Updating Federal Guidelines Used by Public Health Agencies To Assess and Respond to Potential Cancer Clusters in Communities, 21786-21787 [2019-09998]

Download as PDF 21786 Federal Register / Vol. 84, No. 94 / Wednesday, May 15, 2019 / Notices Part VI contains other requirements related to the Commission’s monitoring of the respondents’ order compliance. Part VII provides the effective dates of the order, including that, with exceptions, the order will terminate in 20 years. The purpose of this analysis is to facilitate public comment on the order, and it is not intended to constitute an official interpretation of the complaint or order, or to modify the order’s terms in any way. By direction of the Commission. April J. Tabor, Acting Secretary. [FR Doc. 2019–09952 Filed 5–14–19; 8:45 am] BILLING CODE 6750–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Background [Docket No. CDC–2019–0045] Updating Federal Guidelines Used by Public Health Agencies To Assess and Respond to Potential Cancer Clusters in Communities Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Request for information. 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 public comment on updating federal guidelines used by public health agencies to assess and respond to potential cancer clusters in communities. CDC is working with the Agency for Toxic Substances and Disease Registry (ATSDR) to develop updated guidelines to ensure that state, tribal, local, and territorial (STLT) public health agencies and stakeholders have access to information about current scientific tools and approaches to assess and respond to potential cancer clusters. The purpose of this notice is to solicit feedback on best approaches for assessing and responding to potential cancer clusters in communities. DATES: Written comments must be received on or before July 15, 2019. ADDRESSES: You may submit comments, identified by Docket No. CDC–2019– 0045 by any of the following methods: • Federal eRulemaking Portal: https:// www.regulations.gov. Follow the instructions for submitting comments. • Mail: Division of Environmental Health Science and Practice, National jbell on DSK3GLQ082PROD with NOTICES SUMMARY: VerDate Sep<11>2014 22:43 May 14, 2019 Jkt 247001 Center for Environmental Health, Centers for Disease Control and Prevention, Attn: Docket No. CDC– 2019–0045, 4770 Buford Highway NE, Mailstop F–60, Atlanta, Georgia 30341. 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: Alisha Etheredge, Centers for Disease Control and Prevention, National Center for Environmental Health, Division of Environmental Health Science and Practice, 4770 Buford Highway NE, Mailstop F–60, Atlanta, GA 30341; Telephone: 770–488–4024; Email: CCGuidelines@cdc.gov. SUPPLEMENTARY INFORMATION: The current guidelines, Investigating Suspected Cancer Clusters and Responding to Community Concerns: Guidelines from CDC and the Council of State and Territorial Epidemiologists (2013 Guidelines), were published in the Morbidity and Mortality Weekly Report (MMWR) in September 2013 (see the Supporting & Related Material tab of this docket). The 2013 Guidelines are a tool to assist state, tribal, local, and territorial (STLT) public health agencies in applying a systematic approach when responding to inquiries about suspected cancer clusters in residential or community settings. Since publication of the 2013 Guidelines, there have been technical and scientific advancements in areas such as data availability, analytic and geospatial methods, and cancer genomics. CDC is updating the 2013 Guidelines to ensure that STLT public health agencies and stakeholders have access to information about current scientific tools and approaches to assess and respond to potential cancer clusters in communities. The updated guidance will also provide members of the public with information about how STLT public health agencies may address individual and community concerns about potential cancer clusters. CDC will update the 2013 Guidelines based on input from subject matter experts, STLT public health agencies, the public, and other stakeholders. Supporting Material The 2013 Guidelines can be found in the Supporting Materials tab of this docket or accessed at https:// PO 00000 Frm 00039 Fmt 4703 Sfmt 4703 www.cdc.gov/mmwr/preview/ mmwrhtml/rr6208a1.htm. Public Participation Interested persons or organizations are invited to participate by submitting written views, information, recommendations, and data. In addition, CDC invites comments (and supporting data or other material, if applicable) specifically on these following questions: 1. Based on your personal or professional experience, what are the best approaches for public health agencies to: a. Respond to community concerns about potential cancer clusters? b. assess and evaluate potential cancer clusters? c. communicate and engage with affected community members and other stakeholders throughout all stages of assessing and responding to a potential cancer cluster? 2. If you are familiar with the 2013 Guidelines, please answer the following questions: a. What are the strengths of the 2013 Guidelines? What would you like to see retained in the updated guidelines? Please describe why. b. What gaps and challenges exist in the 2013 Guidelines? For stated challenges, what are possible solutions to overcoming them? 3. What other factors should CDC consider when updating the 2013 Guidelines? Please describe why these factors are important to consider. Please note that comments received, including attachments and other supporting materials, are part of the public record and are subject to public disclosure. Comments will be posted on 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 during the process of updating federal guidelines used by public health agencies to assess and respond to potential cancer clusters in communities. E:\FR\FM\15MYN1.SGM 15MYN1 Federal Register / Vol. 84, No. 94 / Wednesday, May 15, 2019 / Notices Dated: May 10, 2019. Sandra Cashman, Executive Secretary, Centers for Disease Control and Prevention. AGENCY: emerging models of integrated health care. Program Name: Enhancing the Knowledge and Skills of the Aging Network. Recipient: Meals on Wheels America. Period of Performance: The supplement award will be issued for the second year of a three year project period of Sept 1, 2017 to August 31, 2020. Total Award Amount: $482,390 in FY 2019. Award Type: Cooperative Agreement Supplement. Statutory Authority: The Older Americans Act (OAA) of 1965, as amended, Public Law 114–144. The Administration for Community Living is announcing its intent to Award a Single-Source Supplement to provide the National Aging Network with timely, relevant, high quality opportunities to further enhance their knowledge and skills related to nutrition services. FOR FURTHER INFORMATION CONTACT: For further information or comments regarding this program supplement, contact Keri Lipperini, U.S. Department of Health and Human Services, Administration for Community Living, Administration on Aging, Office of Nutrition and Health Promotion Programs, 202–795–7422, email keri.lipperini@acl.hhs.gov. SUPPLEMENTARY INFORMATION: The Administration for Community Living (ACL) announces the intent to award a single-source supplement to the current cooperative agreement held by Meals on Wheels America for the project Enhancing the Knowledge and Skills of the Aging Network. The purpose of this supplement is to: (1) Support the development and dissemination of resources for experienced and inexperienced Aging Network Nutrition Program providers; and (2) enhance peer-learning opportunities for State Units on Aging (SUAs), Area Agencies on Aging (AAAs), and Nutrition Program providers. The administrative supplement for FY 2019 will be in the amount of $257,401, bringing the total award for FY 2019 to $482,390. The additional funding will not be used to begin new projects, but it will be used to enhance existing efforts. The grantee will continue to provide appropriate, quality nutrition-related resources, address new opportunities to embed nutrition services within the home and community-based service systems, and engage successfully in Basis for Award Meals on Wheels America (MOWA) is currently funded to carry out the objectives of this project through its current project entitled, National Resource Center on Nutrition and Aging for the period of September 1, 2017 through August 31, 2020. Since the project’s implementation, the grantee has made satisfactory progress toward its approved work plan. The supplement will enable the grantee to carry their work even further, enhancing the support they provide to the Aging Network Nutrition Program Providers. The additional funding will not be used to begin new projects or activities, but rather to continue to enhance efforts specific to tribal populations and congregate meal settings. MOWA is uniquely positioned to complete the work called for under this project. They have an already established infrastructure and are a known and trusted organization in the Aging Network. They have an established presence within much of the Aging Network. Under this current award period, they are providing educational opportunities for the Aging Network Nutrition Program Providers, including webinars and live trainings. They have a comprehensive, interactive web-based repository (www.nutritionandaging.org) with tools and resources, including—but not limited to—issues briefs, policy and practice models, and toolkits. They have also presented to the Aging Network locally and on a national level. They have reached thousands of providers using their: (1) Comprehensive database of SUAs, AAAs, and other Nutrition Program Providers; and (2) Leadership Academy, which provides expert consultation around nutrition program delivery and the use of technology to enhance services. In addition, they have developed partnerships with organizations, universities, and other [FR Doc. 2019–09998 Filed 5–14–19; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HELATH AND HUMAN SERVICES Administration for Community Living Intent To Award a Single-Source Supplement to the National Aging Network Administration for Community Living, HHS. ACTION: Notice. jbell on DSK3GLQ082PROD with NOTICES SUMMARY: VerDate Sep<11>2014 22:43 May 14, 2019 Jkt 247001 PO 00000 Frm 00040 Fmt 4703 Sfmt 4703 21787 entities to provide education and support for the Aging Network. Establishing an entirely new grant project at this time would be potentially disruptive to the current work already well under way. More importantly, it could cause confusion among the Aging Network Nutrition Program Providers, which could have a negative effect on training and support opportunities. If this supplement were not provided, the project would be unable to address the significant unmet educational needs of the Aging Network Nutrition Program Providers. Dated: May 9, 2019. Mary Lazare, Principal Deputy Administrator . [FR Doc. 2019–10029 Filed 5–14–19; 8:45 am] BILLING CODE 4154–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2012–N–0386] Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; Registration and Product Listing for Owners and Operators of Domestic Tobacco Product Establishments and Listing of Ingredients in Tobacco Products AGENCY: Food and Drug Administration, HHS. ACTION: Notice. The Food and Drug Administration (FDA) is announcing that a proposed collection of information has been submitted to the Office of Management and Budget (OMB) for review and clearance under the Paperwork Reduction Act of 1995 (PRA). SUMMARY: Fax written comments on the collection of information by June 14, 2019. DATES: To ensure that comments on the information collection are received, OMB recommends that written comments be faxed to the Office of Information and Regulatory Affairs, OMB, Attn: FDA Desk Officer, Fax: 202– 395–7285, or emailed to oira_ submission@omb.eop.gov. All comments should be identified with the OMB control number 0910–0650. Also include the FDA docket number found in brackets in the heading of this document. ADDRESSES: FOR FURTHER INFORMATION CONTACT: Amber Sanford, Office of Operations, E:\FR\FM\15MYN1.SGM 15MYN1

Agencies

[Federal Register Volume 84, Number 94 (Wednesday, May 15, 2019)]
[Notices]
[Pages 21786-21787]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-09998]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2019-0045]


Updating Federal Guidelines Used by Public Health Agencies To 
Assess and Respond to Potential Cancer Clusters in Communities

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

ACTION: Request for information.

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

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 public comment on updating federal guidelines used 
by public health agencies to assess and respond to potential cancer 
clusters in communities. CDC is working with the Agency for Toxic 
Substances and Disease Registry (ATSDR) to develop updated guidelines 
to ensure that state, tribal, local, and territorial (STLT) public 
health agencies and stakeholders have access to information about 
current scientific tools and approaches to assess and respond to 
potential cancer clusters. The purpose of this notice is to solicit 
feedback on best approaches for assessing and responding to potential 
cancer clusters in communities.

DATES: Written comments must be received on or before July 15, 2019.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2019-
0045 by any of the following methods:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments.
     Mail: Division of Environmental Health Science and 
Practice, National Center for Environmental Health, Centers for Disease 
Control and Prevention, Attn: Docket No. CDC-2019-0045, 4770 Buford 
Highway NE, Mailstop F-60, Atlanta, Georgia 30341.
    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: Alisha Etheredge, Centers for Disease 
Control and Prevention, National Center for Environmental Health, 
Division of Environmental Health Science and Practice, 4770 Buford 
Highway NE, Mailstop F-60, Atlanta, GA 30341; Telephone: 770-488-4024; 
Email: [email protected].

SUPPLEMENTARY INFORMATION:

Background

    The current guidelines, Investigating Suspected Cancer Clusters and 
Responding to Community Concerns: Guidelines from CDC and the Council 
of State and Territorial Epidemiologists (2013 Guidelines), were 
published in the Morbidity and Mortality Weekly Report (MMWR) in 
September 2013 (see the Supporting & Related Material tab of this 
docket). The 2013 Guidelines are a tool to assist state, tribal, local, 
and territorial (STLT) public health agencies in applying a systematic 
approach when responding to inquiries about suspected cancer clusters 
in residential or community settings.
    Since publication of the 2013 Guidelines, there have been technical 
and scientific advancements in areas such as data availability, 
analytic and geospatial methods, and cancer genomics. CDC is updating 
the 2013 Guidelines to ensure that STLT public health agencies and 
stakeholders have access to information about current scientific tools 
and approaches to assess and respond to potential cancer clusters in 
communities. The updated guidance will also provide members of the 
public with information about how STLT public health agencies may 
address individual and community concerns about potential cancer 
clusters. CDC will update the 2013 Guidelines based on input from 
subject matter experts, STLT public health agencies, the public, and 
other stakeholders.

Supporting Material

    The 2013 Guidelines can be found in the Supporting Materials tab of 
this docket or accessed at https://www.cdc.gov/mmwr/preview/mmwrhtml/rr6208a1.htm.

Public Participation

    Interested persons or organizations are invited to participate by 
submitting written views, information, recommendations, and data. In 
addition, CDC invites comments (and supporting data or other material, 
if applicable) specifically on these following questions:
    1. Based on your personal or professional experience, what are the 
best approaches for public health agencies to:
    a. Respond to community concerns about potential cancer clusters?
    b. assess and evaluate potential cancer clusters?
    c. communicate and engage with affected community members and other 
stakeholders throughout all stages of assessing and responding to a 
potential cancer cluster?
    2. If you are familiar with the 2013 Guidelines, please answer the 
following questions:
    a. What are the strengths of the 2013 Guidelines? What would you 
like to see retained in the updated guidelines? Please describe why.
    b. What gaps and challenges exist in the 2013 Guidelines? For 
stated challenges, what are possible solutions to overcoming them?
    3. What other factors should CDC consider when updating the 2013 
Guidelines? Please describe why these factors are important to 
consider.
    Please note that comments received, including attachments and other 
supporting materials, are part of the public record and are subject to 
public disclosure. Comments will be posted on 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 during the process of 
updating federal guidelines used by public health agencies to assess 
and respond to potential cancer clusters in communities.


[[Page 21787]]


    Dated: May 10, 2019.
Sandra Cashman,
Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2019-09998 Filed 5-14-19; 8:45 am]
BILLING CODE 4163-18-P


This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.