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Federal Register / Vol. 83, No. 127 / Monday, July 2, 2018 / Notices

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areas (HPSAs) as of May 1, 2018. The
lists are available on HRSA’s HPSAFind
website.
ADDRESSES: Complete lists of HPSAs
designated as of May 1, 2018, are
available on the HPSAFind website at
https://datawarehouse.hrsa.gov/tools/
analyzers/hpsafind.aspx. Frequently
updated information on HPSAs is
available at http://
datawarehouse.hrsa.gov. Information on
shortage designations is available at
https://bhw.hrsa.gov/shortagedesignation.
FOR FURTHER INFORMATION CONTACT: For
further information on the HPSA
designations listed on the HPSAFind
website or to request additional
designation, withdrawal, or
reapplication for designation, please
contact Melissa Ryan, Acting Director,
Division of Policy and Shortage
Designation, Bureau of Health
Workforce, HRSA, 11SWH03, 5600
Fishers Lane, Rockville, Maryland
20857, (301) 594–5168 or MRyan@
hrsa.gov.
SUPPLEMENTARY INFORMATION:
Background
Section 332 of the Public Health
Service (PHS) Act, 42 U.S.C. 254e,
provides that the Secretary shall
designate HPSAs based on criteria
established by regulation. HPSAs are
defined in section 332 to include (1)
urban and rural geographic areas with
shortages of health professionals, (2)
population groups with such shortages,
and (3) facilities with such shortages.
Section 332 further requires that the
Secretary annually publish lists of the
designated geographic areas, population
groups, and facilities. The lists of
HPSAs are to be reviewed at least
annually and revised as necessary.
Final regulations (42 CFR part 5) were
published in 1980 that include the
criteria for designating HPSAs. Criteria
were defined for seven health
professional types: Primary medical
care, dental, psychiatric, vision care,
podiatric, pharmacy, and veterinary
care. The criteria for correctional facility
HPSAs were revised and published on
March 2, 1989 (54 FR 8735). The criteria
for psychiatric HPSAs were expanded to
mental health HPSAs on January 22,
1992 (57 FR 2473). Currently-funded
PHS Act programs use only the primary
medical care, mental health, or dental
HPSA designations.
HPSA designation offers access to
potential federal assistance. Public or
private nonprofit entities are eligible to
apply for assignment of National Health
Service Corps (NHSC) personnel to
provide primary medical care, mental

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health, or dental health services in or to
these HPSAs. NHSC health
professionals enter into service
agreements to serve in federally
designated HPSAs. Entities with clinical
training sites located in HPSAs are
eligible to receive priority for certain
residency training program grants
administered by HRSA’s Bureau of
Health Workforce (BHW). Other federal
programs also utilize HPSA
designations. For example, under
authorities administered by the Centers
for Medicare and Medicaid Services,
certain qualified providers in
geographic area HPSAs are eligible for
increased levels of Medicare
reimbursement.
Content and Format of Lists
The three lists of designated HPSAs
are available on the HPSAFind website
and include a snapshot of all geographic
areas, population groups, and facilities
that were designated HPSAs as of May
1, 2018. This notice incorporates the
most recent annual reviews of
designated HPSAs and supersedes the
HPSA lists published in the Federal
Register on June 26, 2017 (Federal
Register/Vol. 82, No. 121/Monday, June
26, 2017/Notices 28863).
In addition, all Indian Tribes that
meet the definition of such Tribes in the
Indian Health Care Improvement Act of
1976, 25 U.S.C. 1603(d), are
automatically designated as population
groups with primary medical care and
dental health professional shortages.
Further, the Health Care Safety Net
Amendments of 2002 provides
eligibility for automatic facility HPSA
designations for all federally qualified
health centers (FQHCs) and rural health
clinics that offer services regardless of
ability to pay. Specifically, these entities
include FQHCs funded under section
330 of the PHS Act, FQHC Look-Alikes,
and Tribal and urban Indian clinics
operating under the Indian SelfDetermination and Education Act of
1975 (25 U.S.C. 450) or the Indian
Health Care Improvement Act. Many,
but not all, of these entities are included
on this listing. Absence from this list
does not exclude them from HPSA
designation; facilities eligible for
automatic designation are included in
the database when they are identified.
Each list of designated HPSAs is
arranged by state. Within each state, the
list is presented by county. If only a
portion (or portions) of a county is (are)
designated, a county is part of a larger
designated service area, or a population
group residing in a county or a facility
located in the county has been
designated, the name of the service area,
population group, or facility involved is

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listed under the county name. A county
that has a whole county geographic
HPSA is indicated by the phrase ‘‘Entire
county HPSA’’ following the county
name.
Development of the Designation and
Withdrawal Lists
Requests for designation or
withdrawal of a particular geographic
area, population group, or a facility as
a HPSA are received continuously by
BHW. Under a Cooperative Agreement
between HRSA and the 54 state and
territorial Primary Care Offices (PCOs),
PCOs conduct needs assessments and
submit the majority of the applications
to HRSA to designate areas as HPSAs.
BHW refers requests that come from
other sources to PCOs for review. In
addition, interested parties, including
Governors, State Primary Care
Associations, and state professional
associations, are notified of requests so
that they may submit their comments
and recommendations.
BHW reviews each recommendation
for possible addition, continuation,
revision, or withdrawal. Following
review, BHW notifies the appropriate
agency, individuals, and interested
organizations of each designation of a
HPSA, rejection of recommendation for
HPSA designation, revision of a HPSA
designation, and/or advance notice of
pending withdrawals from the HPSA
list. Designations (or revisions of
designations) are effective as of the date
on the notification from BHW and are
updated daily on the HPSAFind
website. The effective date of a
withdrawal will be the next publication
of a notice regarding the list in the
Federal Register.
Dated: June 26, 2018.
George Sigounas,
Administrator.
[FR Doc. 2018–14115 Filed 6–29–18; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[Document Identifier: OS–0990—new]

Agency Information Collection
Request; 60-Day Public Comment
Request
Office of the Secretary, HHS.
Notice.

AGENCY:
ACTION:

In compliance with the
requirement of the Paperwork
Reduction Act of 1995, the Office of the
Secretary (OS), Department of Health
and Human Services, is publishing the
following summary of a proposed
collection for public comment.

SUMMARY:

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30943

Federal Register / Vol. 83, No. 127 / Monday, July 2, 2018 / Notices
Comments on the ICR must be
received on or before August 31, 2018.

DATES:

Submit your comments to
Sherrette.Funn@hhs.gov or by calling
(202) 795–7714.

ADDRESSES:

FOR FURTHER INFORMATION CONTACT:

When submitting comments or
requesting information, please include
the document identifier 0990–New–60D
and project title for reference., to
Sherrette.Funn@hhs.gov, or call the
Reports Clearance Officer.
Interested
persons are invited to send comments
regarding this burden estimate or any
other aspect of this collection of
information, including any of the
following subjects: (1) The necessity and
utility of the proposed information
collection for the proper performance of
the agency’s functions; (2) the accuracy
of the estimated burden; (3) ways to
enhance the quality, utility, and clarity
of the information to be collected; and
(4) the use of automated collection
techniques or other forms of information
technology to minimize the information
collection burden.
Title of the Collection: SMARTool
Pilot Replication Project.

SUPPLEMENTARY INFORMATION:

Type of Collection: OMB No. 0990–
NEW—Office of the Assistant Secretary
for Health (OASH).
Abstract: The Office of the Assistant
Secretary for Health (OASH), U.S.
Department of Health and Human
Services (HHS), is requesting approval
by OMB of a new information collection
request. OASH is updating the Center
for Relationship Education’s Systematic
Method for Assessing Risk-Avoidance
Tool (SMARTool), a tool for sexual risk
avoidance (SRA) curriculum developers
and implementing organizations (IOs) to
ensure that their SRA curricula are
grounded in evidence. In an effort to
assess the SMARTool’s impact, OASH
aims to conduct a formative evaluation
to (1) provide preliminary evidence on
the effectiveness of SRA curricula that
are aligned with the SMARTool, (2)
derive lessons learned to improve the
implementation of SRA curricula, and
(3) develop and test baseline and followup questionnaires that assess SRA
program effects on the key SMARTool
constructs. The evaluation will be
conducted with an estimated four IOs.
The evaluation will use quantitative and
qualitative methods and will include
both a process evaluation and an
outcome evaluation.

Need and Proposed Use of the
Information: To enhance the rigor of the
evaluation, a comparison group will be
identified for each IO, if possible. This
would enable an assessment of whether
any changes identified in individual
and contextual risk and protective
factors in the intervention group differ
from those in the comparison group.
The process evaluation will describe in
detail each IO’s program, how it was
delivered, and factors that may have
influenced the success of the program’s
implementation. Process evaluation data
are necessary for the interpretation of
outcome findings and to inform efforts
to improve program implementation.
Depending on their performance on
measures of reliability and validity, the
baseline and follow-up questionnaires
may be made available to organizations
planning to evaluate curricula that are
aligned with the SMARTool.
Likely respondents: Respondents will
include participants in each of the IOs’
SRA programs (9th or 10th grade youth),
their parent(s), program facilitators,
representatives of schools participating
in the program (e.g., school principals),
and school or school district
administrative staff.

EXHIBIT 1—TOTAL ESTIMATED ANNUALIZED BURDEN HOURS
Respondents

Number of
respondents

Form name

Number of
responses per
respondent

Average
burden per
response
(in hours)

Total burden
(hours)

Outcome Evaluation
Parents ..............................................
High school students ........................
School or school district administrative staff.

Parental consent ..............................
Youth Assent ....................................
Baseline survey ................................
Follow-up survey ..............................
Classroom roster report ...................

2,356
2,356
2,356
2,120
24

1
1
1
1
1

5/60
5/60
30/60
30/60
120/60

196
196
1178
1060
48

48

20

15/60

240

Process Evaluation
Program Facilitators ..........................

38

1

25/60

16

1,060

1

10/60

177

Program facilitators, site representatives.
Teachers ...........................................

Process Evaluation Facilitator Session Log.
Process Evaluation Facilitator Survey.
Process Evaluation Participant Survey.
Process Evaluation Key Informant
Interviews.
Attendance form ...............................

24

1

60/60

24

48

20

5/60

80

Total burden ...............................

...........................................................

........................

........................

........................

3,135

Program Facilitators ..........................

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High school students ........................

Terry Clark,
Asst Information Collection Clearance
Officer, Office of the Secretary.
[FR Doc. 2018–14203 Filed 6–29–18; 8:45 am]
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