Surgeon General's Call to Action: “Community Health and Prosperity”, 45243-45244 [2018-19313]

Download as PDF 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: https:// 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 https:// regulations.gov, including any personal information provided. For access to the docket to read background documents or comments received, go to https:// 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 45244 Federal Register / Vol. 83, No. 173 / Thursday, September 6, 2018 / Notices daltland on DSKBBV9HB2PROD with NOTICES (5) Private sector and local policy maker rationales for making investments in community health; and (6) Successful efforts by local policy makers to promote and sustain private sector investments in community health. Please note that comments received, including attachments and other supporting materials, are part of the public record and subject to public disclosure. Comments will be posted at https://www.regulations.gov. Therefore, do not include any information in your comment or supporting materials that you consider confidential or inappropriate for public disclosure. If you include your name, contact information, or other information that identifies you in the body of your comments, that information will be on public display. CDC will review all submissions and may choose to redact or withhold submissions containing private or proprietary information, such as Social Security numbers, medical information, inappropriate language, or duplicate/near duplicate examples of a mass-mail campaign. CDC will carefully consider all comments submitted and may include relevant information in the Call to Action. Background America’s prosperity is being hampered by preventable chronic diseases and behavioral health issues. Life expectancy at birth dropped in the United States for a second consecutive year in 2016. Preliminary data indicate that age-adjusted death rates continued to rise in 2017, which is likely to mark a third straight year of declining life expectancy. The U.S. lags behind comparable high-income countries on a range of health outcomes including life expectancy despite spending more on health care. About 6 in 10 American adults have at least one chronic health condition, and these people account for 90% of total health care spending. While chronic diseases affect all populations, they are not evenly distributed. Disease rates vary by race, ethnicity, education, geography and income level, with the most disadvantaged Americans often suffering the highest burden of disease. However, only about 20% of the factors that influence a person’s health can be addressed by health care and the remaining 80% reflect socioeconomic, environmental or behavioral factors. Focusing on strategies that address the social and community conditions could improve health, life expectancy, and quality of life, while also reducing related health care costs and productivity losses. Investing in VerDate Sep<11>2014 16:56 Sep 05, 2018 Jkt 244001 communities to improve the health and well-being of people could also revitalize and improve economic opportunity, enhancing prosperity in the community and for its residents and businesses. Although there are published literature and several ongoing public, private and philanthropic initiatives examining how investments in community health can enhance wellbeing and economic prosperity, there has not been a thorough assessment that compiles the evidence and best practices to illustrate benefits for the private sector and local policy makers. The Surgeon General’s Call to Action is expected to bridge that gap and inspire more investments by the private sector and local policy makers in community health. Dated: August 31, 2018. Lauren Hoffmann, Acting Executive Secretary, Centers for Disease Control and Prevention. [FR Doc. 2018–19313 Filed 9–5–18; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [60Day–18–1099; Docket No. CDC–2018– 0080] 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 Capacity Building Assistance Program: Assessment and Quality Control. The purpose of this information collection is to assess how well the capacity building assistance (CBA) program meets the needs of health care staff from organizations funded directly or indirectly by the CDC, involved in HIV prevention service delivery. The program will assess customer satisfaction with CBA services and SUMMARY: PO 00000 Frm 00039 Fmt 4703 Sfmt 4703 changes in capacity, knowledge, skills, and self-efficacy as a result of CBA service delivery. DATES: CDC must receive written comments on or before November 5, 2018. You may submit comments, identified by Docket No. CDC–2018– 0080 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 Jeffery 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 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, ADDRESSES: E:\FR\FM\06SEN1.SGM 06SEN1

Agencies

[Federal Register Volume 83, Number 173 (Thursday, September 6, 2018)]
[Notices]
[Pages 45243-45244]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-19313]


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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''

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

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

SUMMARY: 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 science-informed and 
actionable, outlining a conceptual framework with case examples and 
available evidence on the business case for investing in 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: https://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 https://regulations.gov, including any personal 
information provided. For access to the docket to read background 
documents or comments received, go to https://www.regulations.gov.

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, Atlanta, Georgia 
30329. Telephone: 404-639-1455, Email: [email protected].

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 meta-analyses, 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;

[[Page 45244]]

    (5) Private sector and local policy maker rationales for making 
investments in community health; and
    (6) Successful efforts by local policy makers to promote and 
sustain private sector investments in community health.
    Please note that comments received, including attachments and other 
supporting materials, are part of the public record and subject to 
public disclosure. Comments will be posted at https://www.regulations.gov. Therefore, do not include any information in your 
comment or supporting materials that you consider confidential or 
inappropriate for public disclosure. If you include your name, contact 
information, or other information that identifies you in the body of 
your comments, that information will be on public display. CDC will 
review all submissions and may choose to redact or withhold submissions 
containing private or proprietary information, such as Social Security 
numbers, medical information, inappropriate language, or duplicate/near 
duplicate examples of a mass-mail campaign. CDC will carefully consider 
all comments submitted and may include relevant information in the Call 
to Action.

Background

    America's prosperity is being hampered by preventable chronic 
diseases and behavioral health issues. Life expectancy at birth dropped 
in the United States for a second consecutive year in 2016. Preliminary 
data indicate that age-adjusted death rates continued to rise in 2017, 
which is likely to mark a third straight year of declining life 
expectancy. The U.S. lags behind comparable high-income countries on a 
range of health outcomes including life expectancy despite spending 
more on health care. About 6 in 10 American adults have at least one 
chronic health condition, and these people account for 90% of total 
health care spending. While chronic diseases affect all populations, 
they are not evenly distributed. Disease rates vary by race, ethnicity, 
education, geography and income level, with the most disadvantaged 
Americans often suffering the highest burden of disease.
    However, only about 20% of the factors that influence a person's 
health can be addressed by health care and the remaining 80% reflect 
socioeconomic, environmental or behavioral factors. Focusing on 
strategies that address the social and community conditions could 
improve health, life expectancy, and quality of life, while also 
reducing related health care costs and productivity losses. Investing 
in communities to improve the health and well-being of people could 
also revitalize and improve economic opportunity, enhancing prosperity 
in the community and for its residents and businesses.
    Although there are published literature and several ongoing public, 
private and philanthropic initiatives examining how investments in 
community health can enhance well-being and economic prosperity, there 
has not been a thorough assessment that compiles the evidence and best 
practices to illustrate benefits for the private sector and local 
policy makers. The Surgeon General's Call to Action is expected to 
bridge that gap and inspire more investments by the private sector and 
local policy makers in community health.

    Dated: August 31, 2018.
Lauren Hoffmann,
Acting Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2018-19313 Filed 9-5-18; 8:45 am]
 BILLING CODE 4163-18-P


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