Agency Forms Undergoing Paperwork Reduction Act Review, 28817-28819 [2019-13053]

Download as PDF 28817 Federal Register / Vol. 84, No. 119 / Thursday, June 20, 2019 / Notices TABLE 1—EXPLANATION OF DURATION AND FREQUENCY OF HEMODIALYSIS UNDER CONSIDERATION FOR KQS 1–3— Continued Duration (hours per session) Less than 4 hours 4 or more sessions ....................... 4 hours and more 9- to <16** hours per week .......... >=16 hours per week * Usual care involves 3 sessions per week with 3–4 hours per session. ** The duration of each dialysis session is generally shorter when dialysis is done more frequently. Key Question 4 What instruments have been used to measure QOL in studies of people with ESRD treated by dialysis? Subquestion 4a: What are the psychometric properties of instruments used to measure QOL in studies of people with ESRD treated by dialysis? Subquestion 4b: What is the minimal clinically important difference for instruments used to measure QOL in studies of people with ESRD treated by dialysis? Subquestion 4c: How have instruments used to measure QOL in studies of people with ESRD treated by dialysis been validated? Subquestion 4d: What is the impact of placebo effect in studies used to measure QOL in people with ESRD treated by dialysis and what study designs are needed to mitigate the impact? PICOTS (Populations, Interventions, Comparators, Outcomes, Timing, Settings) Population(s) • All KQs: US ESRD Medicare population (non-institutionalized) • KQ 1: Adults and children with ESRD on hemodialysis (no age restriction) • KQs 2 and 3: Adults and children with ESRD on hemodialysis • KQ 4: Adults and children with ESRD treated with any dialysis or other nontransplant treatment jbell on DSK3GLQ082PROD with NOTICES Interventions • KQ 1: Different frequency or duration of hemodialysis • KQ 2: More frequent hemodialysis (3 versus > 3 sessions/week) • KQ 3: Increased duration of hemodialysis sessions (12 hours versus > 12 hours per week; or daytime versus night time) • KQ 4: For this question, we will include studies of QOL in people with ESRD receiving any type of dialysis. • We will abstract data on all home hemodialysis machines (2008K@ Home Hemodialysis Machines, NxStage® System One, NxStage® System S) as well as all devices used in-center (a large variety of machines VerDate Sep<11>2014 17:47 Jun 19, 2019 Jkt 247001 used in center exist and all will be considered for data collection) Comparators (see Table 1) • KQs 1 and 4: Usual care (3 times per week and 3–4 hours per treatment) • KQ 2: More frequent hemodialysis (>3 session/week); usual care • KQ 3: Increased duration of hemodialysis sessions (> 12 hours per week, or nocturnal, overnight); usual care Outcomes • KQ 1: Not applicable (see Appendix A for a list of the patient characteristics that will be considered for this KQ) • KQs 2 and 3: Æ Final health outcomes (see Appendix B for a detailed list of outcomes): Clinical outcomes including cardiovascular events, hospitalizations, QOL, pregnancy outcomes, and mortality Æ Adverse events (see Appendix B for a detailed list of outcomes): Intradialytic hypotension, access complications, loss of residual kidney function, infectious events, myocardial stunning hospitalizations, and patient and caregiver burden Æ Intermediate outcomes (see Appendix B for a detailed list of outcomes): Metabolic/inflammatory control, blood pressure control, dialysis recovery time • KQ 4: Æ Instruments used to measure QOL in dialysis patients Æ Psychometric properties of these instruments Æ Minimal clinically important difference for these instruments Æ Validation of these instruments Æ Placebo effect in studies of QOL in dialysis patients and what study designs are needed to mitigate the impact Timing • KQs 1–3: Minimum of 6 months of follow-up after the intervention is initiated • KQ 4: No minimum follow-up PO 00000 Frm 00030 Fmt 4703 Sfmt 4703 Setting • Home dialysis, and dialysis center (Non Institutionalized) Virginia Mackay-Smith, Associate Director, Office of the Director, AHRQ. [FR Doc. 2019–12650 Filed 6–19–19; 8:45 am] BILLING CODE 4160–90–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [30Day–19–16JO] Agency Forms Undergoing Paperwork Reduction Act Review In accordance with the Paperwork Reduction Act of 1995, the Centers for Disease Control and Prevention (CDC) has submitted the information collection request titled Pregnancy Risk Assessment Monitoring System (PRAMS) to the Office of Management and Budget (OMB) for review and approval. CDC previously published a ‘‘Proposed Data Collection Submitted for Public Comment and Recommendations’’ notice on August 31, 2018 to obtain comments from the public and affected agencies. CDC received four comments related to the previous notice, two non-substantive, two in support of the data collection; no modifications were made to the PRAMS plan in response to comments. This notice serves to allow an additional 30 days for public and affected agency comments. CDC will accept all comments for this proposed information collection project. The Office of Management and Budget is particularly interested in comments that: (a) 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; (b) Evaluate the accuracy of the agencies estimate of the burden of the proposed collection of information, E:\FR\FM\20JNN1.SGM 20JNN1 28818 Federal Register / Vol. 84, No. 119 / Thursday, June 20, 2019 / Notices including the validity of the methodology and assumptions used; (c) Enhance the quality, utility, and clarity of the information to be collected; (d) 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 submission of responses; and (e) Assess information collection costs. To request additional information on the proposed project or to obtain a copy of the information collection plan and instruments, call (404) 639–7570 or send an email to omb@cdc.gov. Direct written comments and/or suggestions regarding the items contained in this notice to the Attention: CDC Desk Officer, Office of Management and Budget, 725 17th Street NW, Washington, DC 20503 or by fax to (202) 395–5806. Provide written comments within 30 days of notice publication. Proposed Project The Pregnancy Risk Assessment Monitoring System (PRAMS)—Existing Collection in Use without an OMB Control Number—National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC). jbell on DSK3GLQ082PROD with NOTICES Background and Brief Description The Pregnancy Risk Assessment Monitoring System (PRAMS) is a surveillance project of the Centers for Disease Control and Prevention (CDC) and state health departments. Developed in 1987, PRAMS collects state-specific, population-based data on maternal attitudes and experiences before, during, and shortly after pregnancy. The Centers for Disease Control and Prevention (CDC) seeks OMB approval to collect information through the Pregnancy Risk Assessment Monitoring System (PRAMS) for three years. PRAMS provides data not available from other sources. These data can be used to identify groups of women and infants at high risk for health problems, to monitor changes in health status, and to measure progress towards goals in improving the health of mothers and infants. PRAMS data are used by researchers to investigate emerging issues in the field of reproductive health and by federal, state and local governments to plan and review programs and policies aimed at VerDate Sep<11>2014 17:47 Jun 19, 2019 Jkt 247001 reducing health problems among mothers and babies. PRAMS is a state customized survey conducted in 51 sites and covers 83% of all live births in the United States. Information is collected by 2–6 months after live birth or stillbirth by mail survey with telephone follow-up for non-responders. In addition, call back surveys may be implemented as a follow up to the initial survey to gather additional information on postpregnancy experiences and infant and toddler health. Because PRAMS uses standardized data collection methods, it allows data to be compared among states. States can implement the survey on an ongoing basis or as a point-in-time survey. In participating states, a sample of women who have recently given birth to a live born or stillborn infant is selected from birth certificates or fetal death files. The sample is stratified based on the state’s population of interest to ensure high-risk populations are adequately represented in the data. The PRAMS survey instrument for live births is based on a core set of questions common across all states that remain the same for each three-year phase of data collection. PRAMS is currently in Phase 8, which began in 2016. In addition, CDC provides optional standardized modules (pregrouped questions on a select topic) that states may use to customize survey content at the beginning of each phase of data collection. For each state, the time for a respondent with a recent live birth to complete the core and selected standard module questions does not exceed 35 minutes in length. Topics for both the core and standard modules include health conditions (which includes chronic conditions such as diabetes, hypertension, mental health, oral health, cancer, as well as pregnancy-induced health conditions and family history of select conditions); health behaviors (including tobacco and alcohol use, substance use [licit and illicit], injury prevention and safety, nutrition, and physical activity); health care services (such as preconception care, prenatal care, postpartum care, contraceptive care, vaccinations, access to care and insurance coverage, receipt of recommended services and provider counseling received); infant health and development; infant care practices (such as breastfeeding, safe sleep practices); social services received (such as WIC or home visiting); the social context of child bearing (such as intimate partner violence, social support, adverse childhood experiences, stressful life experiences and racism); attitudes and feeling about the pregnancy including pregnancy intentions. PO 00000 Frm 00031 Fmt 4703 Sfmt 4703 At times, states may also be funded to address emerging topics of interest with supplemental modules (pre-grouped questions on a select topic). These supplemental modules address national and state-specific priorities and are typically fielded for one year. In the recent past, they have been used to address pandemic influenza H1N1 (2009), electronic cigarettes (2014), marijuana (2016), Zika (2017), and emergency preparedness and response as they impact pregnancy (2017). Supplemental modules planned for collection for 2019 births will include family history of breast and ovarian cancer, disabilities and prescription and illicit opioid use. Additional supplemental modules (estimated respondents and burden the same each year) may be developed to address other emergent issues as they arise, such as paternal involvement, emerging infectious diseases, environmental disasters, and other public health problems affecting women of reproductive age and their pregnancies. The estimated time for a respondent to complete supplemental modules is five minutes. Because PRAMS infrastructure was developed to access a specific and vulnerable subpopulation, the PRAMS infrastructure can be rapidly adapted for targeted information collection that would not be feasible with other surveillance methods. PRAMS can also be adapted to do call back surveys. Women who respond to the PRAMS survey may be re-contacted (opt-out consent process used) later (approximately nine months post-birth) to collect additional information about post-pregnancy experiences and infant and toddler health. The currently planned call back survey will be targeted to areas with a high burden of opioid overdose deaths and include topics such as opioid misuse and access to medication assisted therapy, experiences with respectful care, postpartum care, rapid repeat pregnancy, infant feeding practices, infant health and social services such as well child visit attendance, home visitation, developmental delays, and social supports. The time for a respondent to complete the call back survey is 30 minutes. Additional call back surveys (estimated burden assumed the same each year) may be developed to address other emergent issues as they arise. The stillbirth survey, administered in the state of Utah only at this current time, only includes a core survey instrument. Total time estimated for women with a recent stillbirth completing the survey, inclusive of informed consent is 25 minutes. E:\FR\FM\20JNN1.SGM 20JNN1 28819 Federal Register / Vol. 84, No. 119 / Thursday, June 20, 2019 / Notices As part of the questionnaire development process, field testing will be conducted prior to implementation of new supplemental modules and call back surveys, as well as new or substantively revised questions for the core module prior to a new phase. Field testing will be conducted among women with infants one year or younger in health clinics to identify issues that may affect implementation or quality of the data collected. Field testing will only be conducted for new or substantively changed questions. Total time estimated to complete the field testing process inclusive of verbal consent, survey administration and debriefing questions is approximately 20 minutes. The burden estimate for PRAMS includes five types of information collection: (1) Information collection associated with the PRAMS data collection for women with recent live births (PRAMS core questions and state- selected standard modules); (2) supplemental modules for emerging issues; (3) call back surveys; (4) PRAMS data collection for women with recent stillbirths; and (5) PRAMS field testing data collection to inform questionnaire development. Participation is voluntary and there are no costs to respondents other than their time. The total estimated annualized burden hours are 29,765. ESTIMATED ANNUALIZED BURDEN HOURS Form name Women who recently delivered a live birth .... PRAMS Phase 8 (Core Questions plus state selected standard modules). Supplemental modules ................................... Call Back Surveys .......................................... Field Testing ................................................... PRAMS Stillbirth Questionnaire ..................... Women who recently delivered a still birth ..... Jeffrey M. Zirger, Lead, Information Collection Review Office, Office of Scientific Integrity, Office of Science, Centers for Disease Control and Prevention. [FR Doc. 2019–13053 Filed 6–19–19; 8:45 am] BILLING CODE 4163–18–P Centers for Disease Control and Prevention [60Day–19–19BDE; Docket No. CDC–2019– 0051] 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 Maternal Mortality Review Information Application (MMRIA). MMRIA is a standardized data collection system that allows Maternal Mortality Review Committees (MMRCs) SUMMARY: VerDate Sep<11>2014 17:47 Jun 19, 2019 Jkt 247001 to abstract relevant data from a variety of sources, document committee decisions, and analyze data to better understand the contributing factors and preventability of maternal deaths in order to develop recommendations for prevention. CDC must receive written comments on or before August 19, 2019. ADDRESSES: You may submit comments, identified by Docket No. CDC–2019– 0051 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) DATES: DEPARTMENT OF HEALTH AND HUMAN SERVICES jbell on DSK3GLQ082PROD with NOTICES Number of respondents Type of respondent PO 00000 Frm 00032 Fmt 4703 Sfmt 4703 Number of responses per respondent Average burden per response (in hours) 52,076 1 26/60 61,230 3,961 150 160 1 1 1 1 5/60 30/60 20/60 25/60 (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; 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:\FR\FM\20JNN1.SGM 20JNN1

Agencies

[Federal Register Volume 84, Number 119 (Thursday, June 20, 2019)]
[Notices]
[Pages 28817-28819]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-13053]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-19-16JO]


Agency Forms Undergoing Paperwork Reduction Act Review

    In accordance with the Paperwork Reduction Act of 1995, the Centers 
for Disease Control and Prevention (CDC) has submitted the information 
collection request titled Pregnancy Risk Assessment Monitoring System 
(PRAMS) to the Office of Management and Budget (OMB) for review and 
approval. CDC previously published a ``Proposed Data Collection 
Submitted for Public Comment and Recommendations'' notice on August 31, 
2018 to obtain comments from the public and affected agencies. CDC 
received four comments related to the previous notice, two non-
substantive, two in support of the data collection; no modifications 
were made to the PRAMS plan in response to comments. This notice serves 
to allow an additional 30 days for public and affected agency comments.
    CDC will accept all comments for this proposed information 
collection project. The Office of Management and Budget is particularly 
interested in comments that:
    (a) 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;
    (b) Evaluate the accuracy of the agencies estimate of the burden of 
the proposed collection of information,

[[Page 28818]]

including the validity of the methodology and assumptions used;
    (c) Enhance the quality, utility, and clarity of the information to 
be collected;
    (d) 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 submission of responses; and
    (e) Assess information collection costs.
    To request additional information on the proposed project or to 
obtain a copy of the information collection plan and instruments, call 
(404) 639-7570 or send an email to [email protected]. Direct written comments 
and/or suggestions regarding the items contained in this notice to the 
Attention: CDC Desk Officer, Office of Management and Budget, 725 17th 
Street NW, Washington, DC 20503 or by fax to (202) 395-5806. Provide 
written comments within 30 days of notice publication.

Proposed Project

    The Pregnancy Risk Assessment Monitoring System (PRAMS)--Existing 
Collection in Use without an OMB Control Number--National Center for 
Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for 
Disease Control and Prevention (CDC).

Background and Brief Description

    The Pregnancy Risk Assessment Monitoring System (PRAMS) is a 
surveillance project of the Centers for Disease Control and Prevention 
(CDC) and state health departments. Developed in 1987, PRAMS collects 
state-specific, population-based data on maternal attitudes and 
experiences before, during, and shortly after pregnancy. The Centers 
for Disease Control and Prevention (CDC) seeks OMB approval to collect 
information through the Pregnancy Risk Assessment Monitoring System 
(PRAMS) for three years.
    PRAMS provides data not available from other sources. These data 
can be used to identify groups of women and infants at high risk for 
health problems, to monitor changes in health status, and to measure 
progress towards goals in improving the health of mothers and infants. 
PRAMS data are used by researchers to investigate emerging issues in 
the field of reproductive health and by federal, state and local 
governments to plan and review programs and policies aimed at reducing 
health problems among mothers and babies.
    PRAMS is a state customized survey conducted in 51 sites and covers 
83% of all live births in the United States. Information is collected 
by 2-6 months after live birth or stillbirth by mail survey with 
telephone follow-up for non-responders. In addition, call back surveys 
may be implemented as a follow up to the initial survey to gather 
additional information on post-pregnancy experiences and infant and 
toddler health. Because PRAMS uses standardized data collection 
methods, it allows data to be compared among states. States can 
implement the survey on an ongoing basis or as a point-in-time survey. 
In participating states, a sample of women who have recently given 
birth to a live born or stillborn infant is selected from birth 
certificates or fetal death files. The sample is stratified based on 
the state's population of interest to ensure high-risk populations are 
adequately represented in the data.
    The PRAMS survey instrument for live births is based on a core set 
of questions common across all states that remain the same for each 
three-year phase of data collection. PRAMS is currently in Phase 8, 
which began in 2016. In addition, CDC provides optional standardized 
modules (pre-grouped questions on a select topic) that states may use 
to customize survey content at the beginning of each phase of data 
collection. For each state, the time for a respondent with a recent 
live birth to complete the core and selected standard module questions 
does not exceed 35 minutes in length. Topics for both the core and 
standard modules include health conditions (which includes chronic 
conditions such as diabetes, hypertension, mental health, oral health, 
cancer, as well as pregnancy-induced health conditions and family 
history of select conditions); health behaviors (including tobacco and 
alcohol use, substance use [licit and illicit], injury prevention and 
safety, nutrition, and physical activity); health care services (such 
as preconception care, prenatal care, postpartum care, contraceptive 
care, vaccinations, access to care and insurance coverage, receipt of 
recommended services and provider counseling received); infant health 
and development; infant care practices (such as breastfeeding, safe 
sleep practices); social services received (such as WIC or home 
visiting); the social context of child bearing (such as intimate 
partner violence, social support, adverse childhood experiences, 
stressful life experiences and racism); attitudes and feeling about the 
pregnancy including pregnancy intentions.
    At times, states may also be funded to address emerging topics of 
interest with supplemental modules (pre-grouped questions on a select 
topic). These supplemental modules address national and state-specific 
priorities and are typically fielded for one year. In the recent past, 
they have been used to address pandemic influenza H1N1 (2009), 
electronic cigarettes (2014), marijuana (2016), Zika (2017), and 
emergency preparedness and response as they impact pregnancy (2017). 
Supplemental modules planned for collection for 2019 births will 
include family history of breast and ovarian cancer, disabilities and 
prescription and illicit opioid use. Additional supplemental modules 
(estimated respondents and burden the same each year) may be developed 
to address other emergent issues as they arise, such as paternal 
involvement, emerging infectious diseases, environmental disasters, and 
other public health problems affecting women of reproductive age and 
their pregnancies. The estimated time for a respondent to complete 
supplemental modules is five minutes. Because PRAMS infrastructure was 
developed to access a specific and vulnerable subpopulation, the PRAMS 
infrastructure can be rapidly adapted for targeted information 
collection that would not be feasible with other surveillance methods.
    PRAMS can also be adapted to do call back surveys. Women who 
respond to the PRAMS survey may be re-contacted (opt-out consent 
process used) later (approximately nine months post-birth) to collect 
additional information about post-pregnancy experiences and infant and 
toddler health. The currently planned call back survey will be targeted 
to areas with a high burden of opioid overdose deaths and include 
topics such as opioid misuse and access to medication assisted therapy, 
experiences with respectful care, postpartum care, rapid repeat 
pregnancy, infant feeding practices, infant health and social services 
such as well child visit attendance, home visitation, developmental 
delays, and social supports. The time for a respondent to complete the 
call back survey is 30 minutes. Additional call back surveys (estimated 
burden assumed the same each year) may be developed to address other 
emergent issues as they arise.
    The stillbirth survey, administered in the state of Utah only at 
this current time, only includes a core survey instrument. Total time 
estimated for women with a recent stillbirth completing the survey, 
inclusive of informed consent is 25 minutes.

[[Page 28819]]

    As part of the questionnaire development process, field testing 
will be conducted prior to implementation of new supplemental modules 
and call back surveys, as well as new or substantively revised 
questions for the core module prior to a new phase. Field testing will 
be conducted among women with infants one year or younger in health 
clinics to identify issues that may affect implementation or quality of 
the data collected. Field testing will only be conducted for new or 
substantively changed questions. Total time estimated to complete the 
field testing process inclusive of verbal consent, survey 
administration and debriefing questions is approximately 20 minutes.
    The burden estimate for PRAMS includes five types of information 
collection: (1) Information collection associated with the PRAMS data 
collection for women with recent live births (PRAMS core questions and 
state-selected standard modules); (2) supplemental modules for emerging 
issues; (3) call back surveys; (4) PRAMS data collection for women with 
recent stillbirths; and (5) PRAMS field testing data collection to 
inform questionnaire development. Participation is voluntary and there 
are no costs to respondents other than their time. The total estimated 
annualized burden hours are 29,765.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                                      Average
                                                                     Number of       Number of      burden per
          Type of respondent                    Form name           respondents    responses per   response  (in
                                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
Women who recently delivered a live     PRAMS Phase 8 (Core               52,076               1           26/60
 birth.                                  Questions plus state
                                         selected standard
                                         modules).
                                        Supplemental modules....          61,230               1            5/60
                                        Call Back Surveys.......           3,961               1           30/60
                                        Field Testing...........             150               1           20/60
Women who recently delivered a still    PRAMS Stillbirth                     160               1           25/60
 birth.                                  Questionnaire.
----------------------------------------------------------------------------------------------------------------


Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2019-13053 Filed 6-19-19; 8:45 am]
 BILLING CODE 4163-18-P


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