Proposed Data Collection Submitted for Public Comment and Recommendations, 45241-45243 [2018-19295]

Download as PDF Federal Register / Vol. 83, No. 173 / Thursday, September 6, 2018 / Notices daltland on DSKBBV9HB2PROD with NOTICES reliable courier service will be costly and requires a considerable amount of time to complete the registration process. Response: GSA has taken several actions to address alleged fraudulent activity in the System for Award Management (SAM). The measures GSA has put in place to help prevent improper activity in SAM include masking specific data elements in the entity registration even for authorized entity users; requiring ‘‘parent’’ approval of new registrations for their ‘‘child’’ entities; multi-factor authentication using login.gov and notifying Entity Administrators when there is a change in the entity’s bank account information. Requiring the formal appointment of the Entity Administrator by original, signed notarized letter ensures that the individual(s) reporting for their entity are associated with the entity and provides a validation of the letter submitter’s identity by the notary. GSA is actively pursuing technical alternatives to replace and/or supplement the collection of notarized letters. C. Annual Reporting Burden Respondents: 686,400. Responses per Respondent: 1. Total Annual Responses: 686,400. Hours per Response: 2.25. Total Burden Hours: 1,544,400. The information collection allows GSA to request the notarized letter, and apply this approach to new registrants (an average of 7,200 per month) and to existing SAM registrants (an average of 50,000 re-register per month). Entities registered and registering in SAM are provided the template for the requirements of the notarized letter. It is estimated that the Entity Administrator will take on average 0.5 hour to create the letter and 0.25 hour to mail the hard copy letter. GSA proposes that an Entity Administrator equivalent to a GS–5, Step 5 Administrative Support person within the Government would perform these tasks. The estimated hourly rate of $24.70 (Base + Locality + Fringe) was used for the calculation. Based on historical data of the ratio of small entities to other than small entities registering in SAM, GSA approximates 32,200 of the 57,200 new and existing entities (re-registrants) will have in-house resources to notarize documents. GSA proposes that the entities with in-house notaries will typically be large businesses where the projected salary of the executive or officer responsible for signing the notarized letter is on average approximately $150 per hour. The VerDate Sep<11>2014 16:56 Sep 05, 2018 Jkt 244001 projected time for signature and notarizing the letter internally is 0.5 hour. The other remaining 25,000 new and existing entities (re-registrants) per month are estimated to be small entities where the projected salary of the executive or officer responsible signing the notarized letter is on average approximately $100 per hour. These entities will more than likely have to obtain notary services from an outside source. The projected time for signature and notarizing the letter externally is 1 hour. The estimate includes a nominal fee ($5.00) usually charged by thirdparty notaries. D. Public Comments Public comments are particularly invited on: Whether this collection of information is necessary, whether it will have practical utility; whether our estimate of the public burden of this collection of information is accurate, and based on valid assumptions and methodology; ways to enhance the quality, utility, and clarity of the information to be collected; and ways in which we can minimize the burden of the collection of information on those who are to respond, through the use of appropriate technological collection techniques or other forms of information technology. Obtaining Copies of Proposals: Requesters may obtain a copy of the information collection documents from the General Services Administration, Regulatory Secretariat Division (MVCB), 1800 F Street NW, Washington, DC 20405. ATTN: Information Collection 3090–0317; Notarized Document Submittal for System for Award Management Registration. Please cite OMB Control No. 3090–0317; Notarized Document Submittal for System for Award Management Registration, in all correspondence. Dated: August 22, 2018. David A. Shive, Chief Information Officer. [FR Doc. 2018–19324 Filed 9–5–18; 8:45 am] BILLING CODE 6820–EP–P PO 00000 Frm 00036 Fmt 4703 Sfmt 4703 45241 DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Toxic Substances and Disease Registry [60Day–18–18ARO; Docket No. ATSDR– 2018–0007] 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 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 ‘‘Prenatal Assessment of Environmental Risk (PAER)’’. This web-based data collection will provide information on behavioral risks for environmental exposures for patients seeking preconception and prenatal care, and for their reproductive health care clinicians (RHCCs). DATES: ATSDR must receive written comments on or before November 5, 2018. SUMMARY: You may submit comments, identified by Docket No. ATSDR–2018– 0007 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. ATSDR 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 ADDRESSES: E:\FR\FM\06SEN1.SGM 06SEN1 45242 Federal Register / Vol. 83, No. 173 / Thursday, September 6, 2018 / Notices 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 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 daltland on DSKBBV9HB2PROD with NOTICES Prenatal Assessment of Environmental Risk (PAER)—NEW—Agency for Toxic Substances and Disease Registry (ATSDR) Background and Brief Description Many environmental chemicals absorbed or ingested by pregnant women can cross the placenta to the fetus. The scientific evidence over the last 10 to 15 years has shown that exposure to toxic environmental agents before conception and during pregnancy can have significant and long-lasting adverse effects on the reproductive health of mothers, and on the long-term health of mothers and babies. Reducing exposure to toxic environmental agents VerDate Sep<11>2014 16:56 Sep 05, 2018 Jkt 244001 is a critical area of intervention for reproductive health care professionals in the United States and worldwide. In 2013, the American College of Obstetricians and Gynecologists (ACOG) and other obstetrician-gynecologist professional societies called for timely action to identify and reduce exposure to toxic environmental agents while addressing the consequences of such exposure (ACOG, 2013; FIGO, 2105). In support of this call to action, the Agency for Toxic Substances and Disease Registry (ATSDR) is requesting a three-year Paperwork Reduction Act (PRA) clearance for a new information collection request (ICR) entitled ‘‘Prenatal Assessment of Environmental Risk (PAER)’’. The long-term goal is for the PAER web-based information collection system to be widely adopted by obstetricians, gynecologists, and other reproductive health care professionals. Through PAER, practicing clinicians will have readily accessible and reliable information, and educational resources to counsel mothers-to-be on their potential environmental exposures and associated risks. This will facilitate reduction in harm to mothers-to-be and their babies. PAER environmental exposure assessment results will be suitable for incorporation into patients’ electronic health records and maintenance within health care provider organizations. Data collected will also establish an ongoing public health surveillance system that will provide an improved understanding of behaviors in daily life that put women of reproductive age and their babies at higher risk of exposure to environmental hazards. ATSDR will maintain only anonymous patient PAER survey responses and registration variables, including the PAER unique survey ID number, age, and zip code. Age and zip code will serve as the two variables for data analysis. Reported risk-based aggregate data will be at the zip code or higher geographic level, excluding zip code tabulation areas (ZTCAs) with 20,000 or fewer persons. ATSDR plans to analyze the exposure risk data by geographic regions and over time. This data analysis will allow clinician and patient education on the most prevalent region-specific environmental exposures. ATSDR and partner organizations can use this information to shape educational initiatives and counseling guidance on ways women can lower environmental exposure risk. The PAER survey is web-based, and includes 17 multiple-choice questions and one open-ended question. These questions are divided into five topic PO 00000 Frm 00037 Fmt 4703 Sfmt 4703 areas: Lifestyle; home; food and water; cans, bottles, and containers; and getting ready for the baby. The PAER survey focuses on 11 common types of environmental exposures: Air pollution, benzene, bisphenol A (BPA), flame retardants, lead, mercury, polychlorinated biphenyls (PCBs), pesticides, phthalates, smoking, and volatile organic compounds (VOCs). There are two types of respondents who will participate in the PAER data collection, reproductive health care clinicians (RHCCs), and women of reproductive age who are seeking preconception or prenatal care. RHCCs will include obstetricians/gynecologists, family medicine physicians, nurse practitioners and physician assistants, and nurse midwives who are involved in the care of these women. RHCCs (the first type of respondent) who choose to participate in the PAER process will be required to register with ATSDR, and gain approval to participate and establish credentials through CDC’s Secure Access Management Services (SAMS). ATSDR will provide online training resources to instruct RHCCs how to register themselves and their clinic for PAER, to recruit patients, to utilize environmental histories and PAER resources for patient counseling, and to link PAER results to their patient health records. Online registration and training module components are estimated to take 30 minutes per RHCC. Each RHCC who participates in PAER will also invite their patients to complete the environmental exposure survey by email or text, link their patients’ survey response data with the invitations sent and health records, and provide counseling to individual patients to aid in modifying behavior to lower environmental exposure risks. These components are estimated to take RHCCs 30 minutes per patient. Of note, ATSDR will not receive any information from the patients’ electronic health records. RHCCs will invite their patients to participate outside of the PAER application, and will be responsible for protecting the patient information provided to them within PAER in accordance with the 1996 Health Insurance Portability and Accountability (HIPAA) guidelines. Based on ACOG estimates, the number of practicing RHCCs in the U.S. is approximately 35,586. On average over the next three years, ATSDR estimates that up to 15 percent (n = 5,338) of these clinicians will participate in the PAER process each year through online registration and training. For purposes of estimation, ATSDR assumes the RHCCs represent the full effort of clinic staff. The E:\FR\FM\06SEN1.SGM 06SEN1 45243 Federal Register / Vol. 83, No. 173 / Thursday, September 6, 2018 / Notices annualized frequency of response (12 per RHCC) is based on ATSDR assumptions about the number of patients who will take part in the PAER survey as described below. Women who receive preconception or prenatal care (the second type of respondents) may respond to the PAER environmental exposure history by accessing the online PAER survey through the application internet home page or through their RHCC’s email/text invitation. ATSDR assumes that 5 percent of these women will participate in PAER over the next three years (or 1.67 percent per year). Using the 3,978,497 births reported in the 2015 U.S. Vital Statistics to represent the number women who receive preconception or prenatal care, 1.67 percent equals to 66,441 women who will take part in the PAER survey each year. Thus, each RHCCH is assumed to interact with 12 such patients per year (66,441/5,338 = 12). The time for women to respond to the survey is estimated at 10 minutes per patient. Participation in the PAER process and survey is voluntary. There is no cost to respondents other than their time. The total annualized time burden requested is 45,772 hours. A summary of the estimated annualized burden hours is shown in the table that follows. ESTIMATED ANNUALIZED BURDEN HOURS Form name Reproductive Health Care Clinicians (RHCCs). Women who Receive Preconception or Prenatal Care. PAER Online Registration for RHCCs. PAER Training Materials for RHCCs PAER Email/Text Invitation, Data Linkage, and Counseling. Access and Respond to PAER Survey. Total ........................................... ........................................................... 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. 2018–19295 Filed 9–5–18; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [Docket No. CDC–2018–0082] Surgeon General’s Call to Action: ‘‘Community Health and Prosperity’’ 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) in the Department of Health and Human Services (HHS) announces the opening of a docket to obtain comment on an upcoming Surgeon General’s document/ Call to Action with a working title ‘‘Community Health and Prosperity’’. CDC is the lead agency to support the Office of the Surgeon General to publish a Call to Action that will be scienceinformed and actionable, outlining a conceptual framework with case examples and available evidence on the business case for investing in daltland on DSKBBV9HB2PROD with NOTICES SUMMARY: VerDate Sep<11>2014 16:56 Sep 05, 2018 Jkt 244001 Number of responses per respondent Number of respondents Type of respondent 1 15/60 1,335 5,338 5,338 1 12 15/60 30/60 1,335 32,028 66,441 1 10/60 11,074 ........................ ........................ ........................ 45,772 FOR FURTHER INFORMATION CONTACT: Martin J. Vincent, Office of the Associate Director for Policy, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mail Stop D–28, Frm 00038 Fmt 4703 Total burden hours 5,338 community health. The goal of the Call to Action is to: Clearly demonstrate that investments in community health have the potential to improve the health and prosperity of communities and issue a call to action to the private sector and local policy makers for investment in communities, unilaterally or as part of multi-sector or other consortium, to improve community health. DATES: Written comments must be received before November 5, 2018. ADDRESSES: You may submit comments, identified by Docket No. CDC–2018– 0082 by any of the following methods: • Federal eRulemaking Portal: http:// www.regulations.gov. Follow the instructions for submitting comments. • Mail: Martin J. Vincent, Office of the Associate Director for Policy, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mail Stop D–28, Atlanta, Georgia 30329. • Instructions: All submissions received must include the agency name and Docket Number. All relevant comments received will be posted without change to http:// regulations.gov, including any personal information provided. For access to the docket to read background documents or comments received, go to http:// www.regulations.gov. PO 00000 Average burden per response (in hours) Sfmt 4703 Atlanta, Georgia 30329. Telephone: 404–639–1455, Email: CHP@cdc.gov. SUPPLEMENTARY INFORMATION: Public Participation Interested persons or organizations are invited to submit written views, recommendations, and data about how investing in communities can improve health and prosperity. Examples may include: (1) Available data, evidence and/or experience(s) (a) that suggest private sector investments in community health have (directly or indirectly) improved health and prosperity of the workforce and communities; (b) that healthier communities help private sector businesses to be more efficient, profitable, successful, or competitive; (c) description of data systems and evaluation frameworks that might contribute to supporting community health investment decisions, evaluating success and impact; and (d) case studies, examples, reviews and metaanalyses, data linkages, promising and emerging ideas, and best practices; (2) Types of investments the private sector and local policy makers can consider to improve health and wellness of employees and families, and community well-being and prosperity; (3) Types of partners or coalitions that have invested in community health and the scope of their collaborations contributions; (4) Descriptions of important barriers to and facilitators of success; E:\FR\FM\06SEN1.SGM 06SEN1

Agencies

[Federal Register Volume 83, Number 173 (Thursday, September 6, 2018)]
[Notices]
[Pages 45241-45243]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-19295]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Toxic Substances and Disease Registry

[60Day-18-18ARO; Docket No. ATSDR-2018-0007]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Agency for Toxic Substances and Disease Registry (ATSDR), 
Department of Health and Human Services (HHS).

ACTION: Notice with comment period.

-----------------------------------------------------------------------

SUMMARY: 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 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 ``Prenatal Assessment of 
Environmental Risk (PAER)''. This web-based data collection will 
provide information on behavioral risks for environmental exposures for 
patients seeking preconception and prenatal care, and for their 
reproductive health care clinicians (RHCCs).

DATES: ATSDR must receive written comments on or before November 5, 
2018.

ADDRESSES: You may submit comments, identified by Docket No. ATSDR-
2018-0007 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. ATSDR 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

[[Page 45242]]

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;
    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

Prenatal Assessment of Environmental Risk (PAER)--NEW--Agency for Toxic 
Substances and Disease Registry (ATSDR)

Background and Brief Description
    Many environmental chemicals absorbed or ingested by pregnant women 
can cross the placenta to the fetus. The scientific evidence over the 
last 10 to 15 years has shown that exposure to toxic environmental 
agents before conception and during pregnancy can have significant and 
long-lasting adverse effects on the reproductive health of mothers, and 
on the long-term health of mothers and babies. Reducing exposure to 
toxic environmental agents is a critical area of intervention for 
reproductive health care professionals in the United States and 
worldwide. In 2013, the American College of Obstetricians and 
Gynecologists (ACOG) and other obstetrician-gynecologist professional 
societies called for timely action to identify and reduce exposure to 
toxic environmental agents while addressing the consequences of such 
exposure (ACOG, 2013; FIGO, 2105).
    In support of this call to action, the Agency for Toxic Substances 
and Disease Registry (ATSDR) is requesting a three-year Paperwork 
Reduction Act (PRA) clearance for a new information collection request 
(ICR) entitled ``Prenatal Assessment of Environmental Risk (PAER)''.
    The long-term goal is for the PAER web-based information collection 
system to be widely adopted by obstetricians, gynecologists, and other 
reproductive health care professionals. Through PAER, practicing 
clinicians will have readily accessible and reliable information, and 
educational resources to counsel mothers-to-be on their potential 
environmental exposures and associated risks. This will facilitate 
reduction in harm to mothers-to-be and their babies. PAER environmental 
exposure assessment results will be suitable for incorporation into 
patients' electronic health records and maintenance within health care 
provider organizations.
    Data collected will also establish an ongoing public health 
surveillance system that will provide an improved understanding of 
behaviors in daily life that put women of reproductive age and their 
babies at higher risk of exposure to environmental hazards. ATSDR will 
maintain only anonymous patient PAER survey responses and registration 
variables, including the PAER unique survey ID number, age, and zip 
code. Age and zip code will serve as the two variables for data 
analysis. Reported risk-based aggregate data will be at the zip code or 
higher geographic level, excluding zip code tabulation areas (ZTCAs) 
with 20,000 or fewer persons.
    ATSDR plans to analyze the exposure risk data by geographic regions 
and over time. This data analysis will allow clinician and patient 
education on the most prevalent region-specific environmental 
exposures. ATSDR and partner organizations can use this information to 
shape educational initiatives and counseling guidance on ways women can 
lower environmental exposure risk.
    The PAER survey is web-based, and includes 17 multiple-choice 
questions and one open-ended question. These questions are divided into 
five topic areas: Lifestyle; home; food and water; cans, bottles, and 
containers; and getting ready for the baby. The PAER survey focuses on 
11 common types of environmental exposures: Air pollution, benzene, 
bisphenol A (BPA), flame retardants, lead, mercury, polychlorinated 
biphenyls (PCBs), pesticides, phthalates, smoking, and volatile organic 
compounds (VOCs).
    There are two types of respondents who will participate in the PAER 
data collection, reproductive health care clinicians (RHCCs), and women 
of reproductive age who are seeking preconception or prenatal care. 
RHCCs will include obstetricians/gynecologists, family medicine 
physicians, nurse practitioners and physician assistants, and nurse 
midwives who are involved in the care of these women.
    RHCCs (the first type of respondent) who choose to participate in 
the PAER process will be required to register with ATSDR, and gain 
approval to participate and establish credentials through CDC's Secure 
Access Management Services (SAMS). ATSDR will provide online training 
resources to instruct RHCCs how to register themselves and their clinic 
for PAER, to recruit patients, to utilize environmental histories and 
PAER resources for patient counseling, and to link PAER results to 
their patient health records. Online registration and training module 
components are estimated to take 30 minutes per RHCC.
    Each RHCC who participates in PAER will also invite their patients 
to complete the environmental exposure survey by email or text, link 
their patients' survey response data with the invitations sent and 
health records, and provide counseling to individual patients to aid in 
modifying behavior to lower environmental exposure risks. These 
components are estimated to take RHCCs 30 minutes per patient.
    Of note, ATSDR will not receive any information from the patients' 
electronic health records. RHCCs will invite their patients to 
participate outside of the PAER application, and will be responsible 
for protecting the patient information provided to them within PAER in 
accordance with the 1996 Health Insurance Portability and 
Accountability (HIPAA) guidelines.
    Based on ACOG estimates, the number of practicing RHCCs in the U.S. 
is approximately 35,586. On average over the next three years, ATSDR 
estimates that up to 15 percent (n = 5,338) of these clinicians will 
participate in the PAER process each year through online registration 
and training. For purposes of estimation, ATSDR assumes the RHCCs 
represent the full effort of clinic staff. The

[[Page 45243]]

annualized frequency of response (12 per RHCC) is based on ATSDR 
assumptions about the number of patients who will take part in the PAER 
survey as described below.
    Women who receive preconception or prenatal care (the second type 
of respondents) may respond to the PAER environmental exposure history 
by accessing the online PAER survey through the application internet 
home page or through their RHCC's email/text invitation. ATSDR assumes 
that 5 percent of these women will participate in PAER over the next 
three years (or 1.67 percent per year). Using the 3,978,497 births 
reported in the 2015 U.S. Vital Statistics to represent the number 
women who receive preconception or prenatal care, 1.67 percent equals 
to 66,441 women who will take part in the PAER survey each year. Thus, 
each RHCCH is assumed to interact with 12 such patients per year 
(66,441/5,338 = 12). The time for women to respond to the survey is 
estimated at 10 minutes per patient.
    Participation in the PAER process and survey is voluntary. There is 
no cost to respondents other than their time. The total annualized time 
burden requested is 45,772 hours. A summary of the estimated annualized 
burden hours is shown in the table that follows.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
      Type of respondent            Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)         hours
----------------------------------------------------------------------------------------------------------------
Reproductive Health Care        PAER Online                5,338               1           15/60           1,335
 Clinicians (RHCCs).             Registration
                                 for RHCCs.
                                PAER Training              5,338               1           15/60           1,335
                                 Materials for
                                 RHCCs.
                                PAER Email/Text            5,338              12           30/60          32,028
                                 Invitation,
                                 Data Linkage,
                                 and Counseling.
Women who Receive               Access and                66,441               1           10/60          11,074
 Preconception or Prenatal       Respond to PAER
 Care.                           Survey.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............          45,772
----------------------------------------------------------------------------------------------------------------


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. 2018-19295 Filed 9-5-18; 8:45 am]
BILLING CODE 4163-18-P