[Federal Register Volume 79, Number 97 (Tuesday, May 20, 2014)]
[Notices]
[Pages 28931-28932]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-11686]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

Administration for Children and Families


Agency Information Collection Activities: Submission to OMB for 
Review and Approval; Public Comment Request

AGENCY: Administration for Children and Families, Health Resources and 
Services Administration, HHS.

ACTION: Notice.

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SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995, the Health Resources and Services Administration 
(HRSA) has submitted an Information Collection Request (ICR) to the 
Office of Management and Budget (OMB) for review and approval. Comments 
submitted during the first public review of this ICR will be provided 
to OMB. OMB will accept further comments from the public during the 
review and approval period.

DATES: Comments on this ICR should be received no later than June 19, 
2014.

ADDRESSES: Submit your comments, including the Information Collection 
Request Title, to the desk officer for HRSA, either by email to [email protected] or by fax to (202) 395-5806.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email the HRSA Information 
Collection Clearance Officer at [email protected] or call (301) 443-
1984.

SUPPLEMENTARY INFORMATION: 
    Information Collection Request Title: Maternal, Infant, and Early 
Childhood Home Visiting Program Information System. OMB No. 0915-0357--
Revision.
    Abstract: On March 23, 2010, the President signed into law the 
Patient Protection and Affordable Care Act of 2010 (Pub. L. 111-148), 
historic and transformative legislation designed to make quality, 
affordable health care available to all Americans, reduce costs, 
improve health care quality, enhance disease prevention, and strengthen 
the health care workforce. Through a provision authorizing the creation 
of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) 
Program, the Act responds to the diverse needs of children and families 
in communities at risk and provides an unprecedented opportunity for 
collaboration and partnership at the federal, state, and community 
levels to improve health and development outcomes for at-risk children 
through voluntary evidence-based home visiting programs. The MIECHV 
Program is designed: (1) To strengthen and improve the programs and 
activities carried out under Title V of the Social Security Act; (2) to 
improve coordination of services for at-risk communities; and (3) to 
identify and provide comprehensive services to improve outcomes for 
families who reside in at-risk communities.
    HRSA and the Administration for Children and Families (ACF) 
collaborate to implement the MIECHV programs. HRSA administers grants 
to states, jurisdictions, and eligible non-profits (State MIECHV 
program) and ACF administers grants to Indian tribes (including 
consortia of tribes), tribal organizations, and urban Indian 
organizations (Tribal MIECHV program).
    The Social Security Act, Title V, Section 511 (42 U.S.C. 711), as 
added by the Patient Protection and Affordable Care Act of 2010 (Pub. 
L. 111-148), requires that state and tribal MIECHV grantees collect 
data to measure improvements for eligible families in six specified 
areas (referred to as ``benchmark areas'') that encompass the major 
goals for the program: (1) Improved maternal and newborn health; (2) 
prevention of child injuries, child abuse, neglect, or maltreatment, 
and reduction of emergency room visits; (3) improvement in school 
readiness and achievement;(4) reduction in crime or domestic violence; 
(5) improvements in family economic self-sufficiency; and (6) 
improvements in the coordination and referrals for other community 
resources and supports.
    The Supplemental Information Request for the Submission of the 
Updated State Plan for a State Home Visiting Program (SIR), published 
on February 8, 2011, further listed a variety of constructs under each 
benchmark area for which state MIECHV grantees were to select and 
submit relevant performance measures. Per Section 511(d)(1)(B)(i) of 
the legislation, no later than 30 days after the end of the third year 
of the program, grantees are required to demonstrate improvement in at 
least four of the six benchmark areas. Funding opportunity 
announcements, notices of award, and program guidance documents for 
competitive, formula, and non-profit grants also require annual 
reporting on the constructs under each benchmark area, as well as on 
demographic, service utilization, budgetary, and other administrative 
data related to program implementation.
    Tribal MIECHV grantees must also report annually on demographic, 
service utilization, budgetary, and other administrative data related 
to program implementation. In addition, tribal MIECHV grantees must 
propose a plan for meeting the benchmark requirements specified in the 
legislation and must report on improvement on constructs under each 
benchmark area at the end of Year 4 and Year 5 of their 5-year grants.
    Need and Proposed Use of the Information: The data collected from 
the proposed Home Visiting (HV) forms will be used to track state and 
tribal MIECHV grantees' progress in demonstrating improvement under 
each benchmark area and provide an overall picture of the population 
being served. The proposed data collection forms are as follows:
    HV Form 1--Demographic and Service Utilization Data for Enrollees 
and Children--This form requests data to determine the unduplicated 
number of participants and of participant groups by primary insurance 
coverage. This form also requests data on the demographic 
characteristics of program participants such as race, ethnicity, and 
income. The form is used by both state and tribal MIECHV grantees. As 
this form has current approval from OMB and is in use, no changes are 
proposed.
    HV Form 2--State Grantee Performance Measures: Grantees have 
already selected relevant performance measures for the legislatively 
identified benchmark areas. This form provides a template for grantees 
to report aggregate data on their selected performance measures. This 
form is used by state MIECHV grantees only. As this form has current 
approval from OMB and is in use, no changes are proposed.
    HV Form 3--Tribal Grantee Performance Measures: To show 
quantifiable, measurable improvement in benchmark areas, each tribal 
MIECHV grantee must submit data demonstrating improvement on constructs 
in each of the six benchmark areas. The purpose of the proposed 
collection on HV Form 3 will be to track tribal MIECHV grantees' 
progress in demonstrating improvement under each benchmark area. This 
form will be used by tribal MIECHV grantees only. As this form was not 
included in the previous submission to OMB, this form is new to the 
information system.
    Likely Respondents: HV Form 1 is used by all MIECHV Program 
grantees. HV Form 2 is used by the states, the District of Columbia, 
Puerto Rico, Guam, the Virgin Islands, the Northern Mariana Islands, 
American Samoa, and non-profit organizations providing services within 
states through the State

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MIECHV Program. HV Form 3 will be used by tribal MIECHV grantees.
    Burden Statement: Burden in this context means the time expended by 
persons to generate, maintain, retain, disclose, or provide the 
information requested. This includes the time needed to review 
instructions; to develop, acquire, install, and utilize technology and 
systems for the purpose of collecting, validating, and verifying 
information, processing and maintaining information, and disclosing and 
providing information; to train personnel and to be able to respond to 
a collection of information; to search data sources; to complete and 
review the collection of information; and to transmit or otherwise 
disclose the information. The total annual burden hours estimated for 
this ICR are summarized in the table below.

                                    Total Estimated Annualized Burden--Hours
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                                                                                      Average
                                   Number of        Number of                       burden per     Total burden
          Form name               respondents     responses per  Total responses   response  (in       hours
                                                   respondent                         hours)
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HV Form 1: Demographic and     81 \1\ (All                    1  81 (All MIECHV              731         59, 211
 Service Utilization Data for   MIECHV                            grantees,
 Enrollees and Children.        grantees,                         including
                                including                         tribal
                                tribal                            grantees).
                                grantees).
HV Form 2: Grantee             56 \2\ (state                  1  56 (state                   313         17, 528
 Performance Measures.          MIECHV                            MIECHV
                                grantees).                        grantees).
HV Form 3: Tribal-Grantee      25 \3\ (tribal                 1  25 (tribal                  475          11,875
 Performance Measures.          MIECHV                            MIECHV
                                grantees).                        grantees).
                              ----------------------------------------------------------------------------------
    Total....................  81..............  ..............  81.............  ..............         88, 614
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\1\ In addition to 56 jurisdictions and non-profit organizations, it is estimated that 25 tribal MIECHV program
  grantees will utilize Form 1 to report on demographic and service utilization data for all participant
  families.
\2\ This number does not include tribal MIECHV program grantees.
\3\ This number reflects the number of tribal MIECHV grantees.


    Dated: May 12, 2014.
Bahar Niakan,
Director, Division of Policy and Information Coordination, Health 
Resources and Services Administration.
Linda K. Smith,
Deputy Assistant Secretary and Inter-Departmental Liaison for Early 
Childhood Development, Administration for Children and Families.
[FR Doc. 2014-11686 Filed 5-19-14; 8:45 am]
BILLING CODE 4165-15-P