Federal Register / Vol. 87, No. 105 / Wednesday, June 1, 2022 / Notices 33173 

Dogs Into the United States. Federal Register, Vol. 

84,724–730. Retrieved from https://www.federal

register.gov/documents/2019/01/31/2019-00506/ 

guidance-regarding-agency-interpretation-of-rabiesfree-as-it-relates-to-the-importation-of-dogs. 

91Bureau of Labor Statistics (2020). May 2020 

National Occupational Employment and Wage 

Estimates: United States. Retrieved from https://

www.bls.gov/oes/current/oes_nat.htm. 

92Bureau of Labor Statistics (2020). May 2020 

National Occupational Employment and Wage 

Estimates: United States. Retrieved from https://

www.bls.gov/oes/current/oes_nat.htm. 

93Raybern, C., Zaldivar, A., Tubach, S., Ahmed, 

F., Moore, S., Kintner, C., Garrison, I. (2020) Rabies 

in a dog imported from Egypt-Kansas, 2019. 

Morbidity and Mortality Weekly Report, 69(38), 

1374–1377. Retrieved from https://www.cdc.gov/ 

mmwr/volumes/69/wr/pdfs/mm6938a5-H.pdf. 

94Centers for Disease Control and Prevention 

(2019). Guidance Regarding Agency Interpretation 

of ‘‘Rabies-Free’’ as It Relates to the Importation of 

Dogs Into the United States. Federal Register, Vol. 

84,724–730. Retrieved from https://www.federal

register.gov/documents/2019/01/31/2019-00506/ 

guidance-regarding-agency-interpretation-of-rabiesfree-as-it-relates-to-the-importation-of-dogs. 

95Raybern, C., Zaldivar, A., Tubach, S., Ahmed, 

F., Moore, S., Kintner, C., Garrison, I. (2020) Rabies 

in a dog imported from Egypt-Kansas, 2019. 

Morbidity and Mortality Weekly Report, 69(38), 

1374–1377. Retrieved from https://www.cdc.gov/ 

mmwr/volumes/69/wr/pdfs/mm6938a5-H.pdf. 

96Centers for Disease Control and Prevention 

(2019). Guidance Regarding Agency Interpretation 

of ‘‘Rabies-Free’’ as It Relates to the Importation of 

Dogs Into the United States. Federal Register, Vol. 

84,724–730. Retrieved from https://www.federal

register.gov/documents/2019/01/31/2019-00506/ 

guidance-regarding-agency-interpretation-of-rabiesfree-as-it-relates-to-the-importation-of-dogs. 

• The public health response time is

split evenly among veterinarians (code 

29–1131, $52.09 per hour), 

epidemiologists (19–1041, $40.20 per 

hour), registered nurses (29–1141, 

$38.47 per hour), licensed practical 

nurses (29–2061, $24.08 per hour), and 

office and administrative assistants (43– 

0000, $20.38 per hour).91,92 These wage 

estimates are multiplied by two to 

account for non-wage benefits and 

overhead. 

• An average of 25 (range: 16 to 44)

individuals will require post-exposure 

prophylaxis because of exposure to the 

dog with CRVV.93 94

• The average cost of post-exposure

prophylaxis was estimated to be $9,524 

per person.95

• An estimated 29.6 animals would

need to be quarantined or euthanized 

due to exposure to the dog with CRVV. 

• Public health follow-up of each

exposed animal would incur economic 

costs of $1,000 for quarantine or 

euthanasia.96

[FR Doc. 2022–11752 Filed 5–26–22; 4:15 pm] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Proposed Collection: Public 

Comment Request: Health Center 

Workforce Well-Being Survey 

Evaluation and Technical Assistance; 

OMB No. 0915–xxxx—NEW. 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: In compliance with the 

requirement for opportunity for public 

comment on proposed data collection 

projects of the Paperwork Reduction Act 

of 1995, HRSA announces plans to 

submit an Information Collection 

Request (ICR), described below, to the 

Office of Management and Budget 

(OMB). Prior to submitting the ICR to 

OMB, HRSA seeks comments from the 

public regarding the burden estimate, 

below, or any other aspect of the ICR. 

DATES: Comments on this ICR should be 

received no later than July 1, 2022. 

ADDRESSES: Submit your comments to 

paperwork@hrsa.gov or by mail to the 

HRSA Information Collection Clearance 

Officer, Room 14N136B, 5600 Fishers 

Lane, Rockville, MD 20857. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on the 

proposed project or to obtain a copy of 

the data collection plans and draft 

instruments, email paperwork@hrsa.gov 

or call Samantha Miller, the acting 

HRSA Information Collection Clearance 

Officer at (301) 443–9094. 

SUPPLEMENTARY INFORMATION: When 

submitting comments or requesting 

information, please include the 

information collection request title for 

reference. 

Information Collection Request Title: 

Health Center Workforce Well-being 

Survey Evaluation and Technical 

Assistance OMB No. 0906–XXXX— 

New. 

Abstract: The Health Center Program, 

authorized by section 330 of the Public 

Health Service Act, 42 U.S.C. 254b, and 

administered by HRSA, Bureau of 

Primary Health Care, supports the 

provision of community-based 

preventive and primary health care 

services to millions of medically 

underserved and vulnerable people. 

Health centers employ over 400,000 

health care staff (i.e., physicians, 

medical, dental, mental and behavioral 

health, vision services, pharmacy, 

enabling services, quality improvement, 

and facility and non-clinical support 

staff.) 

Provider and non-provider staff wellbeing is essential to recruiting and 

retaining staff, thus supporting access to 

quality health care and services through 

the Health Center Program. HRSA has 

created a nationwide Health Center 

Workforce Well-being Survey to identify 

and address challenges related to 

provider and staff well-being. The 

survey will be administered to all fulltime and part-time health center staff in 

the fall of 2022 to identify conditions 

and circumstances that affect staff wellbeing at HRSA funded health centers, 

including the scope and nature of 

workforce well-being, job satisfaction, 

and burnout. This information can 

inform efforts to improve workforce 

well-being and maintain high quality 

patient care. 

The Health Center Workforce Wellbeing Survey aims to collect and 

analyze data from no less than 85 

percent of health center staff. HRSA will 

utilize stakeholder engagement 

strategies to support survey completion 

targets. The HRSA contractor will 

request email addresses for all health 

center staff from health center 

leadership. Using the email addresses 

provided, the contractor will administer 

the online survey to ensure data quality 

and respondent confidentiality. 

Participation in the Health Center 

Workforce Well-being Survey is 

voluntary for all health center staff. The 

contractor will analyze the responses 

and provide analytic reports. HRSA will 

disseminate the summary level data for 

public use, including preparing 

preliminary findings and analytic 

reports. 

A 60-day Notice was published in the 

Federal Register, 87, FR 14019 (March 

11, 2022). One public comment was 

received and recommended shortening 

the survey from the current 30 minutes 

to 10–15 minutes to complete and 

provided suggestions on how to shorten 

the survey. This comment also 

recommended distributing the survey to 

Look-Alikes (LALs) to increase the 

number of survey respondents and for 

more diverse survey analysis. 

HRSA received four public requests 

for materials that included one request 

for a copy of the draft ICR for the Health 

Center Workforce Well-being Survey, 

and three requests for a copy of the 

Health Center Workforce Well-being 

Survey. In response to receiving a copy 

of the Health Center Workforce Wellbeing Survey, one of the requesters 

noted concerns about sending 

individual health center staff email 

addresses to HRSA’s contractor carrying 

out the survey. In response to this 


jspears on DSK121TN23PROD with NOTICES1
33174 Federal Register / Vol. 87, No. 105 / Wednesday, June 1, 2022 / Notices 

1West, CP, Dyrbye, L.N., Satele, D.V, Sloan, J.A., 

& Shanafelt, T.D. (2012). Concurrent validity of 

single-item measures of emotional exhaustion and 

depersonalization in burnout assessment. J Gen 

Intern Med, 27(11 PG–1445–52), 1445–1452. https:// 

doi.org/10.1007/s11606-012-2015-7. 

concern, HRSA informed the 

commenter that the contractor 

conducting the survey would address 

this by issuing each health center a 

document ‘‘in advance of the survey roll 

out that will detail the extensive 

precautions and guarantees regarding 

the collection, storage, use, and 

destruction of the email addresses 

provided, as well as the data security, 

de-identification, and reporting 

aggregation procedures that will be 

utilized to protect the content of the 

responses and the confidentiality of the 

respondents. If a health center has 

remaining concerns that are not 

addressed by those procedures, our 

team will directly discuss alternate 

means by which a tracked and closed 

response could be collected from staff at 

that organization.’’ 

Need and Proposed Use of the 

Information: Health care workforce 

burnout has been a challenge even prior 

to COVID–19 and other recent public 

health crises. Clinicians and health care 

staff have reported experiencing 

alarming rates of burnout, characterized 

as a high degree of emotional 

exhaustion, depersonalization, and a 

low sense of personal accomplishment 

at work.1 Understanding the factors 

impacting workforce well-being and 

satisfaction, reducing burnout, and 

applying evidence-based technical 

assistance and other quality 

improvement strategies around 

workforce well-being is essential as the 

health center program health care 

workforce continues to respond to and 

recover from the COVID–19 pandemic 

and prepare for future health care 

delivery challenges. 

Administration of the Health Center 

Workforce Well-being Survey will 

provide a comprehensive baseline 

assessment of health center workforce 

well-being and identify opportunities to 

improve workforce well-being and 

bolster technical assistance and other 

strategies. These efforts will further 

HRSA’s goal of providing access to 

quality health care and supporting a 

robust primary care workforce. 

Likely Respondents: Health center 

staff in HRSA funded health centers. 

Burden Statement: Burden in this 

context means the time expended by 

persons to generate, maintain, retain, 

disclose, or provide the information 

requested. This includes the time 

needed to review instructions; to 

develop, acquire, install, and utilize 

technology and systems for the purpose 

of collecting, validating and verifying 

information, processing and 

maintaining information, and disclosing 

and providing information; to train 

personnel and to be able to respond to 

a collection of information; to search 

data sources; to complete and review 

the collection of information; and to 

transmit or otherwise disclose the 

information. The total annual burden 

hours estimated for this ICR are 

summarized in the table below. 

TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

Health Center Workforce Survey ......................................... 400,000 1 400,000 .50 200,000 

Health Center Leader Support Activities ............................. 1,400 1 1,400 2.00 2,800 

Total .............................................................................. 401,400 ........................ 401,400 ........................ 202,800 

HRSA specifically requests comments 

on (1) the necessity and utility of the 

proposed information collection for the 

proper performance of the agency’s 

functions; (2) the accuracy of the 

estimated burden; (3) ways to enhance 

the quality, utility, and clarity of the 

information to be collected; and (4) the 

use of automated collection techniques 

or other forms of information 

technology to minimize the information 

collection burden. 

Maria G. Button, 

Director, Executive Secretariat. 

[FR Doc. 2022–11710 Filed 5–31–22; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Establishment of the Office of 

Environmental Justice 

AGENCY: Office of the Assistant 

Secretary for Health, Office of the 

Secretary, Department of Health and 

Human Services. 

ACTION: Notice. 

SUMMARY: The Office of the Assistant 

Secretary for Health (OASH) has 

modified its structure. This notice 

announces the establishment of the 

Office of Environmental Justice in 

OASH’s Office of Climate Change and 

Health Equity. 

DATES: This reorganization was 

approved by the Secretary of Health and 

Human Services and takes effect May 

31, 2022. 

SUPPLEMENTARY INFORMATION: Statement 

of Organization and Functions, Part A, 

Office of the Secretary, Statement of 

Organization and Function for the U.S. 

Department of Health and Human 

Services (HHS or the Department) is 

being amended at Chapter AC, Office of 

the Assistant Secretary for Health 

(OASH), as last amended at 86 FR 

48745, dated August 31, 2021, 75 FR 

53304, dated August 31, 2010, and 72 

FR 58095–96, dated October 12, 2007. 

Background: Executive Order 14008, 

Tackling the Climate Crisis at Home and 

Abroad, directs agencies, including 

Department of Health and Human 

Services to make achieving 

environmental justice part of its mission 

by developing programs, policies, and 

activities to address the 

disproportionately high and adverse 

human health, environmental, and 

climate-related and other cumulative 

impacts on disadvantaged communities. 

This amendment reflects the 

establishment of an office to coordinate 

and provide expertise to support the 

Department’s efforts to protect the 

health of disadvantaged communities 

and vulnerable populations on the 

frontlines of pollution and 

environmental hazards. Specifically, the 

changes are as follows: 

A. Under Part A, Chapter AC, under 

the Office of the Assistant Secretary for 

Health, add the following: 

1. The Office of Environmental Justice 

(OEJ) is headed by a Director who 

reports to the Assistant Secretary for 


jspears on DSK121TN23PROD with NOTICES1