Solicitation of Nominations for Appointment to the Advisory Board on Radiation and Worker Health for the Energy Employees Occupational Illness Compensation Program Act of 2000., 62854-62856 [2022-22456]
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62854
Federal Register / Vol. 87, No. 199 / Monday, October 17, 2022 / Notices
Meaningfully Promote Excellence in
Technology, Education and Science
Reauthorization Act of 2010
(COMPETES Act). The Challenge is
designed to help CDC: (1) identify
clinical practices and health systems
that have been successful in achieving
high rates of hypertension control; and
(2) develop models for dissemination.
The Challenge is open to single practice
providers, group practice providers, and
healthcare systems. Providers whose
hypertensive population achieves
exemplary levels of hypertension
control are recognized as Million Hearts
Hypertension Control Champions.
Interested clinicians or practices
complete a web-based application form
which collects the minimum amount of
data needed to demonstrate
hypertension control among their adult
patients, including: (a) Two point-intime measures of the clinical
hypertension control rate for the patient
population; (b) the size of the clinic
population served; (c) a brief
description of the characteristics of the
patient population served and
geographic location; and (d) a
description of the sustainable systems
and strategies adopted to achieve and
maintain hypertension control rates.
CDC scientists or contractors review
each application form and rank
applications by reported hypertension
control rate.
In the second phase of assessment,
applicants with the highest preliminary
scores are asked to participate in a two-
hour data verification and validation
process. The applicant reviews the
application form with a reviewer,
describes how information was obtained
from the providers’ (or practices’)
electronic records, chart reviews, or
other sources, and reviews the
methodology used to calculate the
reported hypertension control rate. Data
verification and validation is conducted
to ensure that all applicants meet
eligibility criteria and assure accuracy of
their reported hypertension control rate
according to a standardized method.
Applicants must have achieved a
hypertension control rate of at least 80%
among their adult patients aged 18–85
years with hypertension.
Up to 35 finalists who pass the data
verification and background check are
selected as Champions. Several
Champions participate in a one-hour,
semi-structured interview and provide
detailed information about the patient
population served, the geographic
region served, and the strategies
employed by the practice or health
system to achieve exemplary rates of
hypertension control, including barriers
and facilitators for those strategies.
Based on the information collected for
Challenges in 2013 through 2020, CDC
recognized a total of 133 public and
private health care practices and
systems as Million Hearts Hypertension
Control Champions. The Champions are
announced roughly annually,
approximately six months after the
Challenge application period ends.
CDC plans to conduct the Million
Hearts Hypertension Control Challenge
annually through 2027. The 2023
Challenge is planned to launch in
February 2023, coinciding with
American Heart Month. The application
period will be open for approximately
45–60 days, with recognition of the
2023 Champions in the fall of 2023. A
similar calendar year schedule is
planned for 2024 and 2025.
CDC will use the information
collected through the Million Hearts
Hypertension Control Challenge to
increase widespread attention to
hypertension at the clinical practice
level, improve understanding of
successful and sustainable
implementation strategies at the practice
or health system level, bring visibility to
organizations that invest in
hypertension control, and motivate
individual practices to strengthen their
hypertension control efforts.
Information collected through the
Million Hearts Hypertension Control
Challenge will link success in clinical
outcomes of hypertension control with
information about strategies that can be
used to achieve similar favorable
outcomes so that the strategies can be
replicated by other providers and health
care systems.
CDC requests OMB approval for an
estimated 215 annual burden hours.
Participation is voluntary, and there are
no costs to the respondents other than
their time to participate.
ESTIMATED ANNUALIZED BURDEN HOURS
Form name
Clinicians, practices, and healthcare systems
Million Hearts Hypertension Control Champion Application Form.
Data Verification Form ...................................
Semi-structured Interview Guide ....................
Finalists ...........................................................
Champions ......................................................
Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2022–22504 Filed 10–14–22; 8:45 am]
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Number of
respondents
Type of respondents
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
Solicitation of Nominations for
Appointment to the Advisory Board on
Radiation and Worker Health for the
Energy Employees Occupational
Illness Compensation Program Act of
2000.
ACTION:
Notice.
The Centers for Disease
Control and Prevention (CDC) is seeking
SUMMARY:
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Number of
responses per
respondent
Average
burden per
response
(in hours)
200
1
30/60
40
35
1
1
2
1
nominations for membership on the
Advisory Board on Radiation and
Worker Health (ABRWH) for the Energy
Employees Occupational Illness
Compensation Program Act of 2000
(EEOICPA). The ABRWH consists of not
more than 20 members appointed by the
President of the United States, and shall
reflect a balance of scientific, medical,
and worker perspectives.
Nominations are being sought for
individuals who have expertise and
qualifications necessary to contribute to
the accomplishments of the ABRWH’s
objectives. Nominees will be appointed
based on their demonstrated
E:\FR\FM\17OCN1.SGM
17OCN1
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Federal Register / Vol. 87, No. 199 / Monday, October 17, 2022 / Notices
qualifications, professional experience,
and knowledge of issues the ABRWH
may be asked to consider. Federal
employees will not be considered for
membership.
DATES: Nominations for individuals to
serve on the ABRWH must be submitted
(postmarked, if sending by mail;
submitted electronically; or received, if
hand delivered) no later than November
16, 2022. Packages received after this
time will not be considered.
ADDRESSES: Nominations may be
submitted, including attachments, by
any of the following methods below:
• Electronically: Email:
(recommended) to Nancy Adams, dcas@
cdc.gov (Specify in the email subject
line, ‘‘Advisory Board on Radiation and
Worker Health Nomination’’); or
• Mail: Express Delivery, hand
delivery messenger, or courier service:
Submit one copy of all required
documents to the following address:
Nancy Adams, ABRWH, Office of the
Director, National Institute of
Occupational Safety and Health, Centers
for Disease Control and Prevention, 395
E Street SW, Suite 9200, Patriots Plaza,
Washington, DC 20201.
Follow-up communications with
nominees may occur as necessary
throughout the process.
FOR FURTHER INFORMATION CONTACT:
Nancy Adams, National Institute for
Occupational Safety and Health
(NIOSH), (202) 321–9956, dcas@cdc.gov
(specify in the email subject line,
‘‘Advisory Board on Radiation and
Worker Health Nomination’’).
SUPPLEMENTARY INFORMATION: The
Centers for Disease Control and
Prevention (CDC) invites interested
parties to submit nominations for
individuals to serve on the ABRWH for
the Energy Employees Occupational
Illness Compensation Program Act of
2000. The ABRWH was established
pursuant to section 3624 of Public Law
106–398, and section 4 of Executive
Order 13179, ‘‘Providing Compensation
to America’s Nuclear Weapons
Workers,’’ dated December 7, 2000. The
ABRWH is governed by the provisions
of the Federal Advisory Committee Act,
Public Law 92–463, as amended (5
U.S.C. App. 2), which sets forth
standards for the formation and use of
advisory committees. The statutory
authority for the ABRWH is codified at
42 U.S.C. 7384o. The ABRWH currently
operates under Executive Order 13889,
dated March 22, 2022.
Section 4(b) of Executive Order 13179
establishes that the ABRWH shall
provide advice to the Secretary, HHS on
(1) the development of guidelines to
assess the likelihood that an individual
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with cancer sustained the cancer in the
performance of duty at a Department of
Energy (DOE) or an Atomic Weapons
Employer (AWE) facility, and methods
for arriving at and providing reasonable
estimates of the radiation doses received
by individuals applying for assistance
under this program for whom there are
inadequate records of radiation
exposure; (2) the scientific validity and
quality of dose reconstruction efforts
performed for purposes of the
compensation program; and (3) upon
request by the Secretary, HHS, whether
there is a class of employees at any DOE
or AWE facility who were exposed to
radiation but for whom it is not feasible
to estimate their radiation dose, and on
whether there is reasonable likelihood
that such radiation dose may have
endangered the health of members of
the class. More information on the
ABRWH is available at https://
www.cdc.gov/niosh/ocas/ocasadv.html.
As required by 42 U.S.C. 7384o(a)(2),
the President shall make appointments
to the Board in consultation with
organizations with expertise on worker
health issues in order to ensure that the
membership of the Board reflects a
balance of scientific, medical, and
worker perspectives. The U.S.
Department of Health and Human
Services (HHS) policy stipulates that
committee membership shall be made
without discrimination on the basis of
race, color, sex, religion, ethnicity, age,
disability, gender, sexual orientation,
gender identity, HIV status, genetic
information, cultural, religious, or
socioeconomic status. Minorities,
women, and people with disability are
encouraged to submit their nomination.
Nominees must be U.S. citizens, and
cannot be full-time employees of the
U.S. government. Current participation
on Federal workgroups or prior
experience serving on a Federal
advisory committee does not disqualify
a candidate; however, HHS policy is to
avoid excessive individual service on
advisory committees and multiple
committee memberships. ABRWH
members are Special Government
Employees (SGEs), requiring the filing
of financial disclosure reports, and they
serve with compensation and may
receive reimbursement for travel
expenses for their attendance at
ABRWH meetings, including per diem
in lieu of subsistence, as authorized by
the Federal travel regulations. The
activities of the ABRWH may
necessitate its members to obtain a topsecret security clearance.
HHS may consider representation of a
nominee’s knowledge, experience, and
expertise in the fields of health physics,
industrial hygiene, toxicology,
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62855
epidemiology, occupational medicine,
or the worker perspective in the nuclear
facilities spanning the operationally and
geographically diverse DOE and AWE
facilities covered by the EEOICPA
programs; or familiarity, experience, or
history of participation with the
EEOICPA program. Any interested
person or organization may nominate
one or more individuals for
membership. Interested persons are also
invited and encouraged to submit
statements in support of nominees.
The ABRWH consists of not more
than 20 members appointed by the
President of the United States. As
required by 42 U.S.C. 7384o(a)(2), the
President makes appointments to the
ABRWH in consultation with
organizations with expertise on worker
health issues in order to ensure that the
membership of the ABRWH reflects a
balance of scientific, medical, and
worker perspectives. As required by 42
U.S.C. 7384o(a)(3), the President
designates a Chair for the ABRWH from
among its members. The authorizing
statutory provision under 42 U.S.C.
7384o and section 4 of Executive Order
13179 do not include a limit for terms
of appointment for ABRWH members.
Nomination Process: Any interested
person or organization may nominate
one or more qualified individuals for
membership. If you would like to
nominate an individual or yourself for
appointment to the ABRWH, please
submit the following information:
• The nominee’s contact information
(name, title, business address, business
phone, fax number, and/or business
email address) and current employment
or position.
• A copy of the nominee’s resume or
curriculum vitae; category of
membership (e.g., scientific, medical,
and/or worker perspective) that the
nominee represents; a summary of the
background, experience, and
qualifications that addresses the
nominee’s suitability for the nominated
membership category identified above.
• Articles or other documents the
nominee has authored that indicate the
nominee’s knowledge, experience, and
expertise in the fields of health physics,
industrial hygiene, toxicology,
epidemiology, occupational medicine,
or the worker perspective in the nuclear
facilities covered by the EEOICPA
program; or familiarity, experience, or
history of participation with the
EEOICPA program. Nominations may be
submitted by the candidate him or
herself, or by the person/organization
recommending the candidate.
• At least one letter of
recommendation from person(s) not
employed by the U.S. Department of
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62856
Federal Register / Vol. 87, No. 199 / Monday, October 17, 2022 / Notices
Health and Human Services. Candidates
may submit letter(s) from current HHS
employees if they wish, but at least one
letter must be submitted by a person not
employed by an HHS agency (e.g., CDC,
NIH, FDA, etc.).
The Director, Strategic Business
Initiatives Unit, Office of the Chief
Operating Officer, Centers for Disease
Control and Prevention, has been
delegated the authority to sign Federal
Register notices pertaining to
announcements of meetings and other
committee management activities, for
both the Centers for Disease Control and
Prevention and the Agency for Toxic
Substances and Disease Registry.
Kalwant Smagh,
Director, Strategic Business Initiatives Unit,
Office of the Chief Operating Officer, Centers
for Disease Control and Prevention.
[FR Doc. 2022–22456 Filed 10–14–22; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–23–1132]
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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 ‘‘Performance
Progress and Monitoring Report
(PPMR)’’ 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 February
14, 2022 to obtain comments from the
public and affected agencies. CDC
received one comment related to the
previous notice. 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;
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(b) Evaluate the accuracy of the
agencies estimate of the burden of the
proposed collection of information,
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.
Comments and recommendations for the
proposed information collection should
be sent within 30 days of publication of
this notice to www.reginfo.gov/public/
do/PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function. 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
Performance Progress and Monitoring
Report (PPMR) (OMB Control No. 0920–
1132, Exp. 10/31/2022)—Extension—
Office of Scientific Integrity (OSI),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
Each year, approximately 80% of the
CDC’s budget is distributed via
contracts, grants and cooperative
agreements, from the Office of Financial
Resources (OFR) to partners (Awardees)
throughout the world in an effort to
promote health, prevent disease, injury
and disability and prepare for new
health threats. OFR is responsible for
the stewardship of these funds while
providing excellent, professional
services to our partners and
stakeholders.
Currently, CDC uses the Performance
Progress and Monitoring Report (PPMR,
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OMB Control No. 0920–1132), a set of
progress reporting forms for NonResearch awards to collect information
semi-annually from Awardees regarding
the progress made over specified time
periods on CDC funded projects. The
PPMR was originally modified from SF–
PPR (OMB Control No. 0970–0406), a
similar progress report that was owned
by the Administration for Children and
Families (ACF) within the Department
of Health and Human Services (HHS).
The PPMR was created by CDC to
provide an agency-wide collection tool
that would be able to obtain data on the
progress of CDC Awardees for the
purposes of evaluation, and to bring the
Awardee reporting procedure into
compliance with the Paperwork
Reduction Act (PRA).
The information collected enables the
accurate, reliable, uniform, and timely
submission to CDC of each Awardee’s
work plans and progress reports,
including strategies, activities and
performance measures. The information
collected by the PPMR is designed to
align with, and support the goals
outlined for each of the CDC Awardees.
Collection and reporting of the
information will occur in an efficient,
standardized, and user-friendly manner
that will generate a variety of routine
and customizable reports. The PPMR
will allow each Awardee to summarize
activities and progress towards meeting
performance measures and goals over a
specified time period specific to each
award. CDC will also have the capacity
to generate reports that describe
activities across multiple Awardees. In
addition, CDC will use the information
collection to respond to inquiries from
HHS, Congress and other stakeholder
inquiries about program activities and
their impact. The current submission
process allows Awardees to submit a
completed PDF version of the PPMR by
uploading it to www.grants.gov, or
directly to the programs at CDC that will
be performing the evaluation.
This Extension request is being
submitted to allow CDC to continue
collection of this valuable information
from Awardees for an additional three
years. There are no anticipated changes
to the information collection
instruments or associated burden at this
time. CDC requests OMB approval for an
estimated 12,936 annual burden hours.
There is no cost to respondents other
than their time.
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Agencies
[Federal Register Volume 87, Number 199 (Monday, October 17, 2022)]
[Notices]
[Pages 62854-62856]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-22456]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
Solicitation of Nominations for Appointment to the Advisory Board
on Radiation and Worker Health for the Energy Employees Occupational
Illness Compensation Program Act of 2000.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Centers for Disease Control and Prevention (CDC) is
seeking nominations for membership on the Advisory Board on Radiation
and Worker Health (ABRWH) for the Energy Employees Occupational Illness
Compensation Program Act of 2000 (EEOICPA). The ABRWH consists of not
more than 20 members appointed by the President of the United States,
and shall reflect a balance of scientific, medical, and worker
perspectives.
Nominations are being sought for individuals who have expertise and
qualifications necessary to contribute to the accomplishments of the
ABRWH's objectives. Nominees will be appointed based on their
demonstrated
[[Page 62855]]
qualifications, professional experience, and knowledge of issues the
ABRWH may be asked to consider. Federal employees will not be
considered for membership.
DATES: Nominations for individuals to serve on the ABRWH must be
submitted (postmarked, if sending by mail; submitted electronically; or
received, if hand delivered) no later than November 16, 2022. Packages
received after this time will not be considered.
ADDRESSES: Nominations may be submitted, including attachments, by any
of the following methods below:
Electronically: Email: (recommended) to Nancy Adams,
[email protected] (Specify in the email subject line, ``Advisory Board on
Radiation and Worker Health Nomination''); or
Mail: Express Delivery, hand delivery messenger, or
courier service: Submit one copy of all required documents to the
following address: Nancy Adams, ABRWH, Office of the Director, National
Institute of Occupational Safety and Health, Centers for Disease
Control and Prevention, 395 E Street SW, Suite 9200, Patriots Plaza,
Washington, DC 20201.
Follow-up communications with nominees may occur as necessary
throughout the process.
FOR FURTHER INFORMATION CONTACT: Nancy Adams, National Institute for
Occupational Safety and Health (NIOSH), (202) 321-9956, [email protected]
(specify in the email subject line, ``Advisory Board on Radiation and
Worker Health Nomination'').
SUPPLEMENTARY INFORMATION: The Centers for Disease Control and
Prevention (CDC) invites interested parties to submit nominations for
individuals to serve on the ABRWH for the Energy Employees Occupational
Illness Compensation Program Act of 2000. The ABRWH was established
pursuant to section 3624 of Public Law 106-398, and section 4 of
Executive Order 13179, ``Providing Compensation to America's Nuclear
Weapons Workers,'' dated December 7, 2000. The ABRWH is governed by the
provisions of the Federal Advisory Committee Act, Public Law 92-463, as
amended (5 U.S.C. App. 2), which sets forth standards for the formation
and use of advisory committees. The statutory authority for the ABRWH
is codified at 42 U.S.C. 7384o. The ABRWH currently operates under
Executive Order 13889, dated March 22, 2022.
Section 4(b) of Executive Order 13179 establishes that the ABRWH
shall provide advice to the Secretary, HHS on (1) the development of
guidelines to assess the likelihood that an individual with cancer
sustained the cancer in the performance of duty at a Department of
Energy (DOE) or an Atomic Weapons Employer (AWE) facility, and methods
for arriving at and providing reasonable estimates of the radiation
doses received by individuals applying for assistance under this
program for whom there are inadequate records of radiation exposure;
(2) the scientific validity and quality of dose reconstruction efforts
performed for purposes of the compensation program; and (3) upon
request by the Secretary, HHS, whether there is a class of employees at
any DOE or AWE facility who were exposed to radiation but for whom it
is not feasible to estimate their radiation dose, and on whether there
is reasonable likelihood that such radiation dose may have endangered
the health of members of the class. More information on the ABRWH is
available at https://www.cdc.gov/niosh/ocas/ocasadv.html.
As required by 42 U.S.C. 7384o(a)(2), the President shall make
appointments to the Board in consultation with organizations with
expertise on worker health issues in order to ensure that the
membership of the Board reflects a balance of scientific, medical, and
worker perspectives. The U.S. Department of Health and Human Services
(HHS) policy stipulates that committee membership shall be made without
discrimination on the basis of race, color, sex, religion, ethnicity,
age, disability, gender, sexual orientation, gender identity, HIV
status, genetic information, cultural, religious, or socioeconomic
status. Minorities, women, and people with disability are encouraged to
submit their nomination. Nominees must be U.S. citizens, and cannot be
full-time employees of the U.S. government. Current participation on
Federal workgroups or prior experience serving on a Federal advisory
committee does not disqualify a candidate; however, HHS policy is to
avoid excessive individual service on advisory committees and multiple
committee memberships. ABRWH members are Special Government Employees
(SGEs), requiring the filing of financial disclosure reports, and they
serve with compensation and may receive reimbursement for travel
expenses for their attendance at ABRWH meetings, including per diem in
lieu of subsistence, as authorized by the Federal travel regulations.
The activities of the ABRWH may necessitate its members to obtain a
top-secret security clearance.
HHS may consider representation of a nominee's knowledge,
experience, and expertise in the fields of health physics, industrial
hygiene, toxicology, epidemiology, occupational medicine, or the worker
perspective in the nuclear facilities spanning the operationally and
geographically diverse DOE and AWE facilities covered by the EEOICPA
programs; or familiarity, experience, or history of participation with
the EEOICPA program. Any interested person or organization may nominate
one or more individuals for membership. Interested persons are also
invited and encouraged to submit statements in support of nominees.
The ABRWH consists of not more than 20 members appointed by the
President of the United States. As required by 42 U.S.C. 7384o(a)(2),
the President makes appointments to the ABRWH in consultation with
organizations with expertise on worker health issues in order to ensure
that the membership of the ABRWH reflects a balance of scientific,
medical, and worker perspectives. As required by 42 U.S.C. 7384o(a)(3),
the President designates a Chair for the ABRWH from among its members.
The authorizing statutory provision under 42 U.S.C. 7384o and section 4
of Executive Order 13179 do not include a limit for terms of
appointment for ABRWH members.
Nomination Process: Any interested person or organization may
nominate one or more qualified individuals for membership. If you would
like to nominate an individual or yourself for appointment to the
ABRWH, please submit the following information:
The nominee's contact information (name, title, business
address, business phone, fax number, and/or business email address) and
current employment or position.
A copy of the nominee's resume or curriculum vitae;
category of membership (e.g., scientific, medical, and/or worker
perspective) that the nominee represents; a summary of the background,
experience, and qualifications that addresses the nominee's suitability
for the nominated membership category identified above.
Articles or other documents the nominee has authored that
indicate the nominee's knowledge, experience, and expertise in the
fields of health physics, industrial hygiene, toxicology, epidemiology,
occupational medicine, or the worker perspective in the nuclear
facilities covered by the EEOICPA program; or familiarity, experience,
or history of participation with the EEOICPA program. Nominations may
be submitted by the candidate him or herself, or by the person/
organization recommending the candidate.
At least one letter of recommendation from person(s) not
employed by the U.S. Department of
[[Page 62856]]
Health and Human Services. Candidates may submit letter(s) from current
HHS employees if they wish, but at least one letter must be submitted
by a person not employed by an HHS agency (e.g., CDC, NIH, FDA, etc.).
The Director, Strategic Business Initiatives Unit, Office of the
Chief Operating Officer, Centers for Disease Control and Prevention,
has been delegated the authority to sign Federal Register notices
pertaining to announcements of meetings and other committee management
activities, for both the Centers for Disease Control and Prevention and
the Agency for Toxic Substances and Disease Registry.
Kalwant Smagh,
Director, Strategic Business Initiatives Unit, Office of the Chief
Operating Officer, Centers for Disease Control and Prevention.
[FR Doc. 2022-22456 Filed 10-14-22; 8:45 am]
BILLING CODE 4163-18-P