Federal Register / Vol. 82, No. 199 / Tuesday, October 17, 2017 / Notices 48233 

Background: The WTCHP is 

administered by NIOSH. The James 

Zadroga 9/11 Health and Compensation 

Act of 2010, Public Law 111–347 

(hereafter referred to as ‘‘the Zadroga 

Act’’) was signed by President Obama 

on January 2, 2011, and was reauthorized on December 18, 2015. The 

Zadroga Act continues monitoring and 

treatment activities and requires the 

establishment (under Subtitle C) of a 

research program on health conditions 

resulting from the September 11, 2001, 

terrorist attacks. For additional 

information on the program please refer 

to: http://www.cdc.gov/wtc. 

The Zadroga Act lists the following 

broad research areas: 

• Physical and mental health 

conditions that may be related to the 

September 11, 2001, terrorist attacks; 

• Diagnosing WTC-related health 

conditions for which there has been 

diagnostic uncertainty; and 

• Treating WTC-related health 

conditions for which there has been 

treatment uncertainty. 

Research mentioned in the Zadroga 

Act includes epidemiologic and other 

research studies on WTC-related health 

conditions or emerging conditions 

among (1) enrolled WTC responders and 

certified-eligible WTC survivors under 

treatment; (2) sampled populations 

outside the NYC disaster area, in 

Manhattan (as far north as 14th Street) 

and in Brooklyn; and (3) control 

populations, to identify potential for 

long-term adverse health effects in less 

exposed populations. 

Major areas of interest include, but are 

not limited to, the following: 

Linking 9/11 exposure to health 

conditions: 

• Cancers, multisystem or 

autoimmune, cardiovascular and 

neurologic disease (including age at 

diagnosis); 

• Characterizing patterns of illness 

(age, gender, comorbidities, etc.); and 

• Characterizing alterations in health 

and development for those exposed to 

9/11 as children. 

Characterizing established WTCrelated diseases and comorbidities: 

• Identifying phenotypes, biomarkers, 

epigenetics; and 

• Care models that address complex 

co-morbidities and other modifiable 

factors. 

• Health services research and valuebased care that addresses disasterrelated injury and illness for chronic 

disease. 

(Note: Health services research 

examines how people get access to 

health care, how much care costs, and 

what happens to patients as a result of 

this care. The main goals of health 

services research are to identify the 

most effective ways to organize, 

manage, finance, and deliver high 

quality care; reduce medical errors; and 

improve patient safety (Agency for 

Healthcare Research and Quality, 2002). 

Characterizing the work-ability and 

occupational outcomes for those 

impacted by 9/11. 

Lessons learned in recovery: 

• Identifying and operationalizing 

key elements of psychological resilience 

for disaster responders; and 

• Establishing comparison groups for 

disaster-related research for key health 

indicators for first responders. 

(Note: Concepts of psychological 

resilience vary across disciplines with 

investigations addressing various 

outcomes ranging from reported levels 

of stress, burnout, compassion fatigue, 

and general indicators of well-being. 

Also proposed are interpersonal, 

intrapersonal and environmental factors 

that suggest a more stable and enduring 

personality trait impacting selfregulation.) 

Relevant diseases or conditions 

include, but are not limited to, the 

following: 

• Respiratory diseases 

• Cancer (including detection/diagnosis 

of pre-malignant changes) 

• Cardiovascular Disease 

• Psychological resilience and wellbeing 

• Persistent psychiatric conditions such 

as posttraumatic stress, anxiety and 

depressive disorders 

• Cognitive changes 

• Aging—the impacts of aging on those 

impacted by 9/11 illness and injury 

• Neurological Diseases 

• Aerodigestive health 

• Multisystem or auto-immune diseases 

• Gastro-esophageal disorders 

• Gastrointestinal health 

• Chronic musculoskeletal conditions 

resulting from acute traumatic injury 

and overuse disorders 

The Director, Management Analysis 

and Services Office, has been delegated 

the authority to sign Federal Register 

notices pertaining to announcements of 

meetings and other committee 

management activities for both the 

Centers for Disease Control and 

Prevention and the Agency for Toxic 

Substances and Disease Registry. 

Elaine L. Baker, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. 2017–22436 Filed 10–16–17; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Form ACF–196R, ‘‘TANF 

Quarterly Financial Report’’ 

OMB No.: 0970–0446 

Description: This information 

collection is authorized under Section 

411(a)(3) of the Social Security Act. This 

request is for continued approval of 

Form ACF–196R for quarterly financial 

reporting under the Temporary 

Assistance for Needy Families (TANF) 

program. States participating in the 

TANF program are required by statute to 

report financial data on a quarterly 

basis. The forms meet the legal standard 

and provide essential data on the use of 

federal TANF funds. Failure to collect 

the data would seriously compromise 

ACF’s ability to monitor program 

expenditures, estimate funding needs, 

and to prepare budget submissions and 

annual reports required by Congress. 

Financial reporting under the TANF 

program is governed by 45 CFR part 

265. 

This form was first developed in 2014 

to replace Form ACF–196. No changes 

are being proposed with this request for 

OMB review. No comments were 

received in response to the publication 

of the initial Federal Register Notice on 

May 30, 2017, 82 FR 24714. 

Respondents: State agencies 

administering the TANF program (50 

States plus the District of Columbia) 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total 

burden hours 

ACF–196R ....................................................................................................... 51 4 14 2,856 


sradovich on DSK3GMQ082PROD with NOTICES
48234 Federal Register / Vol. 82, No. 199 / Tuesday, October 17, 2017 / Notices 

Estimated Total Annual Burden 

Hours: 2,856. 

Additional Information: Copies of the 

proposed collection may be obtained by 

writing to the Administration for 

Children and Families, Office of 

Planning, Research and Evaluation, 330 

C Street SW., Washington, DC 20201, 

Attn: Reports Clearance Officer. All 

requests should be identified by the title 

of the information collection. Email 

address: infocollection@acf.hhs.gov. 

OMB Comment: OMB is required to 

make a decision concerning the 

collection of information between 30 

and 60 days after publication of this 

document in the Federal Register. 

Therefore, a comment is best assured of 

having its full effect if OMB receives it 

within 30 days of publication. Written 

comments and recommendations for the 

proposed information collection should 

be sent directly to the following: Office 

of Management and Budget, Paperwork 

Reduction Project, Email: OIRA_

SUBMISSION@OMB.EOP.GOV, Attn: 

Desk Officer for the Administration for 

Children and Families. 

Mary Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2017–22377 Filed 10–16–17; 8:45 am] 

BILLING CODE 4184–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Title: National Child Abuse and 

Neglect Data System. 

OMB No.: 0970–0424. 

Description: The Administration on 

Children, Youth and Families in the 

U.S. Department of Health and Human 

Services (HHS) established the National 

Child Abuse and Neglect Data System 

(NCANDS) to respond to the 1988 and 

1992 amendments (Pub. L. 100–294 and 

Pub. L. 102–295) to the Child Abuse 

Prevention and Treatment Act (42 

U.S.C. 5101 et seq.), which called for the 

creation of a coordinated national data 

collection and analysis program, both 

universal and case specific in scope, to 

examine standardized data on false, 

unfounded, or unsubstantiated reports. 

In 1996, the Child Abuse Prevention 

and Treatment Act was amended by 

Public Law 104–235 to require that any 

state receiving the Basic State Grant 

work with the Secretary of the 

Department of Health and Human 

Services (HHS) to provide specific data 

on child maltreatment, to the extent 

practicable. These provisions were 

retained and expanded upon in the 2010 

reauthorization of CAPTA (Pub. L. 111– 

320). Item (17) below was enacted with 

the Justice for Victims of Trafficking Act 

of 2015 (Pub. L. 114–22). The law goes 

into effect in 2017 and it is anticipated 

that states will begin reporting with FFY 

2018 data. Item (18) below was enacted 

with the Comprehensive Addiction and 

Recovery Act of 2016 (CARA) (Pub. L. 

114–198). The law goes into effect in 

2017 and it is anticipated that states will 

begin reporting with FFY 2018 data. 

Each state to which a grant is made 

under this section shall annually work 

with the Secretary to provide, to the 

maximum extent practicable, a report 

that includes the following: 

1. The number of children who were 

reported to the state during the year as 

victims of child abuse or neglect. 

2. Of the number of children 

described in paragraph (1), the number 

with respect to whom such reports 

were— 

A. substantiated; 

B. unsubstantiated; or 

C. determined to be false. 

3. Of the number of children 

described in paragraph (2)— 

A. the number that did not receive 

services during the year under the state 

program funded under this section or an 

equivalent state program; 

B. the number that received services 

during the year under the state program 

funded under this section or an 

equivalent state program; and 

C. the number that were removed 

from their families during the year by 

disposition of the case. 

4. The number of families that 

received preventive services, including 

use of differential response, from the 

state during the year. 

5. The number of deaths in the state 

during the year resulting from child 

abuse or neglect. 

6. Of the number of children 

described in paragraph (5), the number 

of such children who were in foster 

care. 

7. 

A. The number of child protective 

service personnel responsible for the— 

i. intake of reports filed in the 

previous year; 

ii. screening of such reports; 

iii. assessment of such reports; and 

iv. investigation of such reports. 

B. The average caseload for the 

workers described in subparagraph (A). 

8. The agency response time with 

respect to each such report with respect 

to initial investigation of reports of child 

abuse or neglect. 

9. The response time with respect to 

the provision of services to families and 

children where an allegation of child 

abuse or neglect has been made. 

10. For child protective service 

personnel responsible for intake, 

screening, assessment, and investigation 

of child abuse and neglect reports in the 

state— 

A. information on the education, 

qualifications, and training 

requirements established by the state for 

child protective service professionals, 

including for entry and advancement in 

the profession, including advancement 

to supervisory positions; 

B. data of the education, 

qualifications, and training of such 

personnel; 

C. demographic information of the 

child protective service personnel; and 

D. information on caseload or 

workload requirements for such 

personnel, including requirements for 

average number and maximum number 

of cases per child protective service 

worker and supervisor. 

11. The number of children reunited 

with their families or receiving family 

preservation services that, within five 

years, result in subsequent substantiated 

reports of child abuse or neglect, 

including the death of the child. 

12. The number of children for whom 

individuals were appointed by the court 

to represent the best interests of such 

children and the average number of out 

of court contacts between such 

individuals and children. 

13. The annual report containing the 

summary of activities of the citizen 

review panels of the state required by 

subsection (c)(6). 

14. The number of children under the 

care of the state child protection system 

who are transferred into the custody of 

the state juvenile justice system. 

15. The number of children referred to 

a child protective services system under 

subsection (b)(2)(B)(ii). 

16. The number of children 

determined to be eligible for referral, 

and the number of children referred, 

under subsection (b)(2)(B)(xxi), to 

agencies providing early intervention 

services under part C of the Individuals 

with Disabilities Education Act (20 

U.S.C. 1431 et seq.). 

17. The number of children 

determined to be victims described in 

subsection (b)(2)(B)(xxiv). 

18. The number of infants— 

(A) identified under subsection 

(b)(2)(B)(ii); 

(B) for whom a plan of safe care was 

developed under subsection 

(b)(2)(B)(iii); and 

(C) for whom a referral was made for 

appropriate services, including services 

for the affected family or caregiver, 

under subsection (b)(2)(B)(iii). 


sradovich on DSK3GMQ082PROD with NOTICES