47738 Federal Register / Vol. 82, No. 197 / Friday, October 13, 2017 / Notices 

Following approval, course sponsors 

submit any subsequent changes to the 

course via letter or email. In addition, 

NIOSH staff review subsequent changes 

to assure that the changes in faculty or 

course content continue to meet course 

requirements. Course sponsors also 

voluntarily submit an annual report to 

inform NIOSH of their class activity 

level and any faculty changes. 

Sponsors who elect to have their 

approval renewed for an additional fiveyear period submit a renewal 

application and supporting 

documentation for review by NIOSH 

staff to ensure the course curriculum 

meets all current standard requirements. 

Approved courses that elect to offer 

NIOSH-Approved Spirometry Refresher 

Courses must submit a separate 

application and supporting documents 

for review by NIOSH staff. Institutions 

and organizations throughout the 

country voluntarily submit applications 

and materials to become course 

sponsors and carry out training. 

Submissions are required for NIOSH to 

evaluate a course and determine 

whether the course meets the Standard’s 

criteria and whether technicians meet 

the training requirements. 

NIOSH will disseminate a one-time 

customer satisfaction survey to course 

directors and sponsor representatives to 

evaluate our service to courses, the 

effectiveness of the program changes 

implemented since 2005, and the 

usefulness of potential Program 

enhancements. The annualized figures 

slightly overestimate the actual burden, 

due to rounding of the number of 

respondents for even allocation over the 

three-year clearance period. 

The respondent burden hours have 

decreased from 201 burden hours to 147 

burden hours. Over the last three-year 

period, there are fewer sponsors, fewer 

refresher course applications, and all 

collection instruments are now available 

in electronic submittal formats. 

There will be no cost to respondents. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses 

per 

respondent 

Average 

burden per 

response 

(in hours) 

Potential Sponsors .................. Initial Application .................................................................... 3 1 3.5 

Annual Report ........................................................................ 30 1 30/60 

Report for Course Changes ................................................... 24 1 30/60 

Renewal Application ............................................................... 13 1 6 

Refresher Course Application ................................................ 3 1 8 

One-time Customer Satisfaction Survey ................................ 32 1 12/60 

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. 2017–22198 Filed 10–12–17; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–17–17BAM; Docket No. CDC–2017– 

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 

entitled Implementing the 6|18 

Initiative: Case Studies. CDC proposes 

to seek a three-year clearance to conduct 

semi-structured interviews with state 

public health department and Medicaid 

agency officials. CDC designed this 

information collection project to 

improve understanding of facilitators 

and barriers to increased utilization of 

evidence-based interventions for 

selected chronic and infectious diseases. 

DATES: CDC must receive written 

comments on or before December 12, 

2017. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2017– 

0080 by any of the following methods: 

• Federal eRulemaking Portal: 

Regulations.gov. Follow the instructions 

for submitting comments. 

• Mail: Leroy A. Richardson, 

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. Access 

Regulations.gov. 

Please note: Submit all public 

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 Leroy A. 

Richardson, 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 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 


asabaliauskas on DSKBBXCHB2PROD with NOTICES
Federal Register / Vol. 82, No. 197 / Friday, October 13, 2017 / Notices 47739 

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, 

including the validity of the 

methodology and assumptions used; 

3. Enhance the quality, utility, and 

clarity of the information to be 

collected; and 

4. Minimize the burden of the 

collection of information on those who 

are to respond, including through the 

use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology, 

e.g., permitting electronic submissions 

of responses. 

Proposed Project 

Implementing the 6|18 Initiative: Case 

Studies—New—Office of the Director 

(OD), Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

Major trends in health care are 

providing new opportunities to pay for 

and deliver prevention and to improve 

population health. New and alternative 

health care payment and delivery 

models are more patient-centered and 

facilitate the delivery of greater 

comprehensive care and prevention. 

Public health departments have been 

eager to leverage their skill sets and 

resources to complement those of the 

health care sector, to maximize impact 

for population health in this time of 

dynamic health system change and 

opportunity. 

In this context, CDC developed the 

CDC’s 6|18 Initiative to provide health 

care purchasers, payers, and providers 

with rigorous evidence about highburden health conditions and associated 

evidence-based interventions. With a 

focus on the greatest short-term health 

and potential cost impact (generally in 

less than five years), the evidence 

informs their coverage decisions. 

The name ‘‘6|18’’ comes from the 

initial focus on six common, costly and 

preventable health conditions (tobacco 

use, high blood pressure, diabetes, 

asthma, healthcare-associated infections 

and unintended pregnancies) and 18 

evidence-based prevention and control 

interventions, which form the content of 

dialogue with health care purchasers, 

payers and providers. More information 

on the Initiative content and progress 

can be found at http://www.cdc.gov/ 

sixeighteen. 

The 6|18 initiative links the health 

care and public health sectors by 

providing a shared focus across a 

spectrum of prevention interventions, 

from traditional clinical settings to care 

outside the clinical setting. Public 

health’s strength in identifying and 

analyzing scientific evidence 

complements the purchaser, payer, and 

provider role of financing and 

delivering care. 

Since cross-sector public healthhealth care collaboration to improve 

population health is still not a standard 

practice, information regarding publicpayer collaboration with public health 

agencies is scarce. There are few or no 

case studies related to public healthhealth care collaboration around 

increasing preventive service 

utilization. CDC intends to fill this 

knowledge gap through this data 

collection effort. 

As part of the 6|18 Initiative, CDC and 

its partners (Center for Health Care 

Strategies, Inc. (CHCS) and the Centers 

for Medicare and Medicaid Services 

(CMS)) provided technical assistance to 

state teams (i.e., State Medicaid and 

Public Health Agencies), to support and 

accelerate their implementation of the 

6|18 Initiative’s interventions. In Year 1 

of the 6|18 Initiative (2016), CDC and its 

partners worked with nine state teams. 

In Year 2 (2017), CDC and its partners 

will work with 8 new teams from 6 

states, the District of Columbia, and a 

large city (hereafter, ‘‘states’’). No data 

has been collected to date. 

To document qualitative lessons 

learned related to the collaboration, 

CDC and its cooperative agreement subcontractor, George Washington 

University, plan to conduct in-person 

and telephone semi-structured 

individual interviews with state Public 

Health Department and State Medicaid 

Agency officials. 

Interview participants will have been 

directly involved in conceptualizing, 

planning, and/or implementing 6|18 

Initiative-related activities, and will 

have participated in the cross-sector 

collaboration. CDC plans to engage up to 

82 respondents (four to seven officials 

from each of the 17 state teams who 

participated in the 6|18 Initiative). The 

officials from each state team will be 

leadership and staff from public health 

agencies at the state, city, and tribal 

level. For each state, we will request 

interviews with: One Public Health 

Division Director, one to four Public 

Health Services Managers (one per 

health condition), one Medicaid 

Director, and one Medicaid Services 

Manager. When joining the 6|18 

Initiative, each state selected one to four 

conditions from the list of 6|18 

conditions, and assigned one public 

health manager to each condition. 

CDC plans to administer the 

interviews from 2018 to 2021, to allow 

time for unanticipated delays; and to 

accommodate state team schedules, 

busy seasons, and holidays. All 

participants will speak in their official 

capacity as state public health 

department or Medicaid agency 

officials. Prior to granting public access 

to written products, CDC will provide 

participants the opportunity to review 

written products. 

CDC anticipates using the interview 

findings: (1) To describe, disseminate, 

and scale best practices to participating 

and non-participating states, and (2) for 

program improvement of the CDC’s 6|18 

Initiative. CDC will disseminate 

findings via written products such as 

peer-reviewed manuscripts and indepth written case studies. The written 

products, which will share lessons 

learned and effective approaches to 

collaboration, can inform and 

potentially accelerate related efforts by 

other state teams. In addition, 6|18 

participants can use findings and 

written products to highlight their 

accomplishments to their stakeholders, 

such as their Medicaid leadership, and/ 

or governors. 

Participants will have a maximum 

estimated burden of one hour and 15 

minutes: One hour for the interview, 

and fifteen minutes for any needed 

preparation. CDC will base all 

interviews on the same interview guide. 

CDC will seek a three-year OMB 

approval for this information collection 

project. CDC estimates that they will 

conduct 29 interviews per year. 

Participation is voluntary and 

respondents will not receive incentives 

for participation. There are no costs to 

respondents other than their time. 


asabaliauskas on DSKBBXCHB2PROD with NOTICES
47740 Federal Register / Vol. 82, No. 197 / Friday, October 13, 2017 / Notices 

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 

(in hours) 

State Public Health Director ........................................................ Interview Guide ...... 6 1 75/60 8 

State Public Health Manager ...................................................... Interview Guide ...... 11 1 75/60 14 

State Medicaid Director ............................................................... Interview Guide ...... 6 1 75/60 8 

State Medicaid Manager ............................................................. Interview Guide ...... 6 1 75/60 8 

Total ...................................................................................... ................................ .................... .................... .................... 38 

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. 2017–22200 Filed 10–12–17; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–17–0621; Docket No. CDC–2017– 

0092] 

Proposed Data Collections 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 efforts to reduce public 

burden and maximize the utility of 

government information, invites the 

general public and other Federal 

agencies to take this opportunity to 

comment on proposed and/or 

continuing information collections, as 

required by the Paperwork Reduction 

Act of 1995. This notice invites 

comment on the proposed revision of 

the information collection project 

entitled National Youth Tobacco 

Surveys (NYTS) 2018–2020, which aims 

to collect data on tobacco use among 

middle- and high school students. 

DATES: Written comments must be 

received on or before December 12, 

2017. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2017– 

0092 by any of the following methods: 

• Federal eRulemaking Portal: 

Regulations.gov. Follow the instructions 

for submitting comments. 

• Mail: Leroy A. Richardson, 

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 Federal 

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 Leroy A. 

Richardson, 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, 

including the validity of the 

methodology and assumptions used; 

3. Enhance the quality, utility, and 

clarity of the information to be 

collected; and 

4. Minimize the burden of the 

collection of information on those who 

are to respond, including through the 

use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology, 

e.g., permitting electronic submissions 

of responses. 

5. Assess information collection costs. 

Proposed Project 

National Youth Tobacco Surveys 

(NYTS) 2018–2020 (OMB Control 

Number 0920–0621, expires 01/31/ 

2018)—Revision—National Center for 

Chronic Disease Prevention and Health 

Promotion (NCCDPHP), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

Tobacco use is the leading cause of 

preventable disease and death in the 

United States, and nearly all tobacco use 

begins during youth and young 

adulthood. A limited number of health 

risk behaviors, including tobacco use, 

account for the overwhelming majority 

of immediate and long-term sources of 

morbidity and mortality. Because many 

health risk behaviors are established 

during adolescence, there is a critical 

need for public health programs 

directed towards youth, and for 

information to support these programs. 

Since 2004, the Centers for Disease 

Control and Prevention (CDC) has 

periodically collected information about 

tobacco use among adolescents 

(National Youth Tobacco Survey 

(NYTS) 2004, 2006, 2009, 2011, 2012, 

2013–2017, OMB Control Number 

0920–0621). This surveillance activity 

builds on previous surveys funded by 

the American Legacy Foundation in 

1999, 2000, and 2002. 

At present, the NYTS is the most 

comprehensive source of nationally 

representative tobacco data among 

students in grades 9–12, moreover, the 


asabaliauskas on DSKBBXCHB2PROD with NOTICES