[Federal Register Volume 83, Number 228 (Tuesday, November 27, 2018)]
[Notices]
[Pages 60872-60873]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-25750]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-19-18ATK]


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 Understanding multi-sectoral collaboration 
for strengthening public health capacities in Ethiopia 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 23, 2018 to obtain comments from the 
public and affected agencies. CDC did not receive comments 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;
    (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 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

    Understanding multi-sectoral collaboration for strengthening public 
health capacities in Ethiopia--New--Center for Preparedness and 
Response (CPR), 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. 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. More recently, the spread of the Zika virus in 
2015 through more than 20 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.
    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 (US). 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

[[Page 60873]]

outcomes overall. CDC is requesting a two year approval for this 
information collection. Information collection activities will begin 
approximately one month after OMB approval. The total annual estimated 
burden to respondents is 320 hours. There is no cost to respondents 
other than their time.

                                        Estimated Annualized Burden Hours
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                                                                                                      Average
                                                                     Number of       Number of      burden per
         Type of  respondents                   Form name           respondents   responses  per   response  (in
                                                                                     respondent       hours)
----------------------------------------------------------------------------------------------------------------
Emergency Management Directors........  In-depth interviews.....              80               1               1
Emergency Management Directors........  Questionnaire...........              80               1               1
Emergency Management Directors........  Questionnaire Feedback..              40               1               4
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Jeffrey M. Zirger,
Acting Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2018-25750 Filed 11-26-18; 8:45 am]
 BILLING CODE 4163-18-P