,772 

Jeffrey M. Zirger, 

Acting Chief, Information Collection Review 

Office, Office of Scientific Integrity, Office 

of the Associate Director for Science, Office 

of the Director, Centers for Disease Control 

and Prevention. 

[FR Doc. 2018–19295 Filed 9–5–18; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[Docket No. CDC–2018–0082] 

Surgeon General’s Call to Action: 

‘‘Community Health and Prosperity’’ 

AGENCY: Centers for Disease Control and 

Prevention (CDC), Department of Health 

and Human Services (HHS). 

ACTION: Notice with comment period. 

SUMMARY: The Centers for Disease 

Control and Prevention (CDC) in the 

Department of Health and Human 

Services (HHS) announces the opening 

of a docket to obtain comment on an 

upcoming Surgeon General’s document/ 

Call to Action with a working title 

‘‘Community Health and Prosperity’’. 

CDC is the lead agency to support the 

Office of the Surgeon General to publish 

a Call to Action that will be scienceinformed and actionable, outlining a 

conceptual framework with case 

examples and available evidence on the 

business case for investing in 

community health. The goal of the Call 

to Action is to: Clearly demonstrate that 

investments in community health have 

the potential to improve the health and 

prosperity of communities and issue a 

call to action to the private sector and 

local policy makers for investment in 

communities, unilaterally or as part of 

multi-sector or other consortium, to 

improve community health. 

DATES: Written comments must be 

received before November 5, 2018. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2018– 

0082 by any of the following methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Mail: Martin J. Vincent, Office of 

the Associate Director for Policy, 

Centers for Disease Control and 

Prevention, 1600 Clifton Road NE, Mail 

Stop D–28, Atlanta, Georgia 30329. 

• Instructions: All submissions 

received must include the agency name 

and Docket Number. All relevant 

comments received will be posted 

without change to http://

regulations.gov, including any personal 

information provided. For access to the 

docket to read background documents 

or comments received, go to http://

www.regulations.gov. 

FOR FURTHER INFORMATION CONTACT: 

Martin J. Vincent, Office of the 

Associate Director for Policy, Centers for 

Disease Control and Prevention, 1600 

Clifton Road NE, Mail Stop D–28, 

Atlanta, Georgia 30329. Telephone: 

404–639–1455, Email: CHP@cdc.gov. 

SUPPLEMENTARY INFORMATION: 

Public Participation 

Interested persons or organizations 

are invited to submit written views, 

recommendations, and data about how 

investing in communities can improve 

health and prosperity. Examples may 

include: 

(1) Available data, evidence and/or 

experience(s) (a) that suggest private 

sector investments in community health 

have (directly or indirectly) improved 

health and prosperity of the workforce 

and communities; (b) that healthier 

communities help private sector 

businesses to be more efficient, 

profitable, successful, or competitive; (c) 

description of data systems and 

evaluation frameworks that might 

contribute to supporting community 

health investment decisions, evaluating 

success and impact; and (d) case 

studies, examples, reviews and metaanalyses, data linkages, promising and 

emerging ideas, and best practices; 

(2) Types of investments the private 

sector and local policy makers can 

consider to improve health and wellness 

of employees and families, and 

community well-being and prosperity; 

(3) Types of partners or coalitions that 

have invested in community health and 

the scope of their collaborations 

contributions; 

(4) Descriptions of important barriers 

to and facilitators of success; 


daltland on DSKBBV9HB2PROD with NOTICES