Federal Register / Vol. 83, No. 175 / Monday, September 10, 2018 / Notices 45629 

Registered speakers/organizations will 

be allowed five (5) minutes, and will 

need to provide written copies of their 

presentations. Requests to comment, 

together with presentations for the 

meeting, must be received by 5:00 p.m. 

EDT, on Friday, September 28, 2018. 

Please contact Mr. Dayton at the email 

address above to obtain meeting 

materials. 

FOR FURTHER INFORMATION CONTACT: 

Daniel S. Dayton, Designated Federal 

Officer, World War 1 Centennial 

Commission, 701 Pennsylvania Avenue 

NW, 123, Washington, DC 20004–2608, 

202–380–0725 (Note: this is not a tollfree number). 

SUPPLEMENTARY INFORMATION: 

Background 

The World War One Centennial 

Commission was established by Public 

Law 112–272 (as amended), as a 

commission to ensure a suitable 

observance of the centennial of World 

War I, to provide for the designation of 

memorials to the service of members of 

the United States Armed Forces in 

World War I, and for other purposes. 

Under this authority, the Committee 

will plan, develop, and execute 

programs, projects, and activities to 

commemorate the centennial of World 

War I, encourage private organizations 

and State and local governments to 

organize and participate in activities 

commemorating the centennial of World 

War I, facilitate and coordinate activities 

throughout the United States relating to 

the centennial of World War I, serve as 

a clearinghouse for the collection and 

dissemination of information about 

events and plans for the centennial of 

World War I, and develop 

recommendations for Congress and the 

President for commemorating the 

centennial of World War I. Notice of this 

meeting is being provided according to 

the requirements of the Federal 

Advisory Committee Act, 5 U.S.C. App. 

10(a)(2). 

Agenda 

Tuesday October 2, 2018 

Old Business: 

• Acceptance of minutes of last 

meeting 

• Public Comment Period 

New Business: 

• Executive Director’s Report— 

Executive Director Dayton 

• 2019 Signature Event Proposals— 

Executive Director Dan Dayton 

• Financial Committee Report— 

Commissioner Dunning 

• Education Committee Report— 

Commissioner O’Connell 

• ACE Committee Report— 

Commissioner Monahan 

• Memorial Report—Vice Chair 

Fountain 

• Fundraising Report—Commissioner 

Sedgwick 

• International Report— 

Commissioner Seefried 

Other Business: 

• Chairman’s Report 

Upcoming Meeting Dates 

• January 22, 2019, via phone 

• April 21–22, 2019, Washington, DC 

• July 2019, Kansas City, MO 

Motion to Adjourn 

Dated: September 4, 2018. 

Daniel S. Dayton, 

Designated Federal Official, World War I 

Centennial Commission. 

[FR Doc. 2018–19491 Filed 9–7–18; 8:45 am] 

BILLING CODE 6820–95–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[Docket No. CDC–2017–0089] 

Systematic Review and Final CDC 

Guideline on the Diagnosis and 

Management of Mild Traumatic Brain 

Injury Among Children 

AGENCY: Centers for Disease Control and 

Prevention (CDC), Department of Health 

and Human Services (HHS). 

ACTION: Notice; availability of final 

guidance. 

SUMMARY: The Centers for Disease 

Control and Prevention (CDC), located 

within the Department of Health and 

Human Services (HHS), announces the 

availability of the Systematic Review 

and Final CDC Guideline on the 

Diagnosis and Management of Mild 

Traumatic Brain Injury Among 

Children. 

DATES: CDC published the final 

Systematic Review and Final CDC 

Guideline on the Diagnosis and 

Management of Mild Traumatic Brain 

Injury Among Children on September 4, 

2018 in JAMA Pediatrics. 

FOR FURTHER INFORMATION CONTACT: 

Arlene I. Greenspan, National Center for 

Injury Prevention and Control, Centers 

for Disease Control and Prevention, 

4770 Buford Highway NE, Mailstop 

F–63, Atlanta, Georgia 30341. 

Telephone: (770) 488–4694; email: 

duipinquiries@cdc.gov. 

SUPPLEMENTARY INFORMATION: On 

September 29, 2017, CDC published a 

notice in the Federal Register 

announcing the opening of a docket to 

obtain public comment on a Systematic 

Review of the evidence on the 

diagnosis, prognosis, and management 

of pediatric mild traumatic brain injury 

(mTBI), and an evidence-based 

Guideline that offers clinical 

recommendations for healthcare 

providers (82 FR 45588). CDC also 

provided an opportunity for public 

comments during the National Center 

for Injury Prevention and Control’s 

Board of Scientific Counselors meeting 

on September 7, 2016 (81 FR 49657). 

The Systematic Review and Guideline 

were developed through a rigorous 

process guided by the American 

Academy of Neurology methodology 

and 2010 National Academy of Sciences 

methodology for the development of 

evidence-based guidelines. An extensive 

review of the scientific literature, 

spanning 25 years of research, formed 

the basis of the Guideline. 

The goal of the CDC Guideline is to 

help healthcare providers take action to 

improve the health of their pediatric 

patients with mTBI. The Guideline 

consists of 19 clinical recommendation 

sets that cover diagnosis, prognosis, and 

management and treatment. These 

recommendations are applicable to 

healthcare providers working in 

inpatient, emergency, primary, and 

outpatient care settings. CDC received 

comments on the draft Systematic 

Review and Guideline from two external 

peer reviewers: 

b Both provided references for 

literature that was published following 

the close of the literature review period 

for the Guideline and Systematic 

Review. Both reviewers requested 

details about definitions of terms such 

as mTBI and concussion and how they 

are similar or different. 

b Other comments focused on how 

an existing consensus statement on 

sports-related concussion aligns with 

CDC recommendations; lack of 

information available on children who 

never seek medical attention to 

highlight this current information gap; 

and specificity of the recommendations 

for clinicians in the acute care and 

outpatient settings. 

CDC also received 10 public 

comments from professional 

organizations, academia, and the public: 

b Five were from medical and 

clinical professional organizations. 

These groups shared their perspective 

on diagnosis and treatment of mTBI and 

how specialty groups are affected 

differently. 

b Two were from community 

members and parents sharing their 

support of the work. 


daltland on DSKBBV9HB2PROD with NOTICES
45630 Federal Register / Vol. 83, No. 175 / Monday, September 10, 2018 / Notices 

b One was from a commenter who 

did not provide an affiliation. The 

commenter shared concerns regarding 

how the level of evidence was graded. 

b One was from a healthcare 

provider who shared citations for 

consideration. 

b One was from an advocacy group 

that provided a comment outside the 

scope of the docket. 

A summary of the revisions made to 

the final Systematic Review and 

Guideline based on external peer 

reviewer comments are posted in the 

Supporting Documents section of the 

docket (document titled ‘‘Ped mTBI 

Guideline Response to Peer Reviewer 

Comments’’). 

CDC also revised the document based 

on public comments. For example, a few 

commenters expressed concern 

regarding recommendations not being 

applicable in the emergency care 

setting. As the clinical 

recommendations in the guideline were 

created for both the acute care and 

primary care setting, CDC added 

language to emphasize that the 

recommendations were drafted to be 

relevant for both settings. As another 

example, multiple comments were 

received regarding the content in the 

systematic review on the use of CT 

imaging. Commenters explained that 

current evidence that provides the basis 

for CT imaging focus on ruling out 

clinically-important traumatic brain 

injury among pediatric patients 

presenting with a TBI. In response, CDC 

revised the conclusion to specify that 

the recommendations are for children 

presenting with mTBI versus TBI of all 

severity levels in the acute care setting. 

All public and peer reviewer comments 

were carefully reviewed and considered 

to strengthen and improve the quality of 

the Systematic Review and Guideline. 

The final Systematic Review and 

Guideline on the Diagnosis and 

Management of Mild Traumatic Brain 

Injury Among Children can be found at 

https://jamanetwork.com/journals/ 

jamapediatrics/fullarticle/2698456?

guestAccessKey=80a9ecdc-ea57-447da1b3-b4a87cadd40d (Guideline) and 

https://jamanetwork.com/journals/ 

jamapediatrics/fullarticle/2698455?

guestAccessKey=24b78e3d-571f-49fb9daf-499d2b3e2cc1 (Systematic 

Review). 

Dated: September 5, 2018. 

Lauren Hoffmann, 

Acting Executive Secretary, Centers for 

Disease Control and Prevention. 

[FR Doc. 2018–19536 Filed 9–7–18; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Title: Tribal Maternal, Infant, and 

Early Childhood Home Visiting Program 

Quarterly Performance Reporting Form. 

OMB No.: New Collection. 

Description: The Administration for 

Children and Families (ACF), Office of 

Child Care, in collaboration with the 

Health Resources and Services 

Administration (HRSA), Maternal and 

Child Health Bureau, administers the 

Maternal, Infant, and Early Childhood 

Home Visiting (MIECHV) Program, as 

authorized by Title V, Section 511 of the 

Social Security Act. The Administration 

for Children and Families administers 

the Tribal MIECHV Program while 

HRSA administers the State/Territory 

MIECHV Program. Tribal MIECHV 

discretionary grants support cooperative 

agreements to conduct community 

needs assessments; plan for and 

implement high-quality, culturallyrelevant, evidence-based home visiting 

programs in at-risk tribal communities; 

establish, measure, and report on 

progress toward meeting performance 

measures in six legislatively-mandated 

benchmark areas; and conduct rigorous 

evaluation activities to build the 

knowledge base on home visiting among 

Native populations. 

The proposed data collection form is 

as follows: In order to continuously 

monitor, provide grant oversight, quality 

improvement guidance, and technical 

assistance to Tribal MIECHV grantees, 

ACF is seeking to collect services 

utilization data on a quarterly basis. The 

Tribal MIECHV Quarterly Data 

Performance Reporting Form, is made 

up of five categories of data—program 

capacity, place-based services, family 

engagement, staff recruitment and 

retention and staff vacancies. This form 

will be used by Tribal MIECHV grantees 

that receive grants under the Tribal 

MIECHV Program to collect data in 

order to determine the caseload capacity 

grantees are achieving, where services 

are being delivered, the retention and 

attrition of enrolled families, and the 

retention and attrition of program staff 

on a quarterly basis. 

Respondents: Tribal Maternal, Infant, 

and Early Childhood Home Visiting 

Program Managers. The information 

collection does not include direct 

interaction with individuals or families 

that receive the services. 

ANNUAL BURDEN ESTIMATES

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total 

burden hours 

Tribal MIECHV Grantees .................. Tribal MIECHV Quarterly Reporting 

Form.

25 4 24 2,400 

Total ........................................... ........................................................... ........................ ........................ ........................ 2,400 

Estimated Total Annual Burden 

Hours: 2,400. 

In compliance with the requirements 

of the Paperwork Reduction Act of 1995 

(Pub. L. 104–13, 44 U.S.C. Chap 35), the 

Administration for Children and 

Families is soliciting public comment 

on the specific aspects of the 

information collection described above. 

Copies of the proposed collection of 

information can be obtained and 

comments may be forwarded by writing 

to the Administration for Children and 

Families, Office of Planning, Research 

and Evaluation, 330 C Street SW, 

Washington DC 20201. Attn: ACF 

Reports Clearance Officer. Email 

address: infocollection@acf.hhs.gov. All 

requests should be identified by the title 

of the information collection. 

The Department specifically requests 

comments on: (a) Whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information; (c) 

the quality, utility, and clarity of the 


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