45244 Federal Register / Vol. 83, No. 173 / Thursday, September 6, 2018 / Notices 

(5) Private sector and local policy 

maker rationales for making investments 

in community health; and 

(6) Successful efforts by local policy 

makers to promote and sustain private 

sector investments in community 

health. 

Please note that comments received, 

including attachments and other 

supporting materials, are part of the 

public record and subject to public 

disclosure. Comments will be posted at 

https://www.regulations.gov. Therefore, 

do not include any information in your 

comment or supporting materials that 

you consider confidential or 

inappropriate for public disclosure. If 

you include your name, contact 

information, or other information that 

identifies you in the body of your 

comments, that information will be on 

public display. CDC will review all 

submissions and may choose to redact 

or withhold submissions containing 

private or proprietary information, such 

as Social Security numbers, medical 

information, inappropriate language, or 

duplicate/near duplicate examples of a 

mass-mail campaign. CDC will carefully 

consider all comments submitted and 

may include relevant information in the 

Call to Action. 

Background 

America’s prosperity is being 

hampered by preventable chronic 

diseases and behavioral health issues. 

Life expectancy at birth dropped in the 

United States for a second consecutive 

year in 2016. Preliminary data indicate 

that age-adjusted death rates continued 

to rise in 2017, which is likely to mark 

a third straight year of declining life 

expectancy. The U.S. lags behind 

comparable high-income countries on a 

range of health outcomes including life 

expectancy despite spending more on 

health care. About 6 in 10 American 

adults have at least one chronic health 

condition, and these people account for 

90% of total health care spending. 

While chronic diseases affect all 

populations, they are not evenly 

distributed. Disease rates vary by race, 

ethnicity, education, geography and 

income level, with the most 

disadvantaged Americans often 

suffering the highest burden of disease. 

However, only about 20% of the 

factors that influence a person’s health 

can be addressed by health care and the 

remaining 80% reflect socioeconomic, 

environmental or behavioral factors. 

Focusing on strategies that address the 

social and community conditions could 

improve health, life expectancy, and 

quality of life, while also reducing 

related health care costs and 

productivity losses. Investing in 

communities to improve the health and 

well-being of people could also 

revitalize and improve economic 

opportunity, enhancing prosperity in 

the community and for its residents and 

businesses. 

Although there are published 

literature and several ongoing public, 

private and philanthropic initiatives 

examining how investments in 

community health can enhance wellbeing and economic prosperity, there 

has not been a thorough assessment that 

compiles the evidence and best 

practices to illustrate benefits for the 

private sector and local policy makers. 

The Surgeon General’s Call to Action is 

expected to bridge that gap and inspire 

more investments by the private sector 

and local policy makers in community 

health. 

Dated: August 31, 2018. 

Lauren Hoffmann, 

Acting Executive Secretary, Centers for 

Disease Control and Prevention. 

[FR Doc. 2018–19313 Filed 9–5–18; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–18–1099; Docket No. CDC–2018– 

0080] 

Proposed Data Collection Submitted 

for Public Comment and 

Recommendations 

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), 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 Capacity Building Assistance 

Program: Assessment and Quality 

Control. The purpose of this information 

collection is to assess how well the 

capacity building assistance (CBA) 

program meets the needs of health care 

staff from organizations funded directly 

or indirectly by the CDC, involved in 

HIV prevention service delivery. The 

program will assess customer 

satisfaction with CBA services and 

changes in capacity, knowledge, skills, 

and self-efficacy as a result of CBA 

service delivery. 

DATES: CDC must receive written 

comments on or before November 5, 

2018. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2018– 

0080 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. CDC 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 

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, 


daltland on DSKBBV9HB2PROD with NOTICES
Federal Register / Vol. 83, No. 173 / Thursday, September 6, 2018 / Notices 45245 

including the validity of the 

methodology and assumptions used; 

3. Enhance the quality, utility, and 

clarity of the information to be 

collected; and 

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. 

5. Assess information collection costs. 

Proposed Project 

Capacity Building Assistance 

Program: Assessment and Quality 

Control—Revision—National Center for 

HIV/AIDS, Viral Hepatitis, STD, and TB 

Prevention (NCHHSTP), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

The CDC is requesting the Office of 

Management and Budget (OMB) to grant 

a one year revision to collect data that 

comprises the Health Professional 

Application for Training, Training 

Follow-up Instrument, and the 

Technical Assistance Satisfaction 

Instrument. For this one year revision 

we will not collect any qualitative data 

(interviews) since we have gleaned 

valuable information that has been used 

to improve our service delivery and 

processes. The purpose of this 

information collection is to assess how 

well the CDC’s Capacity Building 

Assistance (CBA) program meets the 

needs of its consumers in order to 

enhance its capacity building strategy 

over time. The PTCs and CBA providers 

are funded by CDC/Division of STD 

Prevention (DSTDP) and Division of 

HIV/AIDS Prevention (DHAP) over a 

five-year period to provide capacity 

building services that includes 

information, training, and technical 

assistance. CBA means the provision of 

free (not for fee) information, training, 

technical assistance, and technology 

transfer to individuals, organizations, 

and communities to improve their 

capacity in the delivery and 

effectiveness of evidence-based 

interventions and core public health 

strategies for HIV prevention. CBA is 

provided to support health departments, 

community-based organizations, and 

healthcare organizations in the 

implementation, monitoring and 

evaluation of evidence-based HIV 

prevention interventions and programs; 

building organizational infrastructure; 

and community mobilization to 

decrease stigma and increase HIV 

testing in high risk communities. CBA 

services are requested by health 

departments, community-based 

organizations, and healthcare 

organizations and also offered 

proactively. Under this project, there 

will be no duplication of information 

collection, because it builds on existing, 

OMB approved data collection 

activities. The PTCs and CBA providers 

offer classroom and experiential 

training, web-based training, clinical 

consultation, and capacity building 

assistance to maintain and enhance the 

capacity of healthcare professionals to 

control and prevent STDs and HIV. The 

CBA service recipients are healthcare 

professionals who work at communitybased organizations (CBOs), health 

departments, and healthcare 

organizations, most of whom are funded 

directly or indirectly by the CDC, 

involved in HIV prevention service 

delivery. Their positions include HIV 

educator, clinical supervisor, HIV 

prevention specialist, clinician, 

outreach worker, case manager director, 

program coordinator, program manager, 

disease intervention specialist, partner 

services provider, physicians, nurses, 

and health educators, etc. CDC is 

requesting to use two web-based 

assessments that will be administered to 

recipients of CBA services: (1) Training 

Follow-Up Instrument and (2) Technical 

Assistance Satisfaction Instrument. The 

first quantitative assessment will be 

disseminated 90 days after a training 

event to agency staff who participated in 

a training activity. It takes 

approximately 12 minutes to complete. 

The purpose of this web-based 

assessment is to determine the training 

participants’ satisfaction with the 

trainers, training materials, and the 

course pace, benefits from the training, 

and CBA needs, how relevant the 

training was to their work, and whether 

they were able to utilize the information 

gained from the training. The second 

quantitative assessment will be 

disseminated 45 days after a technical 

assistance event to agency staff who 

participated in a technical assistance. 

This instrument takes approximately 12 

minutes to complete. The purpose of the 

second assessment is to assess 

participants’ satisfaction with the 

technical assistance they received, 

intended or actual use of enhanced 

capacity, barriers and facilitators to use, 

and benefits of the technical assistance. 

The 7,400 respondents represent an 

average of the number of health 

professionals who receive training and 

technical assistance from the CBA and 

PTC grantees during the years 2010 and 

2011. The data collection is necessary 

(a) to assess CBA consumers’ 

(community-based organizations, health 

departments, and healthcare 

organizations) satisfaction with and 

short-term outcomes from the overall 

CBA program as well as specific 

elements of the CBA program; (b) to 

improve CBA services and enhance the 

Capacity Building Branch’s national 

capacity building strategy over time; (c) 

to assess the performance of the grantees 

in delivering training and technical 

assistance and to standardize the 

registration processes across the two 

CBA programs (i.e., the PTC program 

and the CBA program) and multiple 

grantees funded by each program. There 

are no costs to respondents. The 

estimated annualized burden hours for 

this data collection activity are 8,633 

hours. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number 

responses per 

respondent 

Average 

burden 

per response 

(in hours) 

Total burden 

hours 

Healthcare Professionals ................ Health Professional Application for Training (HPAT) (att 3) 7,400 2 5/60 1,233 

Healthcare Professionals ................ Training Follow-up Instrument (att 5) .................................. 3,700 2 15/60 1,850 

Healthcare Professionals ................ Training Telephone Script (att 13) ....................................... 3,700 2 15/60 1,850 

Healthcare Professionals ................ Technical Assistance (TA) Satisfaction Instrument (att 7) .. 3,700 2 15/60 1,850 

Healthcare Professionals ................ Technical Assistance Telephone Script (att 14) .................. 3,700 2 15/60 1,850 

Total ......................................... .............................................................................................. ........................ ........................ ........................ 8,633 


daltland on DSKBBV9HB2PROD with NOTICES
45246 Federal Register / Vol. 83, No. 173 / Thursday, September 6, 2018 / Notices 

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. 2018–19296 Filed 9–5–18; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–18–18AVU; Docket No. CDC–2018– 

0081] 

Proposed Data Collection Submitted 

for Public Comment and 

Recommendations 

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), as part of 

its continuing efforts to reduce public 

burden and maximize the utility of 

government information, invites the 

general public and other Federal 

agencies to take this 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 ‘‘Assessment of 

Outcomes Associated with the 

Preventive Health and Health Services 

Block Grant’’. This assessment will 

assess select cross-cutting outputs and 

outcomes of the Preventive Health and 

Health Services Block Grant and 

demonstrates the utility of the grant on 

a national level. 

DATES: CDC must receive written 

comments on or before November 5, 

2018. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2018– 

0081 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. CDC 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 

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 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; and 

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. 

5. Assess information collection costs. 

Proposed Project 

Assessment of Outcomes Associated 

with the Preventive Health and Health 

Services Block Grant—New—Office for 

State, Tribal, Local and Territorial 

Support (OSTLTS), Centers for Disease 

Control and Prevention (CDC). 

Background and Brief Description 

For more than 35 years, the 

Preventive Health and Health Services 

Block Grant (PHHS Block Grant) has 

provided flexible funding for all 50 

states, the District of Columbia, two 

American Indian tribes, five U.S. 

territories, and three freely associated 

states to address the unique public 

health needs of their jurisdictions in 

innovative and locally defined ways. 

First authorized by Congress in 1981 

through the Public Health Service Act 

(Pub. L. 102–531), the fundamental and 

enduring purpose of the grant has been 

to provide grantees with flexibility and 

control to address their priority public 

health needs. In 1992, Congress 

amended the law to align PHHS Block 

Grant funding priorities with the 22 

chapters specified in Healthy People 

(HP) 2000, a set of national objectives 

designed to guide health promotion and 

disease prevention efforts. Additional 

amendments included set-aside funds 

specifically dedicated to sex offense 

prevention and victim services, thus 

requiring grantees receiving this support 

to include related HP objectives and 

activities as part of their PHHS Block 

Grant-funded local programs. 

CDC is establishing a comprehensive, 

standardized method to collect data to 

describe select outputs and outcomes 

and ensure the accountability of the 

PHHS Block Grant. The CDC PHHS 

Block Grant Measurement Framework is 

an innovative approach to assessing 

cross-cutting outputs and outcomes 

resulting from grantees’ use of flexible 

grant funds. The framework defines four 

measures that enable CDC to 

standardize the collection of data on 

grantee achievements. The measures 

capture data on public health 

infrastructure improved (i.e., 

information systems improved and 

quality improved—efficiency and 

effectiveness improvements achieved in 

programs, services, and operations), 

emerging public health needs 

addressed, and evidence-based public 

health interventions implemented. 

The purpose of this information 

collection request (ICR) is to collect data 

that assess select cross-cutting outputs 

and outcomes of the grant (as defined by 

the framework measures) and that 

demonstrate the utility of the grant on 

a national level. This data collection 

will describe the outcomes of the PHHS 

Block Grant as a whole—not individual 

grantee activities or outcomes. Findings 

from this data collection will be used to: 

(1) Describe the outcomes and 

achievements of grantees’ public health 

efforts and identify how the use of 

PHHS Block Grant funds contributed to 


daltland on DSKBBV9HB2PROD with NOTICES