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62158 Federal Register / Vol. 79, No. 200 / Thursday, October 16, 2014/ Notices

Parent training (for LOC eating inchildren and adolescents)

Behavioral weight loss interventions Virtual reality therapy Nutritional counseling or low-calorie

diet (or both) Exercise Health education Complementary and alternative

medicine (CAM) interventions Nutraceuticals and dietarysupplements

Acupuncture Combinations of pharmacotherapies;

combinations of psychologicalinterventions; combinations of CAMinterventions; combinations ofpharmacotherapy, psychological,

behavioral, and/or CAM interventions Characteristics of interventions Pharmacotherapy and CAM: Dosages,

duration of treatment Psychological or behavioral: Format

(e.g., individual or group, therapist-led or self-help), frequency, duration

of treatmentComparators

Applies only to KQs on effectivenessand harms of BED treatment in adults(KQs 1, 2, and 3), LOC treatment in

bariatric patients (KQs 6, 7, and 8), andLOC treatment in children (KQs 11, 12,and 13). Placebo or usual care Any active intervention or

combination of active interventionsfrom among those listed above

Outcomes

Intermediate outcomes Change in weight or body mass index

(BMI) (or both) Appetite-regulating peptide hormones Blood lipids (cholesterol,

triglycerides) Blood glucose, hemoglobin Alc Blood pressure Final health outcomes Behavioral Binge eating: Frequency of binge

episodes, frequency of binge days,binge abstinence

LOC eating: Frequency of LOC eatingepisodes, LOC eating abstinence

Psychological Shape and weight concerns, restraint,

hunger, disinhibition Depressive disorders and symptoms Anxiety Substance abuse Physical health and functioning BMI, weight status or stabilization Hypertension Type 2 diabetes, impaired glucose

tolerance, insulin resistance Dyslipidemia Heart disease Gastric reflux (gastroesophageal reflux

disorder), gastroparesis, othergastrointestinal diagnoses or problems

Irritable bowel syndrome Menstrual problems (female),

hormonal problems (male or female) Reproductive function Social and occupational functioning Work or school days lost Marital or partner status Quality of life: Health-related quality

of life or patient-reported outcomes

not otherwise listed above Harms: Applies only to harms of

treatment (KQs 2, 7, and 12) Pharmacotherapy and CAM:

Sedation, dry mouth, headache,nausea, insomnia, diarrhea, fatigue,increased urinary frequency, sexualdysfunction, abnormal dreams,sweating, palpitations, arrhythmia,cramping, diffuse pain, weight gain

Psychological or behavioral therapy:Negative effects of disclosingsymptoms during initial evaluation ortherapy

Worsening of BED or LOC eating (or

associated symptoms) Health care use and costs Use of health care services:

Emergency room visits,hospitalizations (psychiatrichospitals, residential institutions,general hospitals), ambulatoryphysician visits (medical care,psychiatric care), ambulatory visits toother health care professionals (e.g.,clinical psychologists), nutritionalcounseling

Costs of services: Emergency roomvisits, hospitalizations (psychiatrichospitals, residential institutions,

general hospitals), ambulatoryphysician visits (medical care,psychiatric care), ambulatory visits toother health care professionals,pharmacotherapies, and treatmentcosts for any harms

Timing

Treatment studies: No minimumduration

Course of illness studies: 1-yearminimum followup

Settings

Inpatient, including hospitals andresidential treatment centers

Outpatient, including schools andhomes

The relationship between the patientpopulation, interventions, comparators,outcomes and timing of outcomesassessment (PICOTs) is depicted foreach of the treatment KQs (Figure 1 inhttp://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reqorts/?pageaction=displayproduct&productID=1942#9028)and each of the course ofillness KQs (Figure 2 in http://effectivehealthcare.ahrq.gov/search-for-

guides-reviews-and-reports/?pageaction=displayproduct&productID=1942#9028).

Dated: October 6, 2014.

Richard Kronick,

AHRQ Director.

[FR Doc. 201424507 Filed 101514; 8:45 am]

BILLING CODE 416090M

DEPARTMENT OF HEALTH ANDHUMAN SERVICES

Administration for Children andFamilies

[CFDA Number: 93.508]

Announcing the Award of Four Single-Source Expansion Supplement GrantsUnder the Tribal Maternal, Infant, andEarly Childhood Home Visiting(MIECHV) Program for the Tribal EarlyLearning Initiative

AGENCY: Office of Child Care, ACF,HHS.

ACTION: Notice of the award of foursingle-source program expansionsupplement grants to Tribal Maternal,Infant, and Early Childhood HomeVisiting (MIECHV) grantee participantsin the Tribal Early Learning Initiative.

SUMMARY: This announces the award ofsingle-source program expansionsupplement grants to the followingTribal Maternal, Infant, and EarlyChildhood Home Visiting (MIECHV)grantees to support their ongoing

participation in the Tribal EarlyLearning Initiative, by the Office ofChild Care, in the Administration forChildren and Families (ACF): ChoctawNation of Oklahoma in Durant, OK,Pueblo of San Felipe in San FelipePueblo, NM, Confederated Salish andKootenai Tribes in Pablo, MT, andWhite Earth Band of Chippewa Indiansin White Earth, MN.

The program expansion supplementawards will support expanded efforts bythe grantees to identify and analyzesystems to improve their effectivenessand efficiency as models for use across

early childhood programs; to share theiraction plans to improve outcomes; tocontinue the implementation of, andexpand the development of, concretecommunity plans; and to develop peerlearning relationships.

DATES: The period of support isSeptember 30, 2014September 29,2015.

FOR FURTHER INFORMATION CONTACT:Shannon Rudisill, Director, Office ofChild Care, 901 D Street SW.,Washington, DC 20447. Telephone:

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http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reqorts/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reqorts/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reqorts/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reqorts/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reqorts/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reqorts/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reqorts/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reqorts/?pageaction=displayproduct&productID=1942#9028http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reqorts/?pageaction=displayproduct&productID=1942#9028

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(202) 4016984; Email:shannon.rudisill@acf.hhs.gov.

SUPPLEMENTARY INFORMATION: One of thestated goals of the Tribal MIECHVprogram is to support and strengthencooperation and coordination, andpromote linkages among variousprograms that serve pregnant women,expectant fathers, young children, andfamilies, resulting in the establishmentof coordinated and comprehensive earlychildhood systems in granteecommunities. The Tribal MIECHVprogram expansion supplements for theTribal Early Learning Initiative willallow for more integrated and efficientactivities among the four grantees whocurrently receive grants from the 3 earlylearning programs administered by ACF(American Indian/Alaska Native HeadStart/Early Head Start, Tribal Child Careand Development Fund, and TribalMIECHV).

The continued activities of the four

grantees are expected to result inmodels for tribal early learning systemsthat can be replicated in other tribalcommunities. In addition, thesupplements will expand the reach andimpact of technical assistance efforts bysupporting and strengthening existingcoordination and collaboration activitiesand expanding the scope of additionalsuch activities in tribal communities.

A supplemental award of $45,000 ismade to White Earth Band of ChippewaIndians in White Earth, MN, to supportthe building of an early childhoodsystem and their focused efforts in

implementing a cross-tribe carecoordination data system, known asWECARE (White Earth CoordinatedAssessment, Resources, and Education).

A supplemental award of $35,000 ismade to Choctaw Nation of Oklahomain Durant, OK, to support the buildingof connections across tribal earlychildhood programs, including thedevelopment of a tribal resourcedirectory for families, and the very largeservice area they are attempting toreach.

Supplemental awards of $25,000 eachare made to the Confederated Salish andKootenai Tribes in Pablo, MT, and toPueblo of San Felipe in San Felipe, NM,to support their continuing efforts to

build early childhood systems. Theseefforts have included joint professionaldevelopment activities, communityevents to highlight the importance ofearly childhood and the availableprogramming, and strong relationship-

building across Head Start, child care,and home visiting programs.

Statutory Authority: Awards are supportedby section 511(h)(2)(A) of Title V of theSocial Security Act, as added by Section

2951 of the Patient Protection and AffordableCare Act, Pub. L. 111148, also known as theAffordable Care Act (ACA).

Melody Wayland,

Senior Grants Policy Specialist, Office ofAdministration, Office of Financial Services,Division of Grants Policy.

[FR Doc. 201424554 Filed 101514; 8:45 am]

BILLING CODE 418443P

DEPARTMENT OF HEALTH ANDHUMAN SERVICES

Administration for Children andFamilies

[CFDA Number: 93.676]

Announcement of the Award of TwoSingle-Source Program ExpansionSupplement Grants To Support LegalServices to Refugees Under theUnaccompanied Alien ChildrensProgram

AGENCY: Office of Refugee Resettlement,ACF, HHS.ACTION: The Administration for Childrenand Families (ACF), Office of RefugeeResettlement (ORR), announces theaward of two single-source programexpansion supplement grants to theUnited States Conference of CatholicBishops in Washington, DC, and to theU.S. Committee for Refugees andImmigrants in Arlington, VA, under theUnaccompanied Alien Childrens (UAC)Program to support post-release legalservices.

SUMMARY: The Administration forChildren and Families (ACF), Office ofRefugee Resettlement (ORR) announcesthe award of two single-source programexpansion supplement grants totaling of$4,261,268. The expansion supplementgrants will support the need for legalservices by unaccompanied alienchildren released from the custody ofORR.

FOR FURTHER INFORMATION CONTACT:Jallyn Sualog, Director, Division ofChildrens Services, Office of RefugeeResettlement, 901 D Street SW.,Washington, DC 20447, Telephone (202)

4014997. Email:jallyn.sualog@acf.hhs.gov

SUPPLEMENTARY INFORMATION: TheUnaccompanied Alien Childrensprogram ensures the appropriateplacement of all Department ofHomeland Security (DHS) UAC referralswithin specified timeframes andrequires that a range of custodial/residential shelter care and services areprovided to the minor detainees and, incertain cases, continued services areauthorized after a child is released from

ORR residential shelter care. Thesupplemental awards will support andexpand direct legal representationservices for unaccompanied minorchildren after their release from ORRcustody.

As part of this administration-wideeffort, HHS is proposing a $9 million

direct legal representation project thatwill provide representation to 2,600unaccompanied children throughouttheir immigration proceedings. In orderto implement this Departmentalpriority, ORR is awarding supplementalfunds totaling $4,261,268 in FY 2014 toprovide direct representation to 1,222children and plans to provide theremaining funds for this project in FY2015. The initial program will addresslegal services to post-release alien minorchildren in Los Angeles, CA; Houston,TX; Miami, FL; Baltimore, MD;Arlington, VA; Dallas, TX; Memphis,TN; New Orleans, LA; and Phoenix, AZ.Recognizing that this will cover only aportion of children released to sponsorsin these cities, HHS is committed tocontinuing to work with DHS and theDepartment of Justice (DOJ) todetermine how best to prioritize the useof these 2,600 slots in the provision oflegal services to this vulnerablepopulation.

Under the FY 2014 supplementalawards, the United States Conference ofCatholic Bishops in Washington, DC,will receive a supplemental award of$2,226,513 and to the U.S. Committee

for Refugees and Immigrants inArlington, VA, will receive asupplemental award of $2,034,755.

DATES: Supplemental award fundswill support activities from September30, 2014 through September 29, 2015.

Statutory Authority: This program isauthorized by

(A) Section 462 of the HomelandSecurity Act of 2002, which in March2003, transferred responsibility for thecare and custody of UnaccompaniedAlien Children from the Commissionerof the former Immigration andNaturalization Service (INS) to the

Director of ORR of the Department ofHealth and Human Services (HHS).

(B) The Flores Settlement Agreement,Case No. CV854544RJK (C. D. Cal.1996), as well as the WilliamWilberforce Trafficking VictimsProtection Reauthorization Act of 2008(Pub. L. 110457), which authorizespost release services under certainconditions to eligible children. Allprograms must comply with the FloresSettlement Agreement, Case No. CV854544RJK (C.D. Cal. 1996), pertinent

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mailto:shannon.rudisill@acf.hhs.govmailto:shannon.rudisill@acf.hhs.govmailto:jallyn.sualog@acf.hhs.govmailto:jallyn.sualog@acf.hhs.govmailto:jallyn.sualog@acf.hhs.govmailto:jallyn.sualog@acf.hhs.govmailto:shannon.rudisill@acf.hhs.gov