[Federal Register Volume 76, Number 138 (Tuesday, July 19, 2011)]
[Pages 42717-42718]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-18105]



Health Resources and Services Administration

Agency Information Collection Activities: Proposed Collection: 
Comment Request

    In compliance with the requirement for opportunity for public 
comment on proposed data collection projects (section 3506(c)(2)(A) of 
Title 44, United States Code, as amended by the Paperwork Reduction Act 
of 1995, Pub. L. 104-13), the Health Resources and Services 
Administration (HRSA) publishes periodic summaries of proposed projects 
being developed for submission to the Office of Management and Budget 
(OMB) under the Paperwork Reduction Act of 1995. To request more 
information on the proposed project or to obtain a copy of the data 
collection plans and draft instruments, e-mail [email protected] or 
call the HRSA Reports Clearance Officer at (301) 443-1129.
    Comments are invited on: (a) The proposed collection of information 
for the proper performance of the functions of the Agency; (b) the 
accuracy of the Agency's estimate of the burden of the proposed 
collection of information; (c) ways to enhance the quality, utility, 
and clarity of the information to be collected; and (d) ways to 
minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology.

Proposed Project: Maternal and Child Health Services Title V Block 
Grant Program Guidance and Forms for the Title V Application/Annual 
Report (OMB No. 0915-0172)--[Revision]

    The Health Resources and Services Administration (HRSA) proposes to 
revise the Maternal and Child Health Services Title V Block Grant 
Program--Guidance and Forms for the Application/Annual Report. The 
guidance is used annually by the 50 states and 9 jurisdictions in 
making application for Block Grants under Title V of the Social 
Security Act and in preparing the required annual report. The proposed 
revisions follow and build on extensive consultation received from a 
workgroup convened to provide suggestions to improve the guidance and 
    The changes in this edition of the Maternal and Child Health 
Services Title V Block Grant Program Guidance and Forms for the Title V 
Application/Annual Report include the following proposed revisions: (1) 
The requirements for reporting on the health status indicators and 
health systems capacity indicators were rewritten to reduce the 
reporting burden to the states; (2) instructions for completing Form 7, 
Number of Individuals Served, have been clarified to assist states in 
more accurately estimating the number of individuals who receive Title 
V services; (3) a resource tool has been added to assist states in 
assessing the level of family participation in Children with Special 
Health Care Needs Programs (Form 13); and (4) the detail sheets for the 
performance measures, outcome measures, health systems capacity 
indicators and health status indicators have been updated with 
corresponding Healthy People 2020 Objectives. In addition, efficiencies 
through use of the electronic application are identified for states to 
reduce their efforts in completing the application.
    The estimated average annual burden is as follows:

[[Page 42718]]

                                     Number of     Responses per       Total        Burden per     Total burden
       Reporting document           respondents     respondent       responses       response          hours
Application and Report without                59               1              59             246          14,514
 Needs Assessment (2012, 2013 &
    Total.......................              59               1              59             246          14,514

    E-mail comments to [email protected] or mail the HRSA Reports 
Clearance Officer, Room 10-33, Parklawn Building, 5600 Fishers Lane, 
Rockville, MD 20857. Written comments should be received within 60 days 
of this notice.

    Dated: July 13, 2011.
Reva Harris,
Acting Director, Division of Policy and Information Coordination.
[FR Doc. 2011-18105 Filed 7-18-11; 8:45 am]