60 day FRN

40059

Federal Register / Vol. 84, No. 156 / Tuesday, August 13, 2019 / Notices
for Disease Control and Prevention
(CDC) and the Centers for Medicare &
Medicaid Services (CMS), was
established to address this issue. The
Million Hearts® Hospital/Health System
Recognition Program engages, equips,
and supports leading clinical
institutions across the country to excel
in cardiovascular health and care.
Hospitals and health systems are critical
to population health, given their direct
connection to people at risk for CVD, as

well as those who have had a cardiac or
cerebrovascular event and remain at risk
for having a subsequent event. Hospitals
are also the largest component of the
health care sector, and in total employ
over 5.4 million people—the second
largest source of private sector jobs.
Whether migrating towards value-based
reimbursement or simply striving for a
significant impact in reducing the
devastation of heart attacks and strokes,
hospitals and health systems are

positioned to improve the health of the
population they serve by implementing
high-impact, evidence-based strategies.
Achieving a Million Hearts® Hospital/
Health System designation signals a
commitment to not only clinical quality,
but population health overall.
CDC is requesting approval for 297
annual burden hours. There are no costs
to respondents other than their time.

ESTIMATED ANNUALIZED BURDEN HOURS
Form name

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

Recognition Program Application ...................
Interview Guide ..............................................

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2019–17286 Filed 8–12–19; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–19–1178; Docket No. CDC–2019–
0065]

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:

jspears on DSK3GMQ082PROD with NOTICES

Number of
respondents

Type of respondents

SUMMARY: 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 Comprehensive HIV Prevention
and Care for Men Who Have Sex with
Men of Color. This study is designed to
support state and local health
departments to develop and implement
demonstration projects for provision of
comprehensive human
immunodeficiency virus (HIV)
prevention and care services for men

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who have sex with men (MSM) of color
by creating a collaborative with
community based organizations (CBOs),
clinics and other health care providers,
and behavioral health and social
services providers in their jurisdiction.
DATES: CDC must receive written
comments on or before October 15,
2019.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2019–
0065 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 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: 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

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100
60

Number of
responses per
respondent
1
1

Average
burden per
response
(in hours)
160/60
30/60

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.
Proposed Project
Comprehensive HIV Prevention and
Care for Men Who Have Sex With Men
of Color (OMB Control No. 0920–1178,
Exp. 4/30/2020)—Extension—National

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40060

Federal Register / Vol. 84, No. 156 / Tuesday, August 13, 2019 / Notices

Center for HIV/AIDS, Viral Hepatitis,
STD, and TB Prevention (NCHHSTP),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
Approximately 40,000 people in the
United States are newly infected with
HIV each year. Gay, bisexual, and other
men who have sex with men (MSM)
remain the population most affected by
HIV infection in the United States (US).
Among MSM, those who are black and
Hispanic comprise 64% of all new
infections. Goals of the National HIV
Prevention Strategy and the new
initiative ‘‘Ending the HIV Epidemic: A
Plan for America’’ include increasing
the number of MSM of color living with
HIV infection who achieve HIV viral
suppression with antiretroviral
treatment (ART), and decreasing the
number of new HIV infections among
MSM of color at risk of acquiring an HIV
infection.
Achieving these outcomes requires
that men utilize a broad variety of HIV
prevention and care services. The
continuum of HIV prevention services
includes HIV testing, offering HIVnegative men at risk for acquiring HIV
infection biomedical interventions such
as preexposure prophylaxis (PrEP) or
postexposure prophylaxis (PEP),
prescribing the medications needed for
PrEP or PEP, adhering to these

independent management and diverse
funding streams and administration of
each collaborative member, the health
departments will need to work
cooperatively with CDC to form and
sustain this collaborative and to provide
technical assistance and support for
them to deliver high quality HIV
prevention and care services to men
who require them. CDC needs to
understand facilitators and barriers to
developing and sustaining a community
collaborative to guide the technical
assistance it provides to the
collaborative so it can optimally deliver
all of the required HIV prevention and
care services to all men who require
them.
Because many of the service providers
in the collaborative are not part of the
health department organizational
structure or co-located within a health
department facility or clinic, the health
departments will support navigators to
help MSM of color to utilize all of the
services. In order to provide technical
assistance to ensure effective navigation
models, CDC must understand the
characteristics of the various models;
how they integrate service utilization
within the collaborative structure, and
the number of men who they assist in
utilizing services. CDC requests
approval for 1,543 annual burden hours.
There are no other costs to respondents
other than their time.

medications as prescribed, returning for
follow-up visits to support adherence,
and monitoring potential medication
side effects. Lab-based Antigen/
Antibody HIV testing is recommended
because it is the most sensitive HIV
diagnostic test, allowing acute HIV
infection to be diagnosed, and allowing
health departments to prioritize
initiation of treatment early in the
course of infection to improve long-term
health outcomes and prevent secondary
HIV transmission. State and local health
departments are authorized to provide
HIV testing, prevention, and care
services, and are essential partners in
carrying out Thrive’s programmatic
goals. The continuum of HIV care
services includes HIV testing and
notifying HIV-positive men of their
results, linking HIV-positive men to
their initial HIV clinic visit, prescribing
antiretroviral medications to treat HIV
infection, adhering to antiretroviral
medications, being retained or reengaged in care, and achieving HIV viral
suppression.
These services will be provided by a
community collaborative led by the
health department, which consists of
several partners: Community-based
organizations (CBOs), healthcare
providers, behavioral healthcare
providers, and social service providers.
But, because of the fragmented nature of
U.S. healthcare system, and the

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent

Number of
respondents

Total burden
(in hours)

Form name

THRIVE Partners ...........

Monitoring and Evaluation Data Elements on
HIV Prevention and Care Services.
Qualitative Interview: Collaborative Process
Evaluation.
Collaborative Assessment Tool ...........................
Monitoring and Evaluation Data Elements on
HIV Prevention and Care Services.
Qualitative Interview: Collaborative Process
Evaluation.
Collaborative Assessment Tool ...........................
Funding Allocation Report ...................................

80

2

9

1,440

80

1

40/60

53

80
7

1
2

20/60
1

27
14

7

1

40/60

5

7
7

1
1

20/60
20/60

2
2

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

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

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

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

1,543

THRIVE Awardees ........

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

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
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Average
burden per
response
(in hours)

Type of respondent

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