60 day FRN

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Federal Register / Vol. 83, No. 74 / Tuesday, April 17, 2018 / Notices
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Form name

Number of
responses per
respondent

Minutes per
response

Total burden
hours

OMR Measure Profile/Sub-Element Profile .....................................................

70

1

16/60

18.7

Total ..........................................................................................................

70

1

16/60

18.7

Exhibit 2 shows the estimated cost
burden associated with the respondent’s

time to participate in the OMR. The
total cost burden to respondents is

estimated at an average of $711.72
annually.

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents

Form name

Total burden
hours

Average
hourly wage
rate †

Total cost
burden

OMR Measure Profile/Sub-Element Profile .....................................................

70

18.7

$38.06

$711.72

Total ..........................................................................................................

70

18.7

38.06

711.72

* Based on the mean wages for Healthcare Practitioners and Technical Occupations, 29–0000. National Compensation Survey: Occupational
Wages in the United States May 2016, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ Available at: https://www.bls.gov/oes/current/
oes290000.htm.

Request for Comments
In accordance with the Paperwork
Reduction Act, comments on AHRQ’s
information collection are requested
with regard to any of the following: (a)
Whether the proposed collection of
information is necessary for the proper
performance of AHRQ health care
research and health care information
dissemination functions, including
whether the information will have
practical utility; (b) the accuracy of
AHRQ’s estimate of burden (including
hours and costs) of the proposed
collection(s) of information; (c) ways to
enhance the quality, utility and clarity
of the information to be collected; and
(d) ways to minimize the burden of the
collection of information upon the
respondents, including the use of
automated collection techniques or
other forms of information technology.
Comments submitted in response to
this notice will be summarized and
included in the Agency’s subsequent
request for OMB approval of the
proposed information collection. All
comments will become a matter of
public record.

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Karen Migdail,
Chief of Staff.
[FR Doc. 2018–08009 Filed 4–16–18; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–18–0792; Docket No. CDC–2018–
0031]

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

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
titled, Environmental Health Specialists
Network (EHS–NET) Program Generic
Package. The goal of this food safety
research program is to collect data in
retail food establishments that will
identify and help to understand
environmental factors (e.g., manager
food safety certification,
implementation of food safety practices,
etc.) associated with retail-related
foodborne illness and outbreaks.
DATES: CDC must receive written
comments on or before June 18, 2018.
SUMMARY:

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You may submit comments,
identified by Docket No. CDC–2018–
0031 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:
[email protected].
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
ADDRESSES:

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Federal Register / Vol. 83, No. 74 / Tuesday, April 17, 2018 / Notices
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
Environmental Health Specialists
Network (EHS–NET) Program Generic
Package (OMB Control Number 0920–
0792; expiration date 9/30/2018)—
Revision—National Center for
Environmental Health (NCEH), Centers
for Disease Control and Prevention
(CDC).
Background and Brief Description
The National Center for
Environmental Health (NCEH), Centers
for Disease Control and Prevention
(CDC), is requesting a three-year Office
of Management and Budget approval for
the revision Generic Information
Collection plan titled the Environmental
Health Specialists (EHS-Net).
The EHS-Net program focuses on
identifying the environmental causes of

determine effective food safety
prevention methods. Ultimately, these
actions can lead to increased regulatory
program effectiveness and decreased
foodborne illness. The purpose of the
information collection is to gather data
that will help us identify and
understand environmental factors
associated with foodborne illness.
Specifically, the information will be
used to:
(a) Describe retail food establishment
food handling and food safety practices
and manager/worker and establishment
characteristics,
(b) Determine how retail food
establishment and worker
characteristics are related to food
handling and food safety practices.
The program Environmental Health
Specialists Network (EHS-Net),
conducted by a collaborative project of
CDC, Food and Drug Administration
(FDA), U.S. Department of Agriculture
(USDA), and local and state sites.
Environmental factors associated with
foodborne illness include both food
safety practices (e.g., inadequate
cleaning practices) and the factors in the
environment associated with those
practices (e.g., worker and retail food
establishment characteristics). To
understand these factors, we need to
continue to collect data from those who
prepare food (i.e., food workers) and on
the environments in which the food is
prepared (i.e., retail food establishment
kitchens). Thus, data collection methods
for this generic information collection
plane include: (1) Screener; (2) manager
and food worker interviews/surveys;
and (3) observation of kitchen/
restaurant environments. These
methods allow data collection on food
safety practices and environmental
factors associated with those practices.
For each data collection, CDC will
collect data in approximately 50 retail
food establishments per site. Thus, there
will be approximately 400
establishments per data collection (an
estimated 8 sites with 50
establishments).
The total estimated annual burden for
each data collection will be 1,777 hours.

foodborne illness. In October 2008,
OMB approved the EHS-Net program
generic information collection plan.
OMB approved renewal collections in
both 2012 and 2015. To date, EHS-Net
has conducted five individual data
collections under this plan.
CDC seeks a revision to conduct
information collections through 2021.
The CDC plans to revise the plan in the
following ways:
(1) The burden hours have increased
to allow for additional statistical
designs. The number of restaurants per
site (8 EHS-Net sites, which has
remained the same) has increased from
47 to 50 restaurants (totaling 400
restaurants); the sample size was
increased to detect a greater odds ratio
and establish a stronger power.
(2) The number of respondents has
increased to gather additional food
worker responses per establishment.
Collecting data from additional food
workers (increased to 10 food workers
per restaurant from 1 food worker per
restaurant, totaling 4,000 food workers)
will help minimize the potential bias of
only having one worker represent all of
food workers in a given establishment.
Additionally, going forward the
restaurant observation data collection by
the health department (HD) staff will
also be included in the burden table.
(3) We expect to conduct up to three
studies in a 5-year cooperative period;
based on a more accurate study
schedule in a 5-year EHS-Net
cooperative agreement. Therefore, due
to an increase in the number of
restaurants, food workers interviews
and addition of restaurant observation
activity the estimated annual burden
hours expected to increase from 295 to
1,777 annual hours.
The goal of this information collection
is to improve food safety and reduce
foodborne illness, which supports the
U.S. Department of Health and Human
Services’ Healthy People 2020 Goal.
Reducing foodborne illness first requires
identification and understanding of the
environmental factors that cause these
illnesses. We need to know how and
why food becomes contaminated with
foodborne illness pathogens. This
information can then be used to

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ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Type of respondents

Form name

Managers ..........................................
Managers ..........................................

EHS-Net Manager Recruiting Script
EHS-Net Manager Informed Consent and Interview.

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Number of
responses per
respondent

889
400

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1

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Average
burden per
response
(in hours)
3/60
30/60

Total burden
(in hours)
44
200

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Federal Register / Vol. 83, No. 74 / Tuesday, April 17, 2018 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Average
burden per
response
(in hours)

Total burden
(in hours)

Form name

Food Workers ...................................

4,000

1

20/60

1,333

HD staff .............................................

EHS-Net Food Worker Recruiting
Screener, Informed Consent and
Interview.
EHS-Net Restaurant Observation ....

400

1

30/60

200

Total ...........................................

...........................................................

........................

........................

........................

1,777

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. 2018–08007 Filed 4–16–18; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–3357–PN]

Medicare and Medicaid Program;
Application From DNV GL—Healthcare
(DNV GL) for Continued Approval of Its
Hospital Accreditation Program
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice with request for
comment.
AGENCY:

This proposed notice
acknowledges the receipt of an
application from DNV GL—Healthcare
for continued recognition as a national
accrediting organization for hospitals
that wish to participate in the Medicare
or Medicaid programs. The statute
requires that we publish, within 60 days
of receipt of an organization’s complete
application, a notice that identifies the
national accrediting body making the
request, describes the nature of the
request, and provides at least a 30-day
public comment period.
DATES: To be assured consideration,
comments must be received at one of
the addresses provided below, no later
than 5 p.m. on May 17, 2018.
ADDRESSES: In commenting, refer to file
code CMS–3357–PN. Because of staff
and resource limitations, we cannot
accept comments by facsimile (FAX)
transmission.
Comments, including mass comment
submissions, must be submitted in one
of the following three ways (please
choose only one of the ways listed):
SUMMARY:

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Number of
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Type of respondents

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1. Electronically. You may submit
electronic comments on this regulation
to http://www.regulations.gov. Follow
the ‘‘Submit a comment’’ instructions.
2. By regular mail. You may mail
written comments to the following
address ONLY: Centers for Medicare &
Medicaid Services, Department of
Health and Human Services, Attention:
CMS–3357–PN, P.O. Box 8016,
Baltimore, MD 21244–8010.
Please allow sufficient time for mailed
comments to be received before the
close of the comment period.
3. By express or overnight mail. You
may send written comments to the
following address ONLY: Centers for
Medicare & Medicaid Services,
Department of Health and Human
Services, Attention: CMS–3357–PN,
Mail Stop C4–26–05, 7500 Security
Boulevard, Baltimore, MD 21244–1850.
For information on viewing public
comments, see the beginning of the
SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT:
Karena Meushaw (410) 786–6609,
Patricia Chmielewski, (410) 786–6899 or
Monda Shaver, (410) 786–3410.
SUPPLEMENTARY INFORMATION:
Inspection of Public Comments: All
comments received before the close of
the comment period are available for
viewing by the public, including any
personally identifiable or confidential
business information that is included in
a comment. We post all comments
received before the close of the
comment period on the following
website as soon as possible after they
have been received: http://
www.regulations.gov. Follow the search
instructions on that website to view
public comments.
I. Background
Under the Medicare program, eligible
beneficiaries may receive covered
services from a hospital, provided that
certain requirements are met. Section
1861(e) of the Social Security Act (the
Act), establishes distinct criteria for
facilities seeking designation as a
hospital. Regulations concerning
provider agreements are at 42 CFR part

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489 and those pertaining to activities
relating to the survey and certification
of facilities are at 42 CFR part 488. The
regulations at 42 CFR part 482 specify
the minimum conditions that a hospital
must meet to participate in the Medicare
program.
Generally, to enter into an agreement,
a hospital must first be certified by a
state survey agency as complying with
the conditions or requirements set forth
in part 482 of our regulations.
Thereafter, the hospital is subject to
regular surveys by a state survey agency
to determine whether it continues to
meet these requirements. There is an
alternative; however, to surveys by state
agencies.
Section 1865(a)(1) of the Act provides
that, if a provider entity demonstrates
through accreditation by an approved
national accrediting organization that all
applicable Medicare conditions are met
or exceeded, we may deem those
provider entities as having met the
requirements. Accreditation by an
accrediting organization is voluntary
and is not required for Medicare
participation.
If an accrediting organization is
recognized by the Secretary of the
Department of Health and Human
Services (the Secretary) as having
standards for accreditation that meet or
exceed Medicare requirements, any
provider entity accredited by the
national accrediting body’s approved
program may be deemed to meet the
Medicare conditions. A national
accrediting organization applying for
approval of its accreditation program
under part 488, subpart A, must provide
the Centers for Medicare and Medicaid
Services (CMS) with reasonable
assurance that the accrediting
organization requires the accredited
provider entities to meet requirements
that are at least as stringent as the
Medicare conditions. Our regulations
concerning the approval of accrediting
organizations are set forth at § 488.5.
The regulations at § 488.5(e)(2)(i)
require accrediting organizations to
reapply for continued approval of its
accreditation program every 6 years or

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