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(5) Private sector and local policy
maker rationales for making investments
in community health; and
(6) Successful efforts by local policy
makers to promote and sustain private
sector investments in community
health.
Please note that comments received,
including attachments and other
supporting materials, are part of the
public record and subject to public
disclosure. Comments will be posted at
https://www.regulations.gov. Therefore,
do not include any information in your
comment or supporting materials that
you consider confidential or
inappropriate for public disclosure. If
you include your name, contact
information, or other information that
identifies you in the body of your
comments, that information will be on
public display. CDC will review all
submissions and may choose to redact
or withhold submissions containing
private or proprietary information, such
as Social Security numbers, medical
information, inappropriate language, or
duplicate/near duplicate examples of a
mass-mail campaign. CDC will carefully
consider all comments submitted and
may include relevant information in the
Call to Action.
Background
America’s prosperity is being
hampered by preventable chronic
diseases and behavioral health issues.
Life expectancy at birth dropped in the
United States for a second consecutive
year in 2016. Preliminary data indicate
that age-adjusted death rates continued
to rise in 2017, which is likely to mark
a third straight year of declining life
expectancy. The U.S. lags behind
comparable high-income countries on a
range of health outcomes including life
expectancy despite spending more on
health care. About 6 in 10 American
adults have at least one chronic health
condition, and these people account for
90% of total health care spending.
While chronic diseases affect all
populations, they are not evenly
distributed. Disease rates vary by race,
ethnicity, education, geography and
income level, with the most
disadvantaged Americans often
suffering the highest burden of disease.
However, only about 20% of the
factors that influence a person’s health
can be addressed by health care and the
remaining 80% reflect socioeconomic,
environmental or behavioral factors.
Focusing on strategies that address the
social and community conditions could
improve health, life expectancy, and
quality of life, while also reducing
related health care costs and
productivity losses. Investing in

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communities to improve the health and
well-being of people could also
revitalize and improve economic
opportunity, enhancing prosperity in
the community and for its residents and
businesses.
Although there are published
literature and several ongoing public,
private and philanthropic initiatives
examining how investments in
community health can enhance wellbeing and economic prosperity, there
has not been a thorough assessment that
compiles the evidence and best
practices to illustrate benefits for the
private sector and local policy makers.
The Surgeon General’s Call to Action is
expected to bridge that gap and inspire
more investments by the private sector
and local policy makers in community
health.
Dated: August 31, 2018.
Lauren Hoffmann,
Acting Executive Secretary, Centers for
Disease Control and Prevention.
[FR Doc. 2018–19313 Filed 9–5–18; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–18–1099; Docket No. CDC–2018–
0080]

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 Capacity Building Assistance
Program: Assessment and Quality
Control. The purpose of this information
collection is to assess how well the
capacity building assistance (CBA)
program meets the needs of health care
staff from organizations funded directly
or indirectly by the CDC, involved in
HIV prevention service delivery. The
program will assess customer
satisfaction with CBA services and

SUMMARY:

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changes in capacity, knowledge, skills,
and self-efficacy as a result of CBA
service delivery.
DATES: CDC must receive written
comments on or before November 5,
2018.
You may submit comments,
identified by Docket No. CDC–2018–
0080 by any of the following methods:
• Federal eRulemaking Portal:
Regulations.gov. Follow the instructions
for submitting comments.
• Mail: Jeffrey M. Zirger, 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 Jeffery M. Zirger
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
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,
ADDRESSES:

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Federal Register / Vol. 83, No. 173 / Thursday, September 6, 2018 / Notices
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
Capacity Building Assistance
Program: Assessment and Quality
Control—Revision—National Center for
HIV/AIDS, Viral Hepatitis, STD, and TB
Prevention (NCHHSTP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The CDC is requesting the Office of
Management and Budget (OMB) to grant
a one year revision to collect data that
comprises the Health Professional
Application for Training, Training
Follow-up Instrument, and the
Technical Assistance Satisfaction
Instrument. For this one year revision
we will not collect any qualitative data
(interviews) since we have gleaned
valuable information that has been used
to improve our service delivery and
processes. The purpose of this
information collection is to assess how
well the CDC’s Capacity Building
Assistance (CBA) program meets the
needs of its consumers in order to
enhance its capacity building strategy
over time. The PTCs and CBA providers
are funded by CDC/Division of STD
Prevention (DSTDP) and Division of
HIV/AIDS Prevention (DHAP) over a
five-year period to provide capacity
building services that includes
information, training, and technical
assistance. CBA means the provision of
free (not for fee) information, training,
technical assistance, and technology

transfer to individuals, organizations,
and communities to improve their
capacity in the delivery and
effectiveness of evidence-based
interventions and core public health
strategies for HIV prevention. CBA is
provided to support health departments,
community-based organizations, and
healthcare organizations in the
implementation, monitoring and
evaluation of evidence-based HIV
prevention interventions and programs;
building organizational infrastructure;
and community mobilization to
decrease stigma and increase HIV
testing in high risk communities. CBA
services are requested by health
departments, community-based
organizations, and healthcare
organizations and also offered
proactively. Under this project, there
will be no duplication of information
collection, because it builds on existing,
OMB approved data collection
activities. The PTCs and CBA providers
offer classroom and experiential
training, web-based training, clinical
consultation, and capacity building
assistance to maintain and enhance the
capacity of healthcare professionals to
control and prevent STDs and HIV. The
CBA service recipients are healthcare
professionals who work at communitybased organizations (CBOs), health
departments, and healthcare
organizations, most of whom are funded
directly or indirectly by the CDC,
involved in HIV prevention service
delivery. Their positions include HIV
educator, clinical supervisor, HIV
prevention specialist, clinician,
outreach worker, case manager director,
program coordinator, program manager,
disease intervention specialist, partner
services provider, physicians, nurses,
and health educators, etc. CDC is
requesting to use two web-based
assessments that will be administered to
recipients of CBA services: (1) Training
Follow-Up Instrument and (2) Technical
Assistance Satisfaction Instrument. The
first quantitative assessment will be

disseminated 90 days after a training
event to agency staff who participated in
a training activity. It takes
approximately 12 minutes to complete.
The purpose of this web-based
assessment is to determine the training
participants’ satisfaction with the
trainers, training materials, and the
course pace, benefits from the training,
and CBA needs, how relevant the
training was to their work, and whether
they were able to utilize the information
gained from the training. The second
quantitative assessment will be
disseminated 45 days after a technical
assistance event to agency staff who
participated in a technical assistance.
This instrument takes approximately 12
minutes to complete. The purpose of the
second assessment is to assess
participants’ satisfaction with the
technical assistance they received,
intended or actual use of enhanced
capacity, barriers and facilitators to use,
and benefits of the technical assistance.
The 7,400 respondents represent an
average of the number of health
professionals who receive training and
technical assistance from the CBA and
PTC grantees during the years 2010 and
2011. The data collection is necessary
(a) to assess CBA consumers’
(community-based organizations, health
departments, and healthcare
organizations) satisfaction with and
short-term outcomes from the overall
CBA program as well as specific
elements of the CBA program; (b) to
improve CBA services and enhance the
Capacity Building Branch’s national
capacity building strategy over time; (c)
to assess the performance of the grantees
in delivering training and technical
assistance and to standardize the
registration processes across the two
CBA programs (i.e., the PTC program
and the CBA program) and multiple
grantees funded by each program. There
are no costs to respondents. The
estimated annualized burden hours for
this data collection activity are 8,633
hours.

ESTIMATED ANNUALIZED BURDEN HOURS

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Type of respondent

Healthcare
Healthcare
Healthcare
Healthcare
Healthcare

Professionals
Professionals
Professionals
Professionals
Professionals

Number of
respondents

Form name

Number
responses per
respondent

Average
burden
per response
(in hours)

Total burden
hours

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

Health Professional Application for Training (HPAT) (att 3)
Training Follow-up Instrument (att 5) ..................................
Training Telephone Script (att 13) .......................................
Technical Assistance (TA) Satisfaction Instrument (att 7) ..
Technical Assistance Telephone Script (att 14) ..................

7,400
3,700
3,700
3,700
3,700

2
2
2
2
2

5/60
15/60
15/60
15/60
15/60

1,233
1,850
1,850
1,850
1,850

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

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

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

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

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

8,633

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Federal Register / Vol. 83, No. 173 / Thursday, September 6, 2018 / Notices

Jeffrey M. Zirger,
Acting 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. 2018–19296 Filed 9–5–18; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention

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 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 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 ‘‘Assessment of
Outcomes Associated with the
Preventive Health and Health Services
Block Grant’’. This assessment will
assess select cross-cutting outputs and
outcomes of the Preventive Health and
Health Services Block Grant and
demonstrates the utility of the grant on
a national level.
DATES: CDC must receive written
comments on or before November 5,
2018.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2018–
0081 by any of the following methods:
• Federal eRulemaking Portal:
Regulations.gov. Follow the instructions
for submitting comments.
• Mail: Jeffrey M. Zirger, 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

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To
request more information on the
proposed project or to obtain a copy of
the information collection plan and
instruments, contact Jeffery M. Zirger,
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].

FOR FURTHER INFORMATION CONTACT:

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
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.

SUPPLEMENTARY INFORMATION:

[60Day–18–18AVU; Docket No. CDC–2018–
0081]

SUMMARY:

(regulations.gov) or by U.S. mail to the
address listed above.

Proposed Project
Assessment of Outcomes Associated
with the Preventive Health and Health
Services Block Grant—New—Office for
State, Tribal, Local and Territorial
Support (OSTLTS), Centers for Disease
Control and Prevention (CDC).

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Background and Brief Description
For more than 35 years, the
Preventive Health and Health Services
Block Grant (PHHS Block Grant) has
provided flexible funding for all 50
states, the District of Columbia, two
American Indian tribes, five U.S.
territories, and three freely associated
states to address the unique public
health needs of their jurisdictions in
innovative and locally defined ways.
First authorized by Congress in 1981
through the Public Health Service Act
(Pub. L. 102–531), the fundamental and
enduring purpose of the grant has been
to provide grantees with flexibility and
control to address their priority public
health needs. In 1992, Congress
amended the law to align PHHS Block
Grant funding priorities with the 22
chapters specified in Healthy People
(HP) 2000, a set of national objectives
designed to guide health promotion and
disease prevention efforts. Additional
amendments included set-aside funds
specifically dedicated to sex offense
prevention and victim services, thus
requiring grantees receiving this support
to include related HP objectives and
activities as part of their PHHS Block
Grant-funded local programs.
CDC is establishing a comprehensive,
standardized method to collect data to
describe select outputs and outcomes
and ensure the accountability of the
PHHS Block Grant. The CDC PHHS
Block Grant Measurement Framework is
an innovative approach to assessing
cross-cutting outputs and outcomes
resulting from grantees’ use of flexible
grant funds. The framework defines four
measures that enable CDC to
standardize the collection of data on
grantee achievements. The measures
capture data on public health
infrastructure improved (i.e.,
information systems improved and
quality improved—efficiency and
effectiveness improvements achieved in
programs, services, and operations),
emerging public health needs
addressed, and evidence-based public
health interventions implemented.
The purpose of this information
collection request (ICR) is to collect data
that assess select cross-cutting outputs
and outcomes of the grant (as defined by
the framework measures) and that
demonstrate the utility of the grant on
a national level. This data collection
will describe the outcomes of the PHHS
Block Grant as a whole—not individual
grantee activities or outcomes. Findings
from this data collection will be used to:
(1) Describe the outcomes and
achievements of grantees’ public health
efforts and identify how the use of
PHHS Block Grant funds contributed to

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