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
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