6524 Federal Register / Vol. 89, No. 22 / Thursday, February 1, 2024 / Notices 

(1) Within 30 days after execution of 

a novation agreement or within 30 days 

after modification of the contract to 

include FAR clause 52.219–28 if the 

novation agreement was executed prior 

to inclusion of this clause in the 

contract. 

(2) Within 30 days after a merger or 

acquisition of the contractor that does 

not require novation or within 30 days 

after modification of the contract to 

include the clause at 52.219–28 if the 

merger or acquisition occurred prior to 

inclusion of this clause in the contract; 

(3) For long-term contracts— 

(i) Within 60 to 120 days prior to the 

end of the fifth year of the contract; and 

(ii) Within 60 to 120 days prior to the 

date specified in the contract for 

exercising any option thereafter. 

(b) When contracting officers 

explicitly require it for an order issued 

under a multiple-award contract. 

The collected information is used by 

the Small Business Administration, 

Congress, Federal agencies and the 

general public for various reasons such 

as determining if agencies are meeting 

statutory goals, set-aside 

determinations, and market research. 

C. Annual Burden 

Respondents: 3,482. 

Total Annual Responses: 5,098. 

Total Burden Hours: 2,549. 

Obtaining Copies: Requesters may 

obtain a copy of the information 

collection documents from the GSA 

Regulatory Secretariat Division by 

calling 202–501–4755 or emailing 

GSARegSec@gsa.gov. Please cite OMB 

Control No. 9000–0163, Small Business 

Size Rerepresentation. 

Janet Fry, 

Director, Federal Acquisition Policy Division, 

Office of Governmentwide Acquisition Policy, 

Office of Acquisition Policy, Office of 

Governmentwide Policy. 

[FR Doc. 2024–02009 Filed 1–31–24; 8:45 am] 

BILLING CODE 6820–EP–P 

GENERAL SERVICES 

ADMINISTRATION 

[OMB Control No. 3090–0322; Docket No. 

2023–0001; Sequence No. 10] 

Submission for OMB Review; General 

Services Administration Acquisition 

Regulation; Prohibition on Certain 

Supply Chain Services or Equipment 

Under Lease Acquisitions and 

Commercial Solution Openings 

AGENCY: Office of the Chief Acquisition 

Officer, General Services 

Administration (GSA). 

ACTION: Notice of request for comments. 

SUMMARY: Under the provisions of the 

Paperwork Reduction Act, the 

Regulatory Secretariat Division will be 

submitting to the Office of Management 

and Budget (OMB) a request to review 

and approve a revision of a previously 

approved information collection 

requirement for Prohibition to Certain 

Telecommunications and Video 

Surveillance Services or Equipment 

under Lease Acquisitions and 

Commercial Solution Openings. The 

revision now includes new information 

to be collected related to supply chain 

risk information sharing and exclusion 

or removal orders consistent with the 

Federal Acquisition Supply Chain 

Security Act of 2018. 

DATES: Submit comments on or before 

March 4, 2024. 

ADDRESSES: Written comments and 

recommendations for this 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 

Review—Open for Public Comments’’; 

or by using the search function. 

FOR FURTHER INFORMATION CONTACT: Mr. 

Stephen Carroll, Procurement Analyst, 

General Services Acquisition Policy 

Division, 817–253–7858 or via email at 

gsarpolicy@gsa.gov. 

SUPPLEMENTARY INFORMATION: 

A. Purpose 

There are two purposes. The first 

(‘‘889’’) supports implementation of 

section 889 of the John S. McCain 

National Defense Authorization Act for 

Fiscal Year 2019 (Pub. L. 115–232) 

under lease acquisitions and 

commercial solution openings. This 

section prohibits agencies from 

procuring, obtaining, extending or 

renewing a contract with contractors 

that will provide or use covered 

telecommunication equipment or 

services as a substantial or essential 

component of any system, or as a 

critical technology as part of any system 

on or after August 13, 2020 unless an 

exception applies. 

The second (‘‘FASCSA Orders’’) 

supports implementation of supply 

chain risk information sharing and 

exclusion or removal orders consistent 

with the Federal Acquisition Supply 

Chain Security Act of 2018 and a final 

rule issued by the Federal Acquisition 

Security Council. The implementation 

of supply chain risk information sharing 

and exclusion or removal orders FAR 

interim rule requires complying with 

exclusion or removal orders (‘‘FASCSA 

Orders’’) and sharing certain supply 

chain risk information with the Federal 

Acquisition Security Council (FASC) 

when applicable FASCSA orders are 

issued from one or a combination of the 

following FASCSA orders-issuing 

agencies: Department of Homeland 

Security (DHS), the Department of 

Defense (DoD), and/or the Office of the 

Director of National Intelligence (DNI). 

Only DHS may issue orders applicable 

to GSA (i.e., civilian agencies). 

For 889, the requirement is 

implemented in the Federal Acquisition 

Regulation (FAR) through the provision 

at FAR 52.204–24, Representation 

Regarding Certain Telecommunications 

and Video Surveillance Services or 

Equipment and the clause at FAR 

52.204–25, Prohibition on Contracting 

for Certain Telecommunications and 

Video Surveillance Services or 

Equipment. 

For FASCSA Orders, the requirement 

is implemented in the FAR through the 

provision at FAR 52.204–29, Federal 

Acquisition Supply Chain Security Act 

Orders-Representation and Disclosures 

and the clause at FAR 52.204–30, 

Federal Acquisition Supply Chain 

Security Act Orders-Prohibition. 

B. Annual Reporting Burden 

1. FAR 52.204–24 for GSA Lease 

Acquisitions 

Respondents: 3,100. 

Responses Per Respondent: 1. 

Total Responses: 3,000. 

Hours per Response: 1.5. 

Total Burden Hours: 4,650. 

2. FAR 52.204–25 for GSA Lease 

Acquisitions 

Respondents: 62. 

Responses per Respondent: 1. 

Total Responses: 62. 

Hours per Response: 1.5. 

Total Burden Hours: 93. 

3. FAR 52.204–29 for GSA Lease 

Acquisitions 

Respondents: 186. 

Responses per Respondent: 1. 

Total Responses: 186. 

Hours per Response: 2. 

Total Burden Hours: 372. 

4. FAR 52.204–30 for GSA Lease 

Acquisitions 

Respondents: 124. 

Responses per Respondent: 1. 

Total Responses: 124. 

Hours per Response: 2. 

Total Burden Hours: 248. 

Note: GSA solicits and awards so few CSO 

procurements (on average less than 5 per 

year), the burden is negligible and therefore 

not included in this estimate. 

C. Public Comments 

A 60-day notice was published in the 

Federal Register at 88 FR 82894 on 


ddrumheller on DSK120RN23PROD with NOTICES1
Federal Register / Vol. 89, No. 22 / Thursday, February 1, 2024 / Notices 6525 

November 27, 2023. No comments were 

received. 

Obtaining Copies of Proposals: 

Requesters may obtain a copy of the 

information collection documents from 

the GSA Regulatory Secretariat Division, 

by calling 202–501–4755 or emailing 

GSARegSec@gsa.gov. Please cite 

‘‘Information Collection 3090–0322’’, in 

all correspondence. 

Jeffrey Koses, 

Senior Procurement Executive, Office of 

Acquisition Policy, Office of Governmentwide Policy. 

[FR Doc. 2024–02040 Filed 1–31–24; 8:45 am] 

BILLING CODE P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Inpatient Severe Maternal Morbidity 

Measure Technical Specifications 

AGENCY: Agency for Healthcare Research 

and Quality, U.S. Department of Health 

and Human Services. 

ACTION: Notice of Request for 

Information. 

SUMMARY: The Agency for Healthcare 

Research and Quality (AHRQ) Center for 

Quality Improvement and Patient Safety 

(CQuIPS) Division of Quality 

Measurement and Improvement (QMI) 

invites public comment in response to 

this Request for Information (RFI). The 

AHRQ Quality Indicators (QI) program 

maintains inpatient quality indicators 

(https://qualityindicators.ahrq.gov/ 

measures/IQI_TechSpecTechSpec) and 

patient safety indicators (https://

qualityindicators.ahrq.gov/measures/ 

PSI_TechSpec), several of which are 

relevant to maternal health care. 

Specifically, the QI program maintains 

measures of obstetric trauma, birth 

trauma, and cesarean delivery 

calculated at the hospital level using 

administrative data. However, severe 

maternal morbidity during an inpatient 

stay may result from a host of 

complications, such as sepsis, cardiac 

failure, stroke, respiratory distress, and 

renal failure. While state-level rates of 

severe maternal morbidity are available 

from AHRQ (https://datatools.ahrq.gov/ 

hcup-fast-stats/?tab=specialemphasis&dash=92), experts have noted 

some shortcomings of this measure. 

This RFI seeks comments on the 

usability, feasibility, and likely uptake 

of a measure of severe maternal 

morbidity to be validated, refined, and 

maintained by the QI program, with the 

goal of providing data for maternal 

health service improvements. While a 

measure of severe maternal morbidity is 

currently available from AHRQ and the 

Health Resources and Service 

Administration (HRSA), several experts 

have suggested that this algorithm could 

benefit from refinements. 

DATES: Comments on this notice must be 

received at the address provided below 

within 30 days of publication of this 

notice, no later than March 4, 2024. 

ADDRESSES: Interested parties may 

submit comments electronically to 

askahrq@ahrq.hhs.gov. When 

submitting comments or requesting 

information, please include the 

document identifier number and project 

title ‘‘Inpatient Severe Maternal 

Morbidity Measure Technical 

Specifications’’ for reference. 

FOR FURTHER INFORMATION CONTACT: 

Questions may be addressed to Judy 

George, Program Lead for the AHRQ 

Quality Indicators, Judy.george@

ahrq.hhs.gov. 

SUPPLEMENTARY INFORMATION: Maternal 

health, including maternal behavioral 

health, is a national priority in the 

United States. Strengthening data 

collection and evaluation is part of the 

first goal of the White House Blueprint 

for Addressing the Maternal Health 

Crisis (https://www.whitehouse.gov/wpcontent/uploads/2022/06/MaternalHealth-Blueprint.pdf), which is to 

increase access to and coverage of 

comprehensive high-quality maternal 

health services, including behavioral 

health services. Unexpected 

complications and outcomes around 

labor and delivery may lead to short- or 

long-term consequences to women’s 

health (https://

pubmed.ncbi.nlm.nih.gov/27560600/), 

which have been defined as severe 

maternal morbidity (https://

www.cdc.gov/reproductivehealth/ 

maternalinfanthealth/ 

severematernalmorbidity.htmlhtml). 

National and state rates of severe 

maternal morbidity are currently 

available on AHRQ’s Healthcare Cost 

and Utilization Project (HCUP) Fast 

Stats dashboard (https://

datatools.ahrq.gov/hcup-fast-stats/ 

?tab=special-emphasis&dash=92). 

However, there are measurement 

concerns for some of indicators 

included in this measure (eclampsia, 

disseminated intravascular coagulation, 

and blood transfusions) and additional 

validation and refinement may be 

warranted. 

In collaboration with federal partners 

from the Department of Health and 

Human Services, AHRQ is exploring 

potential refinements to this measure of 

severe maternal morbidity for use at an 

area level (e.g., county, state) using 

administrative data. AHRQ aims to 

assess the validity and reliability of 

potential refinements to this severe 

maternal morbidity measure. In 

addition, AHRQ is considering 

incorporating a measure of severe 

maternal morbidity into its measure 

portfolio, including the production of 

technical specifications and the 

dissemination of software to calculate 

this measure through the AHRQ QI 

program. 

Many users of quality measures, such 

as state and local governments, largely 

rely on administrative data that lack the 

robust clinical information found in 

electronic health records (EHRs). For 

example, Centers for Medicaid and 

Medicare Services (CMS) has developed 

Electronic Clinical Quality Measures 

(ECQMs) for severe obstetric 

complications which relies upon EHR 

data. AHRQ aims to provide 

measurement resources that are broadly 

accessible across organizations, 

including for those lacking access to 

extensive clinical data. 

To support measurement resources 

that are broadly accessible across 

organizations, AHRQ requests public 

comment on the usability, feasibility, 

and likely uptake of an inpatient severe 

maternal morbidity measure, produced 

through the QI program using 

administrative data, with the intent of 

promoting maternal health service 

improvements at an area level (e.g., 

county, state). AHRQ invites 

stakeholders representing consumers, 

state/regional/local health departments, 

accountable care organizations, 

community health centers, birthing 

centers, providers/health systems, 

critical access/rural hospitals, 

professional associations, payers, rural 

and community health groups, 

community health workers, doulas, 

maternal health advocacy groups, 

researchers, and other members of the 

public to comment. 

Specific questions of interest include, 

but are not limited to: 

1. If you are currently measuring 

severe maternal morbidity in your 

organization, what measure(s) are you or 

your organization using? How do you 

use these measures? What data sources 

are you using? Please specify 

organization type in your answer. 

2. If you or your organization are not 

currently measuring severe maternal 

morbidity, what quantitative data would 

you need to make maternal health 

service improvements? Please specify 

organization type in your answer. 

3. At what level—state, county, or 

some other level—would information be 


ddrumheller on DSK120RN23PROD with NOTICES1