52302 Federal Register / Vol. 82, No. 217 / Monday, November 13, 2017 / Notices 

clinical linkages. Through this 

initiative, DCPC intends to help address 

the public health needs of cancer 

survivors. To facilitate evidenceinformed policymaking and quality 

improvement of federal programs, CDC 

needs a comprehensive evaluation to 

characterize survivorship interventions 

and document outcomes. 

CDC seeks to request OMB approval 

to collect information needed for this 

evaluation. The proposed information 

collection will focus on how each 

grantee has expanded their knowledge 

of cancer survivor needs, increased 

utilization of surveillance data to inform 

program planning by providers and 

coalition members, and enhanced 

partnerships to facilitate and broaden 

program reach. CDC will also collect 

data on challenges encountered and 

addressed, factors that facilitated 

implementation, and lessons learned 

along the way. The requested 

information does not currently exist for 

organizations and entities working to 

improve cancer survivorship needs. 

With this data, CDC will gain critical 

insights for improving achieving 

immediate strategic efforts and goals to 

improve the public health needs of 

cancer survivors. 

CDC plans to collect information 

during two cycles of the program using 

a Web-based Grantee survey of NCCCP 

DP15–1501 grantee program directors 

and program managers, a Web-based 

Partner Survey of grantees’ selfidentified key partners (e.g., coalition 

members, providers, patient navigators), 

and semi-structured telephone 

interviews with NCCCP DP15–1501 

grantee program directors and program 

managers. The data from the survey and 

semi-structured interviews will provide 

additional insight into program efforts. 

CDC is requesting OMB approval to 

conduct a Web-based Grantee survey 

using Survey Gizmo to a purposive 

sample of one program director and one 

program manager for each of the six 

grantee sites (12 respondents total) and 

to conduct a Web-based Partner Survey 

of 10 self-identified key partners in each 

of 6 grantees for a total of 60 

respondents. CDC will administer the 

Web-based surveys to the same 

respondents at two time points for a 

total estimated burden of 8 hours for the 

Web-based Grantee Survey and 40 hours 

for the Web-based Partner Survey. 

CDC will ask the respondents to 

provide information regarding the type 

of respondent; their use of surveillance 

data to inform survivorship 

interventions; communication, 

education, and training activities to 

support the implementation of 

survivorship interventions; partnership 

engagement; challenges and facilitators 

regarding the implementation of 

evidence-based cancer survivorship 

strategies; reach of cancer survivorship 

interventions; and respondent 

background information. 

CDC intends to also seek OMB 

approval to conduct semi-structured 

interviews by telephone with a 

purposive sample of one program 

director and one program manager for 

each of the six grantee sites (12 

respondents total). CDC will conduct 

the semi-structured interviews with the 

same respondents at two time points for 

a total estimated burden of 36 hours. 

CDC will ask the respondents to 

provide information on the following: 

(1) Administration of the Behavioral 

Risk Factor Surveillance System Cancer 

Survivorship Module; (2) 

communication, education, and training 

activities to support the implementation 

of cancer survivorship interventions; (3) 

community clinical linkage strategies to 

support cancer survivors, knowledge 

regarding best practices for survivorship 

care; partnership engagement; (4) 

dissemination of evidence-based 

survivorship interventions; and (5) 

recommendations for improving the 

implementation of evidence-based 

survivorship interventions. 

CDC will analyze the collected 

information and use in aggregate to 

inform future efforts to support cancer 

survivors and to initiate evidenceinformed program decisions when 

rolling this initiative out to all NCCCP 

grantees. Without this data collection, 

CDC will not be able to provide tailored 

technical assistance to its grantees and 

communicate program efforts. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

NCCCP Grantee Program Director .. Web-based Grantee survey ............. 12 2 20/60 8 

Semi-structured telephone interview 12 2 1.50 36 

NCCCP Grantee Partner .................. Web-based Partner survey .............. 60 2 20/60 40 

Total ........................................... ........................................................... ........................ ........................ ........................ 84 

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. 2017–24523 Filed 11–9–17; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

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

0065] 

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 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 ‘‘Project NICE: Navigating 

Insurance Coverage Expansion’’. Project 

NICE will evaluate the efficacy of an inperson health insurance enrollment 

assistance intervention among Black 

and Hispanic men who have sex with 


asabaliauskas on DSKBBXCHB2PROD with NOTICES
Federal Register / Vol. 82, No. 217 / Monday, November 13, 2017 / Notices 52303 

men (MSM) and Transgender persons 

living in the Chicago, Illinois 

metropolitan area. 

DATES: CDC must receive written 

comments on or before January 12, 

2018. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2017– 

0065 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 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 

Project NICE: Navigating Insurance 

Coverage Expansion—New—National 

Center for HIV/AIDS, Viral Hepatitis, 

STD, and TB Prevention (NCHHSTP), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

CDC seeks to request a three-year 

OMB approval to evaluate the efficacy 

of an in-person health insurance 

enrollment assistance intervention 

among 1,000 Black and Hispanic MSM 

and Transgender persons ages ≥18 years 

living in the Chicago, Illinois 

metropolitan area. CDC will invite 

individuals attending HIV testing 

outreach events, or seeking care in 

select clinics in Chicago to participate 

in the study after an HIV testing session. 

Researchers will collect study 

participants’ sociodemographic, risk 

behavior, and insurance coverage 

information as part of study enrollment. 

Each quarter, researchers will abstract 

outcome evaluation data (linkage to and 

retention in HIV-related care, referrals 

for mental health or substance use, and 

other health outcomes) from study 

participant’s electronic medical records 

(EMRs). Researchers will also assess 

intervention cost-effectiveness. 

CDC funded this study through a 

cooperative agreement with the 

University of Chicago Medicine (UCM). 

Three partner agencies will conduct the 

intervention: (1) University of Chicago 

Medicine (UCM) (the lead partner 

agency), (2) Howard Brown Health, and 

(3) Chicago House and Social Service 

Agency (Chicago House). The three 

partner agencies each have a history of 

providing clinical care, HIV testing 

outreach, and in-person health 

insurance enrollment assistance for 

Chicago’s MSM and Transgender 

communities. 

As part of this study, CDC will 

evaluate the in-person health insurance 

enrollment assistance. Specifically, 

researchers will evaluate whether 

moving the delivery of in-person health 

insurance enrollment assistance, from 

the first clinic visit after receipt of an 

HIV test result, to earlier in the care 

continuum, during the HIV testing 

event, will impact health outcomes. 

Therefore, this study does not introduce 

new intervention activities or burden on 

the participants or the agency staff; it 

reorders the sequence of delivery of 

standard practice. Only the addition of 

data collection forms and procedures 

will be new, and the additional burden 

will be to partner agency staff workload 

and participant experience. 

In 2013, MSM accounted for 81% of 

new HIV infections among males and 

65% of all new HIV infections. In 2010, 

health officials reported 10,600 new HIV 

infections for African-American (Black) 

MSM, 11,200 for White MSM, and 6,700 

for Hispanic MSM. Through a 2008 

systematic review, researchers found 

HIV rates among Black and Hispanic 

Transgender women to be 56% and 

16%, respectively. 

Black and Hispanic MSM and 

Transgender persons face obstacles in 

seeking medical care and following 

through with referrals or appointments, 

including lack of health insurance. 

This study will implement a 

structural intervention. The goal of this 

study is to test whether providing inperson assistance for first-time private 

health insurance or Medicaid 

enrollment, changing to a different 

insurance plan, or understanding how 

to use current insurance policies 

following HIV testing will: (1) Increase 

the proportion of participants who 

obtain health insurance; (2) result in 

better health outcomes among 

participants (e.g., achieving viral 

suppression, remaining HIV negative); 

(3) improve the linkage and retention 

rates for HIV care (i.e., HIV treatment, 

Pre-exposure Prophylaxis (PrEP)) and 

other HIV-associated health services 

(e.g., mental health counseling, 

substance use treatment) of participants, 

especially those diagnosed with HIV; 

and (4) increase HIV care linkage and 

retention rates sufficiently to justify the 

cost of implementing the intervention 

(cost-benefit analysis) among Black and 

Hispanic MSM and Transgender 

persons age 18 or older in the Chicago, 

Illinois metropolitan area. 

Randomized controlled trials (RCTs) 

of structural interventions are rare. 

Nevertheless, CDC will use a RCT 

design to enhance scientific validity and 

the policy impact of the intervention, 

and help researchers assess the efficacy 

of this intervention as an emerging 

practice prior to dissemination to HIV 

prevention service providers 

nationwide. 


asabaliauskas on DSKBBXCHB2PROD with NOTICES
52304 Federal Register / Vol. 82, No. 217 / Monday, November 13, 2017 / Notices 

This project aligns with National HIV/ 

AIDS Strategy 2020 and Health People 

2020 objectives. This structural 

intervention aligns with the OMB’s 

emphasis on application of behavioral 

insights in that it restructures the 

context (i.e., after HIV testing) in which 

health-related decision-making (i.e., 

health insurance enrollment) occurs in 

order to promote the selection of 

beneficial options. The proposed health 

insurance enrollment assistance project 

has the potential for widespread health 

improvements for Black and Hispanic 

MSM and Transgender persons 

regardless of their HIV status. 

The study will enroll 1,000 

participants over 12 months to reach 

adequate power calculations (500 into 

the intervention arm, and 500 into the 

control arm). 

After an HIV testing session at an 

outreach event or clinic visit, a partneragency staff person will invite an 

individual to participate in the study. If 

interested, participants will complete a 

consent form. Staff will screen 

individuals using the Eligibility Form, 

which will take approximately five 

minutes to complete. Researchers would 

need to screen approximately 1,500 

individuals in order to identify and 

enroll 1,000 eligible study participants. 

If eligible and interested in 

participating, individuals will complete 

the Participant Enrollment Form, which 

will take approximately 35 minutes to 

complete. Researchers then will offer inperson health insurance enrollment to 

randomized intervention arm 

participants. This enrollment will take a 

maximum of 60 minutes to complete. 

The study’s in-person health insurance 

enrollment assistance will take the same 

amount of time as standard practice 

health insurance enrollment assistance. 

The total estimated annualized hourly 

burden anticipated for this study is 

1,458 hours. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

Study participant ................................ Consent Form .................................. 1,500 1 10/60 250 

Study participant ................................ Eligibility Form ................................. 1,500 1 5/60 125 

Study participant ................................ Participant Enrollment Form ............ 1,000 1 35/60 583 

Study participant (Intervention arm 

ONLY).

ACTIVITY: In-person health insurance enrollment assistance.500 1 1 500 

Total ........................................... .......................................................... ........................ ........................ ........................ 1,458 

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. 2017–24473 Filed 11–9–17; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–R–48 and 

CMS–10421] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 (the 

PRA), federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information (including each proposed 

extension or reinstatement of an existing 

collection of information) and to allow 

60 days for public comment on the 

proposed action. Interested persons are 

invited to send comments regarding our 

burden estimates or any other aspect of 

this collection of information, including 

the necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions, 

the accuracy of the estimated burden, 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected, and the use of automated 

collection techniques or other forms of 

information technology to minimize the 

information collection burden. 

DATES: Comments must be received by 

January 12, 2018. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number. To be assured 

consideration, comments and 

recommendations must be submitted in 

any one of the following ways: 

1. Electronically. You may send your 

comments electronically to http://

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) that are accepting 

comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number __, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, you may make your request 

using one of following: 

1. Access CMS’ Web site address at 

http://www.cms.hhs.gov/ 

PaperworkReductionActof1995. 

2. Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov. 

3. Call the Reports Clearance Office at 

(410) 786–1326. 

FOR FURTHER INFORMATION CONTACT: 

William Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: 

Contents 

This notice sets out a summary of the 

use and burden associated with the 

following information collections. More 

detailed information can be found in 

each collection’s supporting statement 

and associated materials (see 

ADDRESSES). 

CMS–R–48 Hospital Conditions of 

Participation and Supporting 

Regulations 

CMS–10421 Fee-for-Service Recovery 

Audit Prepayment Review 


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