43992 Federal Register / Vol. 82, No. 181 / Wednesday, September 20, 2017 / Notices 

For this project, we will use data from 

U.S. state birth defect surveillance 

systems to identify a population-based 

sample of individuals 18 to 45 years of 

age born with CHD. We will then use an 

automated process of searching state 

databases and online search engines, as 

well as have individuals perform more 

time-intensive online searches to find 

current addresses for those eligible 

participants and mail surveys to them 

inquiring about their barriers to health 

care, quality of life, social and 

educational outcomes, and transition of 

care from childhood to adulthood. The 

information collected from this 

population-based survey will be used to 

inform current knowledge, allocate 

resources, develop services, and, 

ultimately, improve long-term health of 

adults born with CHD. 

We estimate sending a survey to 4,183 

individuals with CHD over a 2-year 

period, and receiving completed surveys 

from 2,928 individuals (70%). The 

survey takes approximately 20 minutes 

to complete. The contact information 

form takes approximately two minutes 

to complete. There are no costs to 

participants other than their time. The 

total estimated annual burden hours are 

711. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses 

per 

respondent 

Average 

burden 

per response 

(in hours) 

Total 

burden hours 

Individuals aged 18–45 years who 

were born with a congenital heart 

defect.

Survey questionnaire ....................... 2,092 1 20/60 697 

English-speaking mothers of respondents.Contact Information Form—English 356 1 2/60 12 

Spanish-speaking mothers of respondents.Contact Information Form—Spanish 63 1 2/60 2 

Total ........................................... ........................................................... ........................ ........................ ........................ 711 

Leroy A. Richardson, 

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. 2017–20008 Filed 9–19–17; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Agency Recordkeeping/Reporting 

Requirements Under Emergency 

Review by the Office of Management 

and Budget (OMB) 

Title: Administration for Children & 

Families (ACF) Electronic Case 

Management System (ECMRS). 

OMB No.: Revision of 0970–0461. 

Description: The recent climatic 

events of Hurricane Harvey and 

Hurricane Irma have created 

catastrophic disasters in Texas, 

Louisiana, Puerto Rico, U.S. Virgin 

Islands, and Florida. President Trump 

has declared these climatic events as 

major disaster declarations. FEMA is 

providing assistances to these states and 

territories under declaration numbers 

DR–4332 & DR–4337. 

There are looming public health 

issues related to flooding, and especially 

among at risk populations. Risks 

include contracting water-borne and 

vector-borne diseases, substance abuse, 

and mental health concerns, including 

PTSD, depression, anxiety, and 

homelessness. 

Therefore, it is essential for the 

mission of ACF to activate the 

Immediate Disaster Case Management 

(IDCM) Electronic Case Management 

Record System (ECMRS). The ECMRS 

will be used to collect and manage 

information from the disaster affected 

clients. This information includes 

demographics, disaster caused unmet 

needs, and referrals provided. The 

information collected is critical to 

develop a recovery plan for each 

survivor. 

Respondents: Clients. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

Immediate Disaster Case Management .......................................................... 406,500 1 1 406,500 

Additional Information: ACF is 

requesting that OMB grant a 180-day 

approval for this information collection 

under procedures for emergency 

processing by September 22, 2017. A 

copy of this information collection, with 

applicable supporting documentation, 

may be obtained by calling the 

Administration for Children and 

Families, Reports Clearance Officer, 

Robert Sargis at (202) 690–7275. Email 

address: rsargis@acf.hhs.gov. 

Comments and questions about the 

information collection described above 

should be directed to the following 

address by September 22, 2017. Office 

of Information and Regulatory Affairs, 

Office of Management and Budget, 

Paperwork Reduction Project, Desk 

Officer for ACF. 


sradovich on DSKBBY8HB2PROD with NOTICES
Federal Register / Vol. 82, No. 181 / Wednesday, September 20, 2017 / Notices 43993 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 2017–20022 Filed 9–19–17; 8:45 am] 

BILLING CODE 4184–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Notice of Availability of Final Policy 

Document 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services (HHS). 

ACTION: Notice. 

SUMMARY: The Health Center Program 

Compliance Manual (Compliance 

Manual) has been developed as a 

comprehensive, significantly 

streamlined, and web-based guidance 

document to assist health centers in 

understanding and demonstrating 

compliance with Health Center Program 

requirements. As such, this guidance 

document will reduce burden for 

current and prospective health centers 

and look-alikes and further strengthen 

HRSA’s oversight of the Health Center 

and Health Center Federal Tort Claims 

Act (FTCA) Programs. It also responds 

to recommendations contained within 

the Government Accountability Office 

report, Health Center Program: 

Improved Oversight Needed to Ensure 

Grantee Compliance with Requirements, 

GAO–12–546, for increased 

transparency, clarity, and consistency in 

Health Center Program oversight. 

The Bureau of Primary Health Care 

(BPHC) released a draft Compliance 

Manual on August 23, 2016, for a 90-day 

public comment period. Individuals and 

groups submitted over 700 comments 

regarding the draft Compliance Manual. 

After thorough review and 

consideration of all comments received, 

HRSA made a substantial number of 

updates to the Compliance Manual to 

incorporate suggestions and requests for 

further clarification. HRSA has also 

posted a summary of comments for each 

corresponding section and chapter of 

the Compliance Manual and HRSA’s 

responses to these comments. HRSA’s 

‘‘Summary of Comments and HRSA 

Responses on the Draft Health Center 

Program Compliance Manual’’ is 

available online at https://

bphc.hrsa.gov/programrequirements/ 

pdf/healthcentercompliancemanualcomments.pdf. The Compliance 

Manual, which was effective August 28, 

2017, is available online at https://

bphc.hrsa.gov/programrequirements/ 

pdf/healthcentercomplianc

emanual.pdf. All Health Center Program 

non-regulatory policy issuances that 

remain in effect after release of the 

Compliance Manual are listed in 

Appendix A of the Compliance Manual. 

With the exception of these policies, the 

Compliance Manual supersedes other 

previous Health Center Program nonregulatory policy issuances related to 

Health Center Program compliance or 

eligibility requirements. 

FOR FURTHER INFORMATION CONTACT: For 

questions regarding this notice, contact 

HRSA/BPHC at https://www.hrsa.gov/ 

about/contact/bphc.aspx. 

SUPPLEMENTARY INFORMATION: 

Executive Orders 12866, 13563 and 

13771 

Executive Orders 12866 and 13563 

direct agencies to assess all costs and 

benefits of available regulatory 

alternatives and, if regulation is 

necessary, to select regulatory 

approaches that maximize net benefits 

(including potential economic, 

environmental, public health and safety 

effects, distributive impacts, and 

equity). Executive Order 13563 is 

supplemental to and reaffirms the 

principles, structures, and definitions 

governing regulatory review as 

established in Executive Order 12866, 

emphasizing the importance of 

quantifying both costs and benefits, of 

reducing costs, of harmonizing rules, 

and of promoting flexibility. Section 3(f) 

of Executive Order 12866 defines a 

‘‘significant regulatory action’’ as an 

action that is likely to result in a rule: 

(1) Having an annual effect on the 

economy of $100 million or more in any 

1 year, or adversely and materially 

affecting a sector of the economy, 

productivity, competition, jobs, the 

environment, public health or safety, or 

State, local, or Tribal governments or 

communities (also referred to as 

‘‘economically significant’’); (2) creating 

a serious inconsistency or otherwise 

interfering with an action taken or 

planned by another agency; (3) 

materially altering the budgetary 

impacts of entitlement grants, user fees, 

or loan programs or the rights and 

obligations of recipients thereof; or (4) 

raising novel legal or policy issues 

arising out of legal mandates, the 

President’s priorities, or the principles 

set forth in the Executive Order. A 

regulatory impact analysis (RIA) must 

be prepared for major rules with 

economically significant effects ($100 

million or more in any 1 year), and a 

‘‘significant’’ regulatory action is subject 

to review by the Office of Management 

and Budget (OMB). 

Executive Order 13771, entitled 

Reducing Regulation and Controlling 

Regulatory Costs, was issued on January 

30, 2017. Section 2(a) of Executive 

Order 13771 requires an agency, unless 

prohibited by law, to identify at least 

two existing regulations to be repealed 

when the agency publicly proposes for 

notice and comment or otherwise 

promulgates a new regulation. In 

furtherance of this requirement, section 

2(c) of Executive Order 13771 requires 

that the new incremental costs 

associated with new regulations shall, to 

the extent permitted by law, be offset by 

the elimination of existing costs 

associated with at least two prior 

regulations. OMB’s interim guidance 

issued on February 2, 2017, explains 

that for fiscal year 2017 the above 

requirements only apply to each new 

‘‘significant regulatory action that 

imposes costs.’’ It has been determined 

that the Compliance Manual is not a 

‘‘significant regulatory action that 

imposes costs’’ and thus does not trigger 

the above requirements of Executive 

Order 12866 or of Executive Order 

13771. 

Background 

HRSA provides grants to eligible 

applicants under section 330(e), (g), (h), 

and/or (i) of the Public Health Service 

(PHS) Act, as amended (42 U.S.C. 254b), 

to support the delivery of preventive 

and primary care services to medically 

underserved communities and 

vulnerable populations. Nearly 1,400 

Health Center Program-funded health 

centers operate approximately 10,400 

service delivery sites that provide care 

to nearly 26 million patients in every 

U.S. state, the District of Columbia, 

Puerto Rico, the U.S. Virgin Islands, and 

the Pacific Basin. Note that for the 

purposes of the Compliance Manual, the 

term ‘‘health center’’ refers to entities 

that receive a federal award under 

section 330 of the PHS Act, as amended, 

grant subrecipients, and organizations 

designated as look-alikes, unless 

otherwise stated within the Compliance 

Manual. Look-alikes, as described in 

Sections 1861(aa)(4)(B) and 1905(l)(2)(B) 

of the Social Security Act (42 U.S.C. 

1395x(aa)(4)(B) and 42 U.S.C. 

1396d(l)(2)(B)(iii)), do not receive a 

Health Center Program award but must 

meet the Health Center Program 

statutory and regulatory requirements. 

Organizations designated as look-alikes 

are eligible for payment as a Federally 

Qualified Health Center under 

Medicare, Medicaid, and the State 

Children’s Health Insurance Program 

(CHIP), as well as participation in the 

340B Drug Pricing Program and the 

National Health Service Corps Program. 


sradovich on DSKBBY8HB2PROD with NOTICES