Federal Register / Vol. 88, No. 225 / Friday, November 24, 2023 / Notices 82389 

N–SUMHSS EHR Supplement 

SAMHSA proposes a new N– 

SUMHSS EHR Supplement to collect 

information once from facilities 

providing substance use and/or mental 

health treatment services on health IT 

adoption, use, and interoperability. 

There are 15 questions in the proposed 

new N–SUMHSS EHR Supplement. 

I–TF Facility Registration Application 

Form 

• Update the locator reference to 

‘‘FindTreatment.gov,’’ and the reference 

years associated with reporting client 

count data. 

• Replace existing ‘‘substance abuse’’ 

term with a clinically accurate, nonstigmatizing language for ‘‘substance 

use,’’ throughout the form, to help 

reduce stigma and support treatment for 

substance use disorders. This revision 

aligns with the current edition of The 

Diagnostic and Statistical Manual of 

Mental Disorders (5th ed., American 

Psychiatric Association, 2013), where 

‘‘abuse’’ has been replaced by ‘‘use.’’ 

This revision also aligns with the White 

House Office of National Drug Control 

Policy 2017 Memo on ‘‘Changing 

Federal Terminology regarding 

Substance Use and Substance Use 

Disorders.’’ 

Augmentation Screener Questionnaire 

• Replace existing ‘‘substance abuse’’ 

term with ‘‘substance use.’’ 

• Update the locator reference to 

‘‘FindTreatment.gov.’’ 

• Update the reference of ‘‘Mental 

Health Survey’’ and ‘‘Substance Abuse 

Survey’’ to ‘‘N–SUMHSS’’ to improve 

accuracy. 

• Revise the statue citation to be more 

specific on the level of protection of the 

information collected from the 

Augmentation Screener Questionnaire. 

• Update the OMB number. 

I–TF Online State Add/Update Form 

• Update the reference of I–BHS to I– 

TF throughout the form. 

• Update the new SAMHSA logo 

design throughout the form. 

• Replace existing ‘‘substance abuse’’ 

term with ‘‘substance use.’’ 

• Add ‘‘Intake 1a and Intake 2a’’ 

fields to the ‘‘Facility Information’’ 

section and add ‘‘Director’s Email’’ field 

to the ‘‘Director Information’’ section, to 

capture more comprehensive 

information about the new facilities and 

facility directors. 

• Move existing data fields ‘‘State 

Approved,’’ ‘‘State Reviewed,’’ 

‘‘National Directory Eligible,’’ and 

‘‘Facility Surveys’’ to create a new 

section ‘‘Directory/Locator Eligibility’’ 

and add a new ‘‘Date Reviewed’’ field to 

improve response efficiency and 

accuracy. 

• Move existing ‘‘Old-ITF ID’’ and 

add ‘‘Parent I–TF ID’’ to the ‘‘Other 

Facilities Details’’ section to improve 

response efficiency. 

The estimated annual burden for the 

N–SUMHSS and I–TF activities is as 

follows: 

Information collection title Number of 

respondents 

Responses 

per 

respondent 

Total 

responses 

Hours per 

response 

(in hours) 

Total burden 

hours 

Average 

hourly wage 

Total annual 

cost 

N–SUMHSS Questionnaire (either SU or MH) ....................... 32,000 1 32,000 0.83 26,560 $48.72 $1,294,003 

N–SUMHSS Questionnaire 

(both SU and MH) .................. 5,000 1 5,000 1.28 6,400 48.72 311,808 

N–SUMHSS Between Cycle 

Questionnaire ......................... 1,500 1 1,500 0.75 1,125 48.72 54,810 

N–SUMHSS VA Supplement ..... 800 1 800 0.05 40 48.72 1,949 

N–SUMHSS EHR Supplement * 37,000 1 37,000 0.12 4,440 48.72 216,317 

I–TF Facility Registration Application Form ............................ 1,500 1 1,500 0.08 120 26.71 3,205 

Augmentation Screener Questionnaire .................................. 1,300 1 1,300 0.08 104 26.71 2,778 

I–TF Online State Add Update 

Form ....................................... 61 50 3,050 0.08 244 26.71 6,517 

Totals .................................. ...................... ...................... 82,150 ...................... 39,033 ...................... 1,891,387 

* The N–SUMHSS EHR Supplement will be administered one time during the three-year period. 

Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

Alicia Broadus, 

Public Health Advisor. 

[FR Doc. 2023–25918 Filed 11–22–23; 8:45 am] 

BILLING CODE 4162–20–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Substance Abuse and Mental Health 

Services Administration 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

Periodically, the Substance Abuse and 

Mental Health Services Administration 

(SAMHSA) will publish a summary of 

information collection requests under 

OMB review, in compliance with the 

Paperwork Reduction Act (44 U. S. C. 

chapter 35). To request a copy of these 

documents, call the SAMHSA Reports 

Clearance Officer on (240) 276–0361. 

Project: GLS State/Tribal Evaluation of 

the Garrett Lee Smith (GLS) State/ 

Tribal Youth Suicide Prevention and 

Early Intervention Program 

Reinstatement 

The Substance Abuse and Mental 

Health Services Administration 

(SAMHSA) Center for Mental Health 

Services (CMHS) is requesting clearance 

for the reinstatement of data collection 

associated with the previously approved 

evaluation of the Garrett Lee Smith 

(GLS) Youth Suicide Prevention and 

Early Intervention Program (GLS 

Suicide Prevention Program). The GLS 

State/Tribal Evaluation is a proposed 

redesign of the previous evaluation 

(OMB No. 0930–0286; Expiration, 

March 31, 2019) that builds on prior 

published GLS evaluation proximal and 


ddrumheller on DSK120RN23PROD with NOTICES1
82390 Federal Register / Vol. 88, No. 225 / Friday, November 24, 2023 / Notices 

distal outcomes and aggregate findings 

from program activities (e.g., Condron, 

Godoy-Garraza, Walrath, McKeon, & 

Heilbron, 2014; Walrath, GodoyGarraza, Reid, Goldston, & McKeon, 

2015; Godoy-Garraza, Walrath, Kuiper, 

Goldston, & McKeon, 2018; Condron, 

Godoy-Garraza, Kuiper, Sukumar, 

Walrath, & McKeon, 2018; GodoyGarraza, Kuiper, Goldston, McKeon, & 

Walrath, 2019; Godoy-Garraza, Kuiper, 

Cross, Hicks, & Walrath, 2020; Goldston 

& Walrath, 2023). As a result of the vast 

body of information collected and 

analyzed through the previous cross-site 

evaluation, SAMHSA has identified 

areas for additional investigation and 

the types of inquiry needed to move the 

evaluation into its next phase. 

The purpose of the GLS State/Tribal 

Suicide Prevention Program is to 

facilitate a comprehensive public health 

approach to prevent suicide. Passed by 

Congress in 2004, the Garrett Lee Smith 

Memorial Act (GLSMA) was the first 

legislation to provide funding for states, 

tribes, and institutions of higher 

education to develop, improve, and 

evaluate early intervention and suicide 

prevention programs. GLSMA mandates 

that the effectiveness of the GLS Suicide 

Prevention Program be evaluated 

through both cross-site and local 

evaluation and reported to Congress. 

The GLS State/Tribal Evaluation is 

designed to gather detailed outcome and 

impact data to provide SAMHSA with 

the data and information needed to 

understand what works, why it works, 

and under what conditions, relative to 

program activities. 

The purpose of the GLS Evaluation is 

to build the program’s knowledge base 

by expanding on information gathered 

through the prior evaluation related to 

the process, products, context, and 

impacts of the GLS State/Tribal 

Program. 

The GLS Evaluation incorporates 

three areas of evaluation to provide a 

robust understanding of the 

implementation, outcomes, and impacts 

of the GLS State/Tribal Program. A 

behavioral health equity and cultural 

equity lens will be applied to each area 

of evaluation to ensure a culturally 

specific understanding of intervention 

implementation, outcomes, and 

impacts. 

The Implementation Evaluation 

inventories the array of strategies and 

services implemented by grantees and 

answers questions about the extent to 

which grantees are implementing 

required and allowed prevention 

strategies and services, including related 

settings, populations, and degree of 

fidelity to their work plan. 

The Outcome Evaluation includes 

three studies related to trainings, 

youths’ experience of services, and the 

continuity of care for at-risk youths— 

i.e., the Training Outcomes Study; 

Youth Experience, Outcomes, and 

Resiliency Study (Youth Study); and 

Continuity of Care Study. These studies 

will provide a deeper examination of 

the effectiveness of these strategies as 

they relate to the long-term gains in 

trainee skills to identify and manage 

youths at risk for suicide; youths’ 

perspectives, including an assessment of 

how youths experience services, 

supports and facets that encourage 

building resilience, stress tolerance, and 

self-management skills; and the 

effectiveness of a continuum of care that 

connects youths to treatment services 

and supports, and post-discharge 

follow-up. 

Finally, the Impact Evaluation will 

combine data from the Implementation 

and Outcome Evaluations to assess the 

effectiveness of the GLS State/Tribal 

Program on decreasing suicide 

morbidity and mortality. Through 

implementation of this evaluation 

design, it will be possible to isolate 

prevention strategy impacts and explain 

cross-program impacts on short-term 

(e.g., change in self-efficacy to identify 

change in the number of youths 

identified as at risk) and long-term 

program outcomes such as suicide 

attempts and deaths by suicide. 

Nine data collection activities 

compose the GLS Evaluation—4 revised 

data collection instruments and 5 new 

data collection instruments. 

Instrument Removals 

The current GLS Evaluation does not 

include data collection with campus 

grantees, so all campus-specific 

instruments are being removed. 

Additionally, due to SAMHSA’s current 

research priorities and the fulfillment of 

previous data collection requirements, 7 

previously approved instruments are 

being revised or removed from the 

evaluation. These include: Behavioral 

Health Provider Survey (BHPS), 

Prevention Strategies Inventory (PSI) 

Campus, Student Behavioral Health 

Form (SBHF), Treatment as Prevention 

(TASP) Campus, Early Identification, 

Referral, Follow-up, and Treatment 

Individual Form, Early Identification, 

Referral, Follow-up, and Treatment 

Screening Form, Sustainability OneYear Follow-up (SFUP), SFUP Consentto-Contact, and Training Utilization and 

Preservation—Survey (TUP–S) Campus. 

Instrument Revisions 

D PSI: the PSI is a web-based survey 

that captures all state/tribal program 

prevention strategies and products. Data 

include strategy types and products 

distributed, intended audiences or 

populations of focus, and expenditures 

across major categories (e.g., outreach 

and awareness, gatekeeper training, 

screening programs). Each major 

strategy includes sub-strategies, 

enabling grantees to specify and provide 

details about the sub-strategy, including 

implementation setting/location, 

timeframe, and intended audiences or 

populations of focus. The PSI is 

completed by grantee staff each quarter. 

PSI data will inform the Training 

Outcomes Study and Continuity of Care 

Study. Compared to the prior version of 

the PSI, the revised PSI includes all 

previous strategies and integrates new 

or revised questions related to the 

following areas of interest: (1) grantees 

use of emerging technologies (2) 

implementation of evidence based 

practices (EBPs), (3) cultural adaptations 

and health equity practices, and (4) 

program sustainability. In addition, we 

have revised the PSI to optimize the 

assessment of implementation 

timeframe and location and the 

alignment of audiences more precisely 

with grantee strategies implemented. 

D TASP: the TASP is a web-based 

survey collecting aggregate-level 

training data from all state/tribal 

grantees. Data include information 

about the type of training delivered, the 

number and roles of training 

participants, and the setting of the 

training, including ZIP code where the 

training is held (for use in analysis of 

GLS program impact). The TASP also 

assesses intended outcomes, as well as 

the number of online trainings 

completed, train-the-trainer events held, 

and booster trainings that follow the 

initial training. The TASP also gathers 

information about the inclusion of 

behavioral rehearsal or role-play and 

resources provided at the training as 

these elements have been found to 

improve retention of knowledge and 

skills post-training. Additionally, the 

TASP collects information about 

resources or materials provided to 

trainees (e.g., mobile or online tools or 

applications for suicide prevention, fact 

or resource sheets, and wallet card 

information) to improve understanding 

of how skills can be maintained over 

time with materials provided at 

trainings (Cross et al., 2011). A TASP is 

completed by grantee program staff 

within 2 weeks of each in-person 

training activity and quarterly for virtual 

training activities. The revised TASP 

includes more refined assessment of 

training format including (1) in person; 

(2) virtual (facilitated on a specific date) 


ddrumheller on DSK120RN23PROD with NOTICES1
Federal Register / Vol. 88, No. 225 / Friday, November 24, 2023 / Notices 82391 

and (3) virtual (self-directed; trainee 

completes training at own pace) and 

revisions to align with updated 

Government Performance and Results 

Act (GPRA) indicators. 

D EIRFT–I: the web-based EIRFT–I 

gathers existing data for each at-risk 

youth identified as a result of the GLS 

Suicide Prevention Program (via a GLStrained gatekeeper, a GLS-sponsored 

screening identification, or via a 

discharge from an emergency room or 

inpatient psychiatric treatment). Initial 

follow-up information (whether a 

service was received after referral or 

not) is obtained along with details on all 

services received in the 6 months 

following identification. Ensuring 

adequate resources and services for 

referral to care is a best practice for both 

screenings and gatekeeper trainings. In 

addition, a response system that ensures 

timely referrals is part of GLS grant 

requirements. Data can be extracted 

from case records or other existing data 

sources, including any organizational 

staff, community members, or family 

members who make a mental health 

identification and referral. Respondents 

include grant program staff and service 

providers representing all grantees in all 

funding years. Data collection is 

ongoing for each youth identified at 

risk, screened positive, or discharged 

from an emergency room or hospital for 

a suicide attempt and/or suicidal 

ideation. No personal identifiers are 

requested on the EIRFT–I. Grantee 

program staff enter EIRF–I data on an 

ongoing basis. EIRFT–I data will inform 

the Training Outcomes and Continuity 

of Care Studies. This instrument builds 

upon the previous EIRF–I, with the 

addition of data collection on follow-up 

post-discharge from emergency 

departments or psychiatric 

hospitalization and additional 

information on treatment. 

D EIRFT–S: the web-based EIRFT–S 

gathers aggregate information about all 

screening activities conducted as part of 

the GLS program. Data include aggregate 

information on the number of youths 

screened for suicide risk through the 

GLS program, and the number screening 

positive. On an ongoing basis, the 

grantee will submit EIRFT–S forms. 

EIRFT–S forms are completed once per 

implementation of a screening tool in a 

group setting, once per month for 

clinical screenings, and once per month 

for one-on-one screenings. For each 

screening event in which multiple 

youths are screened at a given time, one 

EIRFT–S should be completed for the 

event. For one-on-one screenings in a 

clinical or other setting, one aggregated 

EIRFT–S is completed per month to 

reflect screening outcomes of all youths 

screened during the month. Grantees 

develop systems locally to gather 

identification and referral data, 

including extracting data from existing 

electronic health records or forms. No 

personal identifiers are requested on the 

EIRFT–S. EIRFT–S data will inform the 

Continuity of Care Study. This 

instrument continues the previous 

EIRF–S. 

Instrument Additions 

Five instruments will augment the 

evaluation. 

D TSA–P: the Training Skills 

Assessment-Post Training (TSA–P) is a 

web-based survey to assess trainee 

confidence in identifying and managing 

youth at risk for suicide after 

participation in a training event. At the 

conclusion of all training events, 

trainees will be asked to complete the 

TSA–P. The instrument is designed to 

assess baseline confidence following the 

training, knowledge of suicide 

prevention, confidence in identifying 

and managing suicidal youth, and 

pretraining behaviors related to 

identifying and managing youths at risk 

of suicide. As part of the TSA–P, 

trainees will be asked to complete a 

consent-to-contact web form indicating 

their willingness to be contacted by the 

GLS Evaluation team to participate in 

the TSA–F and TSA–PS. If a trainer is 

unable to administer the survey or 

consent-to-contact form electronically, 

or a trainee does not have access to a 

mobile device or computer, they may 

also complete the survey and consentto-contact form on paper. The grantee 

will submit this information to ICF, 

through direct data entry into the 

Suicide Prevention Data Center (SPDC), 

within 2 weeks of the training event. 

Once consent to contact has been 

received, ICF will create a random 

sample of participants for the phone 

simulation and the 6- and 12-month 

follow-up surveys. TSA–P data will 

inform the Training Outcomes Study. 

D TSA–F: The Training Skills 

Assessment-Follow up (TSA–F) is a 

follow-up web-based survey to assess 

trainees’ sustained confidence and skills 

in identifying and managing youth at 

risk for suicide, as well as experience 

with managing at-risk youth since 

training (interventions with youths, 

additional training, etc.). The survey 

will be administered to a sample of 

training participants at 6- and 12- 

months after the initial TSA–P is 

completed. TSA–F data will inform the 

Training Outcomes Study. 

D TSA–PS: The Training Skills 

Assessment-Phone Simulation (TSA– 

PS) is a follow-up phone simulation 

using standardized interaction to assess 

trainee skills in identification and 

management of a youth in suicidal 

crisis. A random subsample of training 

participants will be contacted by the 

evaluation team to participate in a 

simulated conversation with a youth in 

suicidal crisis portrayed by a trained 

actor. These simulations will occur 

between 3 and 6 months following their 

initial training. The simulated 

conversation between the training 

participant and actor will last 

approximately 10 to 30 minutes 

(community gatekeeper sessions will 

likely be shorter than the clinician 

interactions). In total, the session will be 

scheduled for 45 minutes to allow for 

consent, instructions, and a debrief. 

These phone sessions will be 

administered via tele video and 

recorded for additional post-simulation 

scoring and analysis. All sessions will 

be attended by the training participant, 

an actor, and an evaluation team 

member (observer), who will be 

responsible for facilitating the 

interaction, administering the consent, 

scoring the interaction (both in real time 

and based on the recording), and 

providing a short debrief to the training 

participant. TSA–PS data will inform 

the Training Outcomes Study. 

D YORS: the Youth Outcomes and 

Resiliency Survey (YORS) is a webbased survey assessing the experience 

and outcomes of those youth who are 

served by the GLS Program. The 

instrument is designed to assess 

suicidality, positive youth development, 

satisfaction with services received, 

youth engagement experience, and 

family and school dynamics. Youth 

between the ages of 14–24 years who 

receive a positive screening result (as 

part of the GLS program activities) and 

receive a referral to a mental health 

service, or youths who attend skillsbased training will be considered 

eligible for the study. A sample of 

eligible youth will be enrolled in the 

Youth Study. The age of the youth 

respondent will dictate how consent is 

obtained for the YORS. All youths 

under the age of 18 at selected grantee 

sites will be asked to have their parent 

complete consent-to-contact forms and 

participate in the YORS and Youth 

Experience Reflective (YER) Journal 

when they consent to receiving 

screening from the grantee. Youths over 

the age of 18 will be asked to complete 

consent-to-contact forms at the time of 

initial referral and screening (after 

gatekeeper identification). The YORS 

will be administered at 3-, 6-, and 12- 

months post enrollment, with 

enrollment occurring no later than 1 


ddrumheller on DSK120RN23PROD with NOTICES1
82392 Federal Register / Vol. 88, No. 225 / Friday, November 24, 2023 / Notices 

1BLS OES May 2022 National Industry-Specific 

Occupation Employment and Wage Estimates 

average annual salary for Survey Researchers (code 19–3022); https://www.bls.gov/oes/current/naics5_

541720.htm. 

month following referral to a behavioral 

health service. 

D YER Journal: the YER Journal is a 

web-based survey consisting of a weekly 

journal prompt that youth can respond 

to with a photo and corresponding 

narrative interpretation of the photo. For 

example, youths may be asked to reflect 

on a recent experience receiving 

services. The youth would be asked to 

submit a photo that represents that 

experience, followed by a prompt that 

asks: ‘‘What words come to mind? How 

did it make you feel?’’ The narrative 

description of what the photo represents 

will be analyzed using qualitative 

methodologies. Up to 25 youths will be 

recruited to participate in the YER 

Journal each year. Youths participating 

in the YORS will be invited to join the 

YER Journal via contact through the 

YORS data collection activities. For 

example, a youth may complete their 

third quarterly YORS follow-up, and be 

invited to join the YER Journal study 

simultaneously. Our team will leverage 

innovative data collection technology to 

engage youth. Weekly prompts will be 

sent to youths for 6 weeks post 

enrollment to discover, for example, 

which components of what youths are 

receiving are meaningful and helpful, 

and how youths may be utilizing skills 

or services following the initial 

screening, both in the short and long 

terms. 

The estimated response burden to 

collect this information associated with 

the redesigned GLS Evaluation is as 

follows annualized over the requested 3- 

year clearance period is presented 

below: 1

TOTAL AND ANNUALIZED AVERAGES: RESPONDENTS, RESPONSES AND HOURS

Type of respondent Instrument Number of 

respondents 

Responses 

per 

respondent 

Total number 

of responses 

Burden per 

response 

(hours) 

Annual burden 

(hours) 

Hourly wage 

rate 

($) 

Total cost 

($) 

Project Evaluator ..... PSI .......................... 31 4 124 1.25 155 1 37.11 $5,752 

Project Evaluator ..... TASP ....................... 31 10 310 0.25 78 37.11 2,876 

Project Evaluator ..... EIRFT-Individual 

Form.

31 4 124 2 248 37.11 9,203 

Project Evaluator ..... EIRFT-Screening 

Form.

31 4 124 0.75 93 37.11 3,451 

Provider Trainee ...... TSA Consent to 

Contact.

10,000 1 10,000 0.08 800 $27.46 21,968 

Provider Trainee ...... TSA–P ..................... 10,000 1 10,000 0.3 3000 27.46 82,380 

Provider Trainee ...... TSA 6-month ........... 187 1 187 0.3 56 27.46 1,541 

Provider Trainee ...... TSA 12-month ......... 140 1 140 0.3 42 27.46 1,153 

Provider Trainee ...... TSA–PS .................. 101 1 101 0.75 76 27.46 2,080 

Youth ....................... YORS baseline ....... 300 1 300 0.5 150 7.25 1,088 

Youth ....................... YORS 3-month ........ 240 1 240 0.5 120 7.25 870 

Youth ....................... YORS 6-month ........ 192 1 192 0.5 96 7.25 696 

Youth ....................... YORS 12-month ...... 115 1 115 0.5 58 7.25 417 

Youth ....................... YER Journal ............ 25 6 150 0.25 38 7.25 272 

Total ......................... ................................. 21,424 ........................ 22,107 ........................ 5,008 ........................ 133,747 

* Rounded to the nearest whole number. 

Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

Alicia Broadus, 

Public Health Advisor. 

[FR Doc. 2023–25922 Filed 11–22–23; 8:45 am] 

BILLING CODE 4162–20–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Coast Guard 

[Docket No. USCG–2023–0872] 

National Merchant Marine Personnel 

Advisory Committee; December 2023 

Virtual Meeting 

AGENCY: United States Coast Guard, 

Department of Homeland Security. 

ACTION: Notice of open Federal advisory 

committee virtual meeting. 

SUMMARY: The National Merchant 

Marine Personnel Advisory Committee 

(Committee) will conduct a virtual 

meeting to discuss issues relating to 

personnel in the United States Merchant 

Marine including the training, 

qualifications, certification, 

documentation, and fitness of mariners. 

The virtual meeting will be open to the 

public. 

DATES: 

Meeting: The Committee will meet 

virtually on Tuesday, December 12, 

2023, from 10:00 a.m. until 2:30 p.m. 

Eastern Standard Time, (EST). The 

virtual meeting may adjourn early if the 

Committee has completed its business. 

Comments and supporting 

documentation: To ensure your 

comments are received by Committee 

members before the virtual meeting, 

submit your written comments no later 

than December 5, 2023. 

ADDRESSES: To join the virtual meeting 

or to request special accommodations, 

contact the individual listed in the FOR

FURTHER INFORMATION CONTACT section 

no later than 1 p.m. EST on December 

5, 2023, to obtain the needed 

information. 

The Committee is committed to 

ensuring all participants have equal 

access regardless of disability status. If 

you require reasonable accommodation 

due to a disability to fully participate, 

please email Ms. Pamela Moore 

pamela.j.moore@uscg.mil or call 202– 

372–1361 as soon as possible. 

Instructions: You are free to submit 

comments at any time, including orally 

at the meeting as time permits, but if 

you want Committee members to review 

your comment before the virtual 

meeting, please submit your comments 

no later than December 5, 2023. We are 

particularly interested in comments 

regarding the topics in the ‘‘Agenda’’ 

section below. We encourage you to 

submit comments through the Federal 

Decision Making Portal at https://

www.regulations.gov. To do so, go to 

https://www.regulations.gov, type 

USCG–2023–0872 in the search box and 

click ‘‘Search.’’ Next, look for this 


ddrumheller on DSK120RN23PROD with NOTICES1