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Federal Register/Vol. 87, No. 18/Thursday, January 27, 2022/Rules and Regulations 4391 <br /> feasible.Where relevant,recipients availability on the spread of COVID-19. the disease.252 These alternatives <br /> should compare the proposal against the Recipients may also consider other include personal protective equipment, <br /> alternative of improving existing capital public health impacts of the level of ventilation improvements,utilizing <br /> assets already owned or leasing other diagnostic testing capacity, for example excess capacity in other facilities or <br /> capital assets.Recipients should use if insufficient capacity has decreased wings,or temporary facility capacity <br /> quantitative data when available, testing for other health conditions. The expansions. <br /> although they are encouraged to recipient may consider alternatives such Large capital expenditures intended <br /> supplement with qualitative as expanding existing laboratories or for general economic development or to <br /> information and narrative description. building a laboratory of a different size. aid the travel,tourism,and hospitality <br /> Recipients that complete analyses with In comparing the effectiveness of the industries—such as convention centers <br /> minimal or no quantitative data should capital expenditures, examples of and stadiums—are,on balance, <br /> provide an explanation for doing so. factors that the recipient may consider generally not reasonably proportional to <br /> In determining whether their include when the facilities will become addressing the negative economic <br /> proposed capital expenditure is superior operational and for how long;the daily impacts of the pandemic,as the efficacy <br /> to alternative capital expenditures, throughput of COVID-19 tests; and the of a large capital expenditure intended <br /> recipients should consider the following effect on minimizing delays in test for general economic development in <br /> factors against each selected alternative. results on the populations that such remedying pandemic harms may be very <br /> a.A comparison of the effectiveness of tests will serve.In comparing costs,the limited compared to its cost.253 <br /> the capital expenditures in addressing recipient may compare the total <br /> the harm identified.Recipients should expected cost of the new laboratory Presumptions on Capital Expenditures <br /> generally consider the effectiveness of (including costs of acquisition of real For administrative convenience,the <br /> the capital expenditures in addressing property, construction of the laboratory, final rule provides presumptions on <br /> the harm over the useful life of the and purchase of any necessary whether a Written Justification is <br /> capital asset and may consider metrics equipment needed to operationalize the required—and required to be submitted <br /> such as the number of impacted or lab), against the expected costs of to Treasury through reporting—based on <br /> disproportionately impacted individuals expanding existing laboratories the type and size of the capital <br /> or entities served,when such (whether by replacing current expenditure,as detailed in the table <br /> individuals or entities are estimated to equipment with higher throughout below. <br /> be served,the relative time horizons of devices or physically expanding space As discussed above,Tribal <br /> the project, and consideration of any to accommodate additional capacity) or governments are not required to <br /> uncertainties or risks involved with the building a new laboratory of a different complete the Written Justification for <br /> capital expenditure. size,including by leasing property.As applicable capital expenditures,but the <br /> b.A comparison of the expected total a reminder,recipients should only associated substantive requirements <br /> cost of the capital expenditures. consider alternatives that are potentially continue to apply,including the <br /> Recipients should consider the expected effective and reasonably feasible. requirement that a capital expenditure <br /> total cost of the capital expenditure Because,in all cases,uses of SURF must be reasonably designed to benefit <br /> required to construct,purchase,install, funds to respond to public health and the individual or class that experienced <br /> or improve the capital assets intended to negative economic impacts of the the identified impact or harm and must <br /> address the public health or negative pandemic must be related and be related and reasonably proportional <br /> economic impact of the public health reasonably proportional to a harm to the extent and type of impact or <br /> emergency. Recipients should include caused or exacerbated by the pandemic, harm. <br /> pre-development costs in their some capital expenditures may not <br /> calculation and may choose to include eligible. For example, constructing a 252 For instance,the CDC has published detailed <br /> information on ongoing operational new correctional facility would recommendations for nursing homes,long-term care <br /> costs,although this information is not facilities,and correctional and detention facilities, <br /> generally not be a proportional response on infection prevention and control.Many of these <br /> required.Recipients should balance the to an increase in the rate of certain recommendations are relatively low cost,such as <br /> crimes or overall crime as most proper use of PPE.In addition,increasing <br /> effectiveness and costs of the proposed vaccination rates among nursing home staff is <br /> correctional facilities have historically among the most important ways to decrease the <br /> capital expenditure against alternatives g p y <br /> and demonstrate that their proposed accommodated fluctuations in spread of the disease.Centers for Disease Control <br /> occupancy. In addition,construction and Prevention,Interim Infection Prevention and <br /> capital expenditure is superior. Further, of new congregate facilities,which Control Recommendations to Prevent SARS—CoV— <br /> recipients should choose the most cost- would generally be expected to involve 2 Spread in Nursing Homes(September 10,2021), <br /> effective option unless it substantively https://www.cdc.govlcoronavirusl2019-ncovlhcpl <br /> reduces the effectiveness of the capital expenditures greater than$1 million, long-term-care.html#anchor 1631030153017. <br /> investment in addressing the harm would generally not be a proportional 253 For instance,researchers have found no <br /> response to mitigate Or prevent COVID— consistent positive relationship between building <br /> identified. 19,because such construction is sports facilities and local economic development. <br /> As an example, a recipient As Siegfried and Zimbalist(2000,103)write in a <br /> generally expected to be more costly review of the literature,"independent work on the <br /> considering building a new diagnostic p <br /> testing laboratory to enhance COVID-19 than alternative approaches or capital economic impact of stadiums and arenas has <br /> expenditures that may be equally Or uniformly found that there is no statistically <br /> testing capacity may consider whether more effective in decreasing spread of significant positive correlation between sports <br /> existing laboratories sufficiently meet facility construction and economic development." <br /> demand for COVID-19 testing, John Siegfried and Andrew Zimbalist,The <br /> considering the demand for test results 251 See,e.g.,"Economic Perspectives on Economics of Sports Facilities and Their <br /> Incarceration and the Criminal Justice System," Communities,Journal of Economic Perspectives 14, <br /> (along with their turnaround time) as Council of Economic Advisers(April 2016),pg.36— no.3(Summer 2000):95-114,https:// <br /> well as the impact of current testing 43. www.aeaweb.org/articles?id=10.1257/jep.14.3.95. <br />