[Federal Register Volume 83, Number 164 (Thursday, August 23, 2018)]
[Notices]
[Pages 42656-42658]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-18179]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-18-18ATK; Docket No.CDC-2018-0075]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

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

ACTION: Notice with comment period.

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SUMMARY: 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 Understanding multi-sectoral 
collaboration for strengthening public health capacities in Ethiopia. 
The goal of this study is to explore multi-sectoral collaboration in 
Ethiopia, in the context of strengthening public health capacities 
under the Global Health Security Agenda.

DATES: CDC must receive written comments on or before October 22, 2018.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2018-
0075 by any of the following methods:

[[Page 42657]]

     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: 404-639-7118; Email: 
[email protected].

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected; 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.g., permitting electronic 
submissions of responses.
    5. Assess information collection costs.

Proposed Project

    Understanding multi-sectoral collaboration for strengthening public 
health capacities in Ethiopia--New--Office of Public Health 
Preparedness and Response (OPHPR), Centers for Disease Control and 
Prevention (CDC).

Background and Brief Description

    Countries with poor public health infrastructure are more 
vulnerable to adverse health outcomes caused by disease outbreaks, 
natural disasters, and other public health events (Rodier, 2007). The 
2013 Ebola outbreak in West Africa highlighted the shortcomings of 
infrastructure and preparedness plans in the region, and prompted 
Ministries of Health in affected countries to reexamine capabilities 
and identify approaches for strengthening them (Heymann, 2015). More 
recently, the spread of the Zika virus in 2015 through more than twenty 
countries in the Americas demonstrated that prioritizing efforts to 
strengthen public health systems and capacities is imperative to 
mitigating the impact of public health events and improving global 
health security (Lucey, 2016).
    Capacities refer to the abilities and resources of countries to 
identify and address problems, and carry out functions for public 
health. Public health emergency preparedness (PHEP) related capacities 
focus acutely on the resources and infrastructure required for 
communities and countries to effectively respond to incidents. Zoonotic 
disease (ZD) related capacities center on minimizing the spread of 
diseases from animals to humans in domestic, agricultural and wildlife 
settings.
    PHEP and ZD are regarded as cross-cutting technical areas of public 
health, spanning numerous fields of practice and knowledge necessary to 
successfully mitigate the impacts of public health events. As a result, 
multi-sectoral collaboration--a cornerstone of many public health 
initiatives and programs--is a prominent feature of efforts and plans 
to strengthen PHEP and ZD capacities. While the importance of multi-
sectoral collaboration for health strategies is widely recognized by 
global health experts and leaders, the evidence base on demonstrated 
benefits and advantages in public health capacity building is limited. 
Some research has been carried out to understand aspects of public 
health capacity strengthening efforts and their impact on global health 
security; however, it often focuses on high-income countries, such as 
the United States (U.S.). More research is needed, particularly in low- 
and middle-income country settings, to understand how collaboration 
occurs across sectors to implement efforts to strengthen PHEP and ZD 
capacities and systems, and to gain a deeper understanding of the 
perspectives of partners involved in the collaboration.
    The purpose of the proposed research is to explore how multi-
sectoral collaboration occurs for PHEP and ZD related activities 
implemented under the Global Health Security Agenda (GHSA). The 
research will employ a multiple-case study design in Ethiopia, focusing 
on the GHSA technical areas of PHEP and ZD as the cases. The study 
seeks to understand the landscape of stakeholders engaged in PHEP and 
ZD related capacity development, and their perspectives on one 
another's roles and contributions to efforts. This research will also 
examine stakeholder perceptions on barriers and facilitators to 
collaboration under GHSA, overall and in each technical area via in-
depth interviews. Finally, this study will utilize an adapted 
questionnaire that measures collaboration across five key domains to 
foster dialogue between partners on the strength of multi-sectoral 
collaboration in Ethiopia for GHSA related ZD and PHEP activities. 
Participants will be able to provide feedback to these questionnaires 
through a workshop. Research findings will be compared across the two 
technical areas to understand similarities and differences in 
stakeholder environments and partner perspectives on collaboration 
under GHSA; they can also be used to identify opportunities to amplify 
successes and overcome challenges for stakeholders to collaborate 
across sectors--in Ethiopia and other countries--to achieve ZD and PHEP 
goals under GHSA. CDC will disseminate information and findings through 
presentations, publications, and summary reports to stakeholders and 
interested members of the public. This research can enrich 
understanding among stakeholders of one another's perspectives on 
collaborative efforts, and encourage further dialogue on how to best 
facilitate multi-sectoral collaboration for broad global agendas such 
as GHSA, and improved health outcomes overall. CDC is requesting a two 
year approval for this information collection. Information collection 
activities will begin approximately one month after OMB approval.

[[Page 42658]]

    The total estimated cost to respondents for their participation in 
this proposed information collection is $12,483.20. The total estimated 
burden to respondents is 320 hours.

                                                            Estimated Annualized Burden Hours
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                                                                                                             Number of    Average burden
              Type of respondents                               Form name                    Number of     responses per   per response    Total burden
                                                                                            respondents     respondent      (in hours)      (in hours)
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Emergency Management Directors.................  In-depth interviews....................              80               1               1              80
Emergency Management Directors.................  Questionnaire..........................              80               1               1              80
Emergency Management Directors.................  Questionnaire Feedback.................              40               1               4             160
                                                                                         ---------------------------------------------------------------
    Total......................................  .......................................  ..............  ..............  ..............             320
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Jeffrey M. Zirger,
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. 2018-18179 Filed 8-22-18; 8:45 am]
 BILLING CODE 4163-18-P