60-day Federal Register Notice

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Federal Register / Vol. 88, No. 122 / Tuesday, June 27, 2023 / Notices
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Form name

Number of
responses per
respondent

Hours per
response

Total burden
hours

Online Survey ..................................................................................................

4,998

1

.28

1,416

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

4,998

na

na

1,416

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents

Form name

Total burden
hours

Average
hourly wage
rate *

Total cost
burden

Online Survey ..................................................................................................

4,998

1,416

a $28.01

$39,662

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

4,998

1,416

Na

$39,662

* The May 2017 National Employment and Wage Estimates reported by the Bureau of Labor statistics indicate an average hourly wage of
$28.01 across the 50 U.S. states and the District of Columbia. The national average has been used to estimate the wages of survey respondents. The Knowledge Panel consists of a broad cross-section of the U.S. adult population, and thus a national average should be a reasonable
estimate of the wages of survey respondents. National Compensation Survey: Occupational wages in the United States May 2021, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’
a Based on the mean wages for all occupations, code 00–0000.

Request for Comments

ddrumheller on DSK120RN23PROD with NOTICES1

In accordance with the Paperwork
Reduction Act, 44 U.S.C. 3501–3520,
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’s 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.
Dated: June 21, 2023.
Marquita Cullom,
Associate Director.
[FR Doc. 2023–13579 Filed 6–26–23; 8:45 am]
BILLING CODE 4160–90–P

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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Toxic Substances and
Disease Registry
[60Day–23–0057; Docket No. ATSDR–2023–
0002]

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Agency for Toxic Substances
and Disease Registry (ATSDR),
Department of Health and Human
Services (HHS).
ACTION: Notice with comment period.
AGENCY:

The Agency for Toxic
Substances and Disease Registry
(ATSDR), 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 continuing information
collection, as required by the Paperwork
Reduction Act of 1995. This notice
invites comment on a proposed
information collection project titled
APPLETREE Performance Measures.
ATSDR will use this data collection to
manage the next five-year cooperative
agreement program under Notice of
Funding Opportunity (NOFO) No. CDC–
RFA–TS–23–0001.
DATES: ATSDR must receive written
comments on or before August 28, 2023.
ADDRESSES: You may submit comments,
identified by Docket No. ATSDR–2023–
0002 by either of the following methods:
• Federal eRulemaking Portal:
www.regulations.gov. Follow the
instructions for submitting comments.
SUMMARY:

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• Mail: Jeffrey M. Zirger, Information
Collection Review Office, Centers for
Disease Control and Prevention, 1600
Clifton Road NE, MS H21–8, Atlanta,
Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. ATSDR will post,
without change, all relevant comments
to www.regulations.gov.
Please note: Submit all comments
through the Federal eRulemaking portal
(www.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
H21–8, Atlanta, Georgia 30329;
Telephone: 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

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Federal Register / Vol. 88, No. 122 / Tuesday, June 27, 2023 / Notices
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;
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; and
5. Assess information collection costs.

ddrumheller on DSK120RN23PROD with NOTICES1

Proposed Project
APPLETREE Performance Measures
(OMB Control No. 0923–0057, Exp. 09/
30/2023)—Revision—Agency for Toxic
Substances and Disease Registry
(ATSDR).
Background and Brief Description
The Agency for Toxic Substances and
Disease Registry (ATSDR) seeks to build
and sustain the capacity to evaluate
exposures to hazardous waste across the
country. Releases from hazardous waste
sites are a major source of harmful
exposures in homes, schools,
workplaces, and communities. These
exposures are often complex and may be
difficult to identify and control.
Hazardous waste sites may involve
various toxic substances, exposure
pathways, and health impacts. ATSDR’s
primary goal is to keep communities
safe from harmful exposures and related
diseases. To accomplish this goal, the
agency works closely with partnering
agencies to evaluate exposures at
hazardous waste sites, educate
communities, and seek new ways to
better protect public health.
ATSDR’s Partnership to Promote
Local Efforts to Reduce Environmental
Exposure (APPLETREE) Program is
critical to ATSDR’s success in
accomplishing its mission in
communities nationwide. ATSDR’s
recipients will use APPLETREE funding
to advance ATSDR’s primary goal of
keeping communities safe from harmful
environmental exposures and related
diseases. APPLETREE gives recipients

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the resources to build their capacity to
assess and respond to site-specific
issues involving human exposure to
hazardous substances in the
environment. APPLETREE helps
recipients identify exposure pathways at
specific sites; educate affected
communities about site contamination
and potential health effects; make
recommendations to prevent exposure;
review health outcome data to evaluate
potential links between site
contaminants and community health
outcomes. APPLETREE facilitates the
implementation of state-level programs
to ensure that potential early care and
education facilities are in areas free
from harmful environmental exposures.
Additionally, it motivates the recipients
to innovate and implement progressive
public health interventions that can
prevent exposure to environmental
contamination. Due to the local
connections and partnerships of
APPLETREE recipients, there is an
enhancement in community engagement
and implementation of
recommendations. This program is
authorized under Sections 104(i)(15) of
the Comprehensive Environmental
Response, Compensation, and Liability
Act (CERCLA) of 1980, as amended by
the Superfund Amendments and
Reauthorization Act (SARA) of 1986 [42
U.S.C. 9604(i)(15)].
Under the next five-year APPLETREE
cooperative agreement NOFO No. CDC–
RFA–TS–23–0001), eligible applicants
include federally recognized American
Indian/Alaska Native tribal
governments; American Indian/Alaska
native tribally designated organizations;
political subdivisions of states (in
consultation with states); and state and
local governments or their bona fide
agents. ATSDR technical project officers
(TPOs) will assist approximately 30
APPLETREE recipients to address sitespecific issues involving human
exposure to hazardous substances. Key
capacities include identification of
human exposure pathways at ATSDR
sites, education of affected communities
and local health professionals about site
contamination and potential health
effects; making appropriate
recommendations to prevent exposure;
reviewing health outcome data to
evaluate potential links between site
contaminants and community health;
and documenting the effects of
environmental remediation on health.
This is a Revision Information
Collection Request (ICR) titled
‘‘APPLETREE Performance Measures,’’
previously approved under OMB
Control No. 0923–0057 (Expiration Date
9/30/2023). ATSDR will continue to
collect information related to recipient

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41621

activities, and the process and outcome
performance measures outlined by the
cooperative agreement program.
Information will be used to monitor
progress toward program goals and
objectives, and for program quality
improvement. Nine forms have been
previously approved by OMB under
APPLETREE Performance Measures
under OMB Control No. 0923–0057. The
first three forms were migrated to the
new information technology (IT) system
called ATSDR’s Request Management
Service System (ARMSS).
1. ATSDR Health Education Activity
(HE) Form: For each environmental
health assessment and health education
activity conducted at ATSDR sites,
APPLETREE Recipients shall
quantitatively assess and report efforts
to educate community members about
site recommendations and health risks
using indicators to assess community
understanding of site findings about
health risks and community
understanding of agency
recommendations to reduce health risks.
This information will be entered into
ARMSS for each health education
activity at ATSDR sites.
2. ATSDR Technical Assistance
Activity (TA) Form: Throughout the
budget year, this form will be used to
record the routine requests made by the
recipients and their program responses.
These responses do not evaluate
environmental data and do not make
health calls but are monitored by
ATSDR as part of the recipients’
performance.
3. ATSDR Site Impact Assessment
(SIA) Form: For each environmental
health assessment and health education
activity conducted at ATSDR sites,
recipients shall estimate and report the
number of people protected from
exposure to toxic substances at each site
where implementation of agency
recommendations has taken place and at
each childcare center where safe siting
guidelines have been implemented. To
the extent possible, recipients shall
estimate and report the disease burden
prevented due to the implementation of
site recommendations and safe siting
guidelines.
The fourth form is currently being
migrated from SharePoint to ARMSS.
This transition is currently taking place.
4. ATSDR Success Story Form:
Recipients will provide one success
story per quarter (four success stories
total per year) that highlights the impact
of any of their programs. Recipients will
report a summary, background,
intervention/action taken, and
accomplishment/impact for each story.
Optionally, they may include a photo or
quote.

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41622

Federal Register / Vol. 88, No. 122 / Tuesday, June 27, 2023 / Notices

Recipients will continue to submit the
following five forms to ATSDR via
email. In the future, these forms will be
moved to an electronic system (e.g.,
ARMSS or REDCap) to simplify data
collection.
5. APPLETREE Annual Performance
Report (APR) Template: Recipients will
continue to provide an APR each year
and at the end of the funding cycle,
which summarizes their annual and
funding cycle performances,
respectively. APRs will be due in
December of each year to coincide with
the CDC Grants Management annual
reports to reduce the overall reporting
burden, and the final report will be due
at the end of the funding cycle. The
purpose of the performance reports will
be to assess Partners based on
performance measures and evaluation
projects. The reports should include a
summary of performance measures,
results of any evaluation projects, an
accompanying narrative of progress and
interpretation of results, optional
successes, challenges, and an updated
work plan. These reports will be entered
into a Microsoft Word form.
6. Choose Safe Places for Early Care
and Education (CSPECE) Qualitative
Narrative Form: Recipients will
continue to provide a narrative report of
their CSPECE Programs to document
descriptive details of their state’s
landscape, program plan, program
implementation, and results that cannot
be captured through numbers.
Recipients will complete and submit the
narrative once a year as a supplement

will be submitted to ATSDR via email
within three weeks of the SoilSHOP
completion.
9. ATSDR Recommendation Followup Form: For each environmental health
assessment, recipients will provide an
update on the status of acceptance and
implementation of all recommendations
to understand whether and how
recommendations have been
implemented, and the subsequent
impact on communities. Recipients will
complete a Microsoft Excel reporting
form annually on the anniversary date
of the release of each health assessment.
As part of the Revision request, the
last form is new.
10. ATSDR Requests for Certified and
Non-certified Public Health
Assessments and Health Consultations
Form: For each environmental health
assessment, recipients will provide the
request, dates, and triage information
and can associate the request with a
hazardous waste site. Site scoping and
clearance information are completed for
about 15% of environmental health
assessments that complete ATSDR’s
clearance process (i.e., certified). This
information will be entered into
ARMSS.
ATSDR is seeking a three-year
Paperwork Reduction Act (PRA)
clearance for this Revision ICR. ATSDR
will fund 30 recipients. Recipient
reporting is required to receive funding
under the APPLETREE cooperative
agreement. The total annual time
burden requested is 269 hours.

with their APRs in a Microsoft Word
form.
7. CSPECE Quantitative Form:
Recipients will continue to provide data
on their CSPECE Programs to quantify
aspects of their program such as
children reached, target audiences
educated, early care and education
programs referred and screened, and
recommendations implemented. To
supplement their APRs, recipients will
complete and submit a Microsoft Excel
form once a year as a supplement with
their APRs.
In addition to the required annual
reporting, at the end of the five-year
program, each recipient will report
cumulative five-year performance
measures for three forms: the APR, the
CSPECE Qualitative Narrative Form,
and the CSPECE Quantitative Form.
This will result in six total responses in
a five-year period for each form. The
estimated annualized number of
required responses is thus rounded to
once per year for these three forms, as
6 hours divided by three years equals
1.2 hours per year.
8. ATSDR SoilSHOP Form:
SoilSHOPs are not a required activity;
however, if conducted, a recipient will
need to complete the ATSDR SoilSHOP
Form. This form gathers data on the
inputs, activities, outputs, and outcomes
of the event, such as the number of soil
samples screened, the number of
elevated soil samples, the number of
individuals receiving health
consultations, and the number of
individuals receiving referrals. The form

ddrumheller on DSK120RN23PROD with NOTICES1

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Number of
responses per
respondent

Average
burden
per response
(in hrs.)

Total burden
(in hours)

Type of respondents

Form name

APPLETREE Recipients ...................

ATSDR Health Education (HE) Activity Form.
ATSDR Technical Assistance (TA)
Activity Form.
ATSDR Site Impact Assessment
(SIA) Form.
ATSDR Success Story Form ...........
APPLETREE Annual Performance
Report (APR) Template.
Choose Safe Places for Early Care
and Education (CSPECE) Qualitative Narrative Form.
CSPECE Quantitative Form .............
ATSDR SoilSHOP Form ..................
ATSDR Recommendation Follow-up
ATSDR Requests .............................

30

17

4/60

34

30

17

4/60

34

30

3

7/60

11

30
30

4
1

30/60
2

60
60

30

1

1

30

30
10
30
30

1
1
4
3

15/60
7/60
10/60
7/60

8
1
20
11

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

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

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

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

269

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

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Federal Register / Vol. 88, No. 122 / Tuesday, June 27, 2023 / Notices
Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Public Health Ethics and
Regulations, Office of Science, Centers for
Disease Control and Prevention.
[FR Doc. 2023–13571 Filed 6–26–23; 8:45 am]
BILLING CODE 4163–70–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–23–22GA; Docket No. CDC–2023–
0053]

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
comment on a proposed information
collection project titled Expanding PrEP
in Communities of Color (EPICC). The
purpose of this study is to implement
and evaluate the effectiveness of a
clinic-based intervention that utilizes
evidence-based education and support
tools increase provider knowledge and
improve PrEP adherence.
DATES: CDC must receive written
comments on or before August 28, 2023.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2023–
0053 by either of the following methods:
• Federal eRulemaking Portal:
www.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 H21–8, Atlanta,
Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. CDC will post, without
change, all relevant comments to
www.regulations.gov.
Please note: Submit all comments
through the Federal eRulemaking portal
(www.regulations.gov) or by U.S. mail to
the address listed above.
FOR FURTHER INFORMATION CONTACT: To
request more information on the

ddrumheller on DSK120RN23PROD with NOTICES1

SUMMARY:

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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
H21–8, Atlanta, Georgia 30329;
Telephone: 404–639–7118; 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;
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; and
5. Assess information collection costs.
Proposed Project
Expanding PrEP in Communities of
Color (EPICC)—New—National Center
for HIV/AIDS, Viral Hepatitis, STD, and
TB Prevention (NCHHSTP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The National Center for HIV/AIDS,
Viral Hepatitis, STD and TB Prevention
(NCHHSTP) is requesting approval for
36 months of data collection titled
Expanding PrEP in Communities of

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41623

Color (EPICC). The purpose of this study
is to implement and evaluate the
effectiveness of a clinic-based
intervention that utilizes evidencebased education and support tools to:
(1) increase provider knowledge of and
comfort with preexposure prophylaxis
(PrEP) modalities in clinical practice;
and (2) improve PrEP adherence among
young men who have sex with men
(YMSM).
This study has two aims: In Aim 1 the
study team will deliver training to
health providers that will focus on
implementation of evidence-based tools
to enhance the providers’ ability to
engage in PrEP screening, counseling,
initiation and to provide support for
adherence and persistence. For Aim 2a,
the study will initiate an effectivenessimplementation trial with 400 YMSM to
test the effectiveness of the EPICC+
intervention package in increasing PrEP
adherence and persistence among
YMSM. The intervention will also
utilize a mobile app-based platform,
HealthMPowerment (HMP) to support
ongoing participant engagement and
monitoring, as well as to provide
additional adherence support. In Aim
2b, the study team will conduct focus
groups with providers to gather
feedback on overall perceptions of the
barriers and facilitators to
implementation of evidence-based tools
(EBT) within their clinical site.
The information collected in this
study will be used to: (1) describe realworld PrEP use including factors
influencing selection and change of
PrEP regimens; (2) understand and
describe barriers and facilitators
impacting the implementation of new
PrEP modalities in clinical practice; (3)
evaluate the feasibility and acceptability
of the EPICC+ mobile app among YMSM
on PrEP; and (4) evaluate the feasibility
and acceptability of implementing a
provider training.
This study will be carried out in 10
clinics located in Chicago, IL; New York
City, NY; Philadelphia, PA; Charlotte,
NC; Raleigh, NC; Tuscaloosa, AL;
Montgomery, AL; Tampa, FL; Orlando,
FL; and Houston, TX. Aim 1 will
include 30 health care providers from
the 10 clinic sites, all involved in the
direct delivery of PrEP services.
Providers may include but are not
limited to medical doctors, nurses,
adherence counselors, pharmacists, and
social workers. Health providers will be
recruited via staff emails.
Aim 2a participants will include 400
YMSM ages 18–39, inclusive.
Participants will identify as a cisgender
male; report sex with a man in the past
12 month; have an active prescription
for PrEP; receive care at one of the ten

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