[Federal Register Volume 76, Number 210 (Monday, October 31, 2011)]
[Notices]
[Page 67198]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-28033]



[[Page 67198]]

-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Periodically, the Health Resources and Services Administration 
(HRSA) publishes abstracts of information collection requests under 
review by the Office of Management and Budget (OMB), in compliance with 
the Paperwork Reduction Act of 1995 (44 U.S.C. chapter 35). To request 
a copy of the clearance requests submitted to OMB for review, email 
paperwork @hrsa.gov or call the HRSA Reports Clearance Office on (301) 
443-1129.
    The following request has been submitted to the Office of 
Management and Budget for review under the Paperwork Reduction Act of 
1995:

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 during 
both the creation of applications for Block Grants (under Title V of 
the Social Security Act) and in the preparation of 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 forms.
    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) the 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; and (3) 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 annual estimate of burden is as follows:

----------------------------------------------------------------------------------------------------------------
                                     Number of     Responses per       Total        Hours  per     Total burden
        Type of document            respondents     respondent       responses       response          hours
----------------------------------------------------------------------------------------------------------------
Application and Report without                59               1              59             246          14,514
 Needs Assessment (2012, 2013 &
 2014)..........................
                                 -------------------------------------------------------------------------------
    Total.......................              59  ..............              59  ..............          14,514
----------------------------------------------------------------------------------------------------------------

    Written comments and recommendations concerning the proposed 
information collection should be sent within 30 days of this notice to 
the desk officer for HRSA, either by email to OIRA--submission@omb. 
eop.gov or by fax to (202) 395-6974. Please direct all correspondence 
to the ``attention of the desk officer for HRSA.''

    Dated: October 24, 2011.
Reva Harris,
Acting Director, Division of Policy and Information Coordination.
[FR Doc. 2011-28033 Filed 10-28-11; 8:45 am]
BILLING CODE 4165-15-P