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Federal Register / Vol. 83, No. 193 / Thursday, October 4, 2018 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Respondents

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

625

24

1,950,000

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

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

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

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

2,064,660

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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60 Day–18–1090; Docket No. CDC–2018–
0089]

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 revision of information
collection project titled Formative and
Summative Evaluation of Scaling the
National Diabetes Prevention Program
(National DPP) in Underserved Areas.
This revision is to allow CDC to
continue collecting the information
needed to assess the effectiveness of its
program, ‘‘Scaling the National DPP in
Underserved Areas’’, and to collect
more targeted information on CDC
grantees’ success in reaching both
general and priority populations in
underserved areas.
DATES: CDC must receive written
comments on or before December 3,
2018.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2018–
0089 by any of the following methods:
SUMMARY:

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Total burden
hours

130

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17:43 Oct 03, 2018

Average
burden per
response
(hours)

Surge Event Testing Results ...........

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.

VerDate Sep<11>2014

Average
number of
responses per
respondent

Number of
respondents

Forms

Jkt 247001

• 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 Jeffrey 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

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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
Formative and Summative Evaluation
of Scaling the National Diabetes
Prevention Program in Underserved
Areas (OMB No. 0920–1090, exp.
12/31/2018)—Revision—National
Center for Chronic Disease Prevention
and Health Promotion (NCCDPHP),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The CDC-led National Diabetes
Prevention Program (National DPP) is a
partnership of public and private
organizations working collectively to
build the infrastructure for nationwide
delivery of an evidence-based lifestyle
change program to prevent or delay
Type 2 diabetes among adults with
prediabetes. The National DPP lifestyle
change program is founded on the
science of the Diabetes Prevention
Program research study, and several
translation studies that followed, which
showed that making modest behavior
changes helped people with prediabetes
lose 5% to 7% of their body weight and
reduce their risk of developing Type 2
diabetes by 58% (71% for people over
60 years old). From 2012 to 2017, CDC
funded six national organizations
through a cooperative agreement to
establish and expand multistate
networks of over 200 program delivery
organizations that are able to meet
national standards and achieve the
outcomes proven to prevent or delay
onset of Type 2 diabetes. CDC has
conducted a formative and summative
evaluation of this program and used the

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Federal Register / Vol. 83, No. 193 / Thursday, October 4, 2018 / Notices
evaluation findings and lessons learned
to provide data-driven technical
assistance to the grantees and other
organizations delivering the National
DPP lifestyle change program. The data
and lessons learned from DP12–1212
were also used to inform decisionmaking and policy, including the
development of the Centers for
Medicare & Medicaid Services (CMS)
Medicare Diabetes Prevention Program
(MDPP). As of April 1, 2018, the MDPP
Expanded Model provides coverage for
the National DPP lifestyle change
program for eligible Medicare
beneficiaries.
Despite the fact that over 1800 CDCrecognized organizations in 50 states,
the District of Columbia, Puerto Rico,
and the Virgin Islands offer the National
DPP lifestyle change program, there are
still many geographic areas with few or
no in-person delivery programs. In
addition, some populations, including
Medicare beneficiaries, men, AfricanAmericans, Asian-Americans,
Hispanics, American Indians, Alaska
Natives, Pacific Islanders, and people
with visual impairment or physical
disabilities, are under-enrolled relative
to their estimated numbers and disease
burden. To address these gaps, CDC
funded a new, five-year cooperative
agreement with ten new national
organizations in September 2017,
‘‘Scaling the National DPP in
Underserved Areas’’ (DP17–1705). CDC
funded ten national organizations with
affiliate program delivery sites in at
least three states, each to start new CDC-

improvement for each year of the
cooperative agreement. A number of
changes to the evaluation forms are
proposed to ensure that reporting and
evaluation requirements are consistent
with the aims of the new cooperative
agreement and reflect the lessons
learned from the original funded
national organizations and their affiliate
delivery sites. Evaluation data elements
have been added or modified
accordingly. Also, the method of data
collection has converted from using an
Excel spreadsheet to a web-based data
system to allow for real-time feedback
and technical assistance.
The reporting burden of this
collection of information is estimated to
vary between two and four hours with
an average of three hours per grantee
response (decreased from 12 hours), and
between four and six hours with an
average of five hours per affiliate
delivery site response (increased from
an average of 45 minutes per response).
These estimated burden hours include
the time for reviewing instructions,
searching existing data sources,
gathering and maintaining the data
needed, and completing and reviewing
the collection of information by the
grantee and affiliate delivery site to
submit information directly to the webbased data system. The number of
respondents will increase with the
increased number of grantees. These
changes result in a net increase of 368
annualized burden hours. There are no
costs to respondents other than their
time.

recognized organizations in underserved
areas and to enroll both general and
priority populations in new or existing
CDC-recognized organizations. The
DP17–1705 grantees will work on
activities designed to accomplish three
main goals:
(1) Build the infrastructure in
underserved areas necessary to deliver
the National DPP lifestyle change
program to the general population and
to priority populations, including
Medicare beneficiaries, men, AfricanAmericans, Asian-Americans,
Hispanics, American Indians, Alaska
Natives, Pacific Islanders, and noninstitutionalized people with visual or
physical disabilities;
(2) Tailor and adapt the program to
address the unique needs and
challenges of the enrolled participants;
and
(3) Provide participants with
specialized support needed to
successfully complete the program and
achieve 5–7% weight loss. Through this
new cooperative agreement, it is
anticipated that enrollment, retention,
and achievement of 5–7% weight loss
goals for the targeted populations will
increase.
At this time, CDC requests an
additional three years of OMB approval
to continue collecting information
needed to evaluate the effectiveness of
CDC’s funding for the new grantees. The
data collection will allow CDC to
continue to provide data-driven,
tailored programmatic technical
assistance to ensure continuous quality

ESTIMATED ANNUALIZED BURDEN HOURS

National DPP Affiliate Delivery Sites
National DPP Grantees ....................

Evaluation Form for Sites .................
Evaluation Form for Grantees ..........

100
10

1
1

5
3

500
30

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

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

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

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

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

530

[FR Doc. 2018–21571 Filed 10–3–18; 8:45 am]
daltland on DSKBBV9HB2PROD with NOTICES

Average
burden per
response
(in hours)

Form name

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.

Number of
respondents

Number of
responses per
respondent

Type of
respondents

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10391]

Agency Information Collection
Activities: Proposed Collection;
Comment Request

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Centers for Medicare &
Medicaid Services, Department of
Health and Human Services.
ACTION: Notice.
AGENCY:

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17:43 Oct 03, 2018

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Total burden
(in hours)

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

SUMMARY:

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