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Federal Register / Vol. 84, No. 63 / Tuesday, April 2, 2019 / Notices
century, yet despite the historically high
burden of STH infections in these
endemic areas of the United States, few
resources have been devoted to
surveillance, prevention, and treatment
of STH infections in recent years and
they are missed by routine information
collection systems. As a result, the
current prevalence of STH infections in
previously endemic areas is unknown,
but socioeconomic and environmental
conditions favorable to ongoing
transmission persist in areas of the
south, including Alabama and
Mississippi. Collecting this data, along
with biological specimens to document
infection, is critical to determine the
prevalence of STH infections, their
distribution, and risk factors associated

distribution of disease and on risk
factors, knowledge, attitudes and/or
practices related to STH infections
among residents in at-risk areas in
Alabama and Mississippi. This
information is critical for planning and
implementation of disease prevention
and control strategies targeting STH
infections in the southeastern United
States.
This data collection is not expected to
entail substantial burden for
respondents. The estimated total
annualized burden associated with this
data collection is 220 hours
(approximately 958 individuals
interviewed × 10 minutes/response).
There will be no costs to respondents
other than their time.

with infection. This data will be used to
inform the development and
implementation of effective and
sustainable prevention and control
measures in affected areas.
The core data elements were
developed with input from community
advocates, and local, state, and federal
public health and environmental health
partners in both Alabama and
Mississippi. The questionnaires have
been designed for self-completion by
respondents. The data that are collected
will be pooled and analyzed by
university partners and CDC, to generate
hypotheses about potential risk factors
for infection.
CDC requests OMB approval to collect
critical information, not available
otherwise, on the prevalence and

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent

Average
burden per
response
(in hrs.)

Total burden
(in hrs.)

Form name

Individuals .........................................
Individuals .........................................

Questionnaire—Alabama .................
Questionnaire—Mississippi ..............

600
358

1
1

10/60
10/60

100
60

Individuals .........................................

Anthropometric data—Mississippi ....

358

1

10/60

60

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

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

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

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

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

220

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2019–06306 Filed 4–1–19; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–19–19TG; Docket No. CDC–2019–
0010]

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 information collection, as
required by the Paperwork Reduction
Act of 1995. This notice invites

SUMMARY:

amozie on DSK9F9SC42PROD with NOTICES

Number of
respondents

Type of respondents

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Jkt 247001

comment on the Million Hearts®
Hospital/Health System Recognition
Program that recognizes institutions
working systematically to improve the
cardiovascular health of the population
and communities they serve.
DATES: CDC must receive written
comments on or before June 3, 2019.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2019–
0010 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.

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

FOR FURTHER INFORMATION CONTACT:

PO 00000

Frm 00039

Fmt 4703

Sfmt 4703

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;

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12614

Federal Register / Vol. 84, No. 63 / Tuesday, April 2, 2019 / Notices

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
Million Hearts® Hospital/Health
System Recognition Program—New
ICR—National Center for Chronic
Disease Prevention and Health
Promotion (NCCDPHP), Centers for
Disease Control and Prevention CDC).
Background and Brief Description
Heart disease, stroke and other
cardiovascular diseases (CVDs) kill over
800,000 Americans each year,
accounting for one in every three
deaths. CVD is the nation’s number one
killer among both men and women and
the leading cause of health disparities.
Million Hearts®, a national, publicprivate initiative co-led by the Centers
for Disease Control and Prevention
(CDC) and the Centers for Medicare &
Medicaid Services (CMS), was
established to address this issue.
Whether migrating towards valuebased reimbursement or simply striving
for a significant impact in reducing the
devastation of heart attacks and strokes,
clinical organizations are positioned to
improve the health of the population
they serve by implementing highimpact, evidence-based strategies.
Achieving a Million Hearts® Hospital/
Health System designation signals a

Optimizing Care, Improving Outcomes
for Priority Populations and Innovating
for Health. All applicants with reported
outcomes and a select number of those
who are committing to implement or are
implementing Million Hearts®
strategies, will be asked to participate in
a semi-structured, qualitative interview.
The purpose of the interview is to
obtain in-depth contextual information
about the Million Hearts® strategies and
facilitators used to achieve improved
cardiovascular outcomes among the
applicant’s patient population.
Applicants with reported outcomes will
receive increased recognition from
Million Hearts® by having their success
stories highlighted on the Million
Hearts® website, e-newsletter, etc.
After the Million Hearts® Hospital/
Health System Recognition Program
launches, the web-based application
will be open throughout the year and
applications will be reviewed on a
quarterly basis and recognized within
six months of acceptable review. CDC
estimates that information will be
collected from up to 100 applicants per
year. The overall goal of the Million
Hearts® initiative is to prevent one
million heart attacks and strokes.
Promoting evidence-based strategies
that prevent CVD is one focus of the
initiative.
CDC will use the information
collected through the Million Hearts®
Hospital/Health System Recognition
Program to increase widespread
attention on successful and sustainable
implementation strategies, improve
understanding of these strategies at the
practice level, bring visibility to
organizations that commit, implement,
or have implemented Million Hearts®
strategies and motivate other hospitals
and health systems to strengthen their
efforts to address CVD. OMB approval is
requested for three years. Participation
is voluntarily and there are no costs to
respondents other than their time.

commitment to not only clinical quality,
but population health overall.
The Program will recognize
institutions that are working to
systematically improve the
cardiovascular health of the population
and communities that they serve by
implementing strategies under the
Million Hearts® priority areas of
keeping people healthy, optimizing
care, improving outcomes for priority
populations, and innovating for health.
CDC anticipates that applicants will
range from health systems with multiple
hospitals, hospitals with and without
ambulatory medical practices, and
medical practices not affiliated with
hospitals. Any clinical entity whose
leaders consider it eligible may apply.
Recognition can be achieved by a robust
commitment to implement specific
strategies, by implementing specific
strategies, and most importantly by
achieving specific outcomes. Applicants
will complete the Million Hearts®
Hospital/Health System Recognition
Program application, indicating the
areas in which they are committing to
implement Million Hearts® strategies;
areas in which they have implemented
key strategies; and those strategies for
which they have achieved outcomes/
results.
Applicants must address a minimum
of one strategy in at least three of the
four priority areas (Keeping People
Healthy, Optimizing Care, Improving
Outcomes for Priority Populations and
Innovating for Health) that are outlined
in the application. However, they are
encouraged to target as many strategies
as is appropriate for their institution.
Applicants will be subject to a
background check.
The Million Hearts® Hospitals/Health
System designation is intended to
convey that the institution is committed
to preventing heart attacks and strokes
by a combination of efforts that are
about Keeping People Healthy,

amozie on DSK9F9SC42PROD with NOTICES

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Number of
responses per
respondent

Avg. burden
per response
(in hrs.)

Total burden
(in hrs.)

Type of respondents

Form name

Medical & Health Service Service
Manager.
Medical & Health Service Manager ..

Recognition Program Application .....

100

1

160/60

267

Interview Guide ................................

60

1

30/60

30

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

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

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

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

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

297

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Federal Register / Vol. 84, No. 63 / Tuesday, April 2, 2019 / Notices
Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2019–06311 Filed 4–1–19; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–19–19VJ; Docket No. CDC–2019–
0013]

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 The Childcare Survey of Activity
and Wellness (C-SAW) Pilot Study. The
pilot study will determine the current
practices and policies of early care and
education (ECE) providers in four states
around nutrition, physical activity, and
wellness and will inform the
development of a potential national
surveillance system.
DATES: CDC must receive written
comments on or before June 3, 2019.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2019–
0013 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.

amozie on DSK9F9SC42PROD with NOTICES

SUMMARY:

Please note: Submit all comments through
the Federal eRulemaking portal
(regulations.gov) or by U.S. mail to the
address listed above.

VerDate Sep<11>2014

18:45 Apr 01, 2019

Jkt 247001

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
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.
FOR FURTHER INFORMATION CONTACT:

Proposed Project
The Childcare Survey of Activity and
Wellness (C–SAW) Pilot Study—New—
National Center for Chronic Disease
Prevention and Health Promotion
(NCCDPHP), Centers for Disease Control
and Prevention (CDC)
Background and Brief Description
The Centers for Disease Control and
Prevention (CDC) works to promote

PO 00000

Frm 00041

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Sfmt 4703

12615

optimal nutrition, physical activity, and
wellness in early care and education
(ECE) facilities for children 0–5 years of
age. Consistent with this mission, and
with clear evidence that ECE facilities
can impact the habits and preferences of
young children, this survey is necessary
to better understand ECE center
practices related to nutrition, physical
activity, and wellness. These critical
data are used to effectively inform state
and national programs.
Data collected from this pilot survey
will be used to understand the current
practices of ECE centers in a
representative sample in four states.
This initial C–SAW will establish
baseline measures of the prevalence of
specific practices related to nutrition,
physical activity, and wellness in a
standard way across states. This
baseline will also allow CDC and state
partners to better understand ECE center
needs and provide opportunities for
collaboration and areas for improvement
at the state and national levels. Second,
the survey will be used to inform the
development of a potential national
surveillance system enabling states and
CDC to track changes over time and
obtain data to guide the planning,
implementation, and evaluation of
national and state obesity prevention
efforts.
A sample of approximately 1,266 ECE
centers across four states will be
selected to participate in this one-time
data collection effort. However, it is
estimated that approximately 10% of
the original sample will be out of
business or otherwise ineligible yielding
an actual sample of 1,140 ECEs to be
recruited. Each center will receive a
recruitment letter introducing the
survey, explaining its objectives and the
importance of their participation, and
instructions for completing the survey.
It is anticipated that most responses will
be submitted through the web. However,
paper surveys will be available upon
request. Approximately two weeks after
the initial recruitment letter is mailed,
all sampled centers will receive a
reminder postcard. Approximately four
weeks after the initial recruitment letter
is mailed, nonrespondents will be sent
another letter along with a hardcopy of
the questionnaire. It is also anticipated
that the response rate will be
approximately 55% based on a review
of recent surveys of child care centers
conducted by the Federal government.
Thus, we anticipate the number of
completed surveys to be 627. CDC
requests approval for an estimated 409
Burden Hours. Participation in this
study is completely voluntary and there
are no costs to the respondent other
than their time.

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