[Federal Register Volume 79, Number 124 (Friday, June 27, 2014)]
[Notices]
[Pages 36537-36539]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-15051]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Public Comment Request

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.

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SUMMARY: In compliance with the requirement for opportunity for public 
comment on proposed data collection projects (Section 3506(c)(2)(A) of 
the Paperwork Reduction Act of 1995), the Health Resources and Services 
Administration (HRSA) announces plans to submit an Information 
Collection Request (ICR), described below, to the Office of Management 
and Budget (OMB). Prior to submitting the ICR to OMB, HRSA seeks 
comments from the public regarding the burden estimate, below, or any 
other aspect of the ICR.

DATES: Comments on this Information Collection Request must be received 
no later than August 26, 2014.

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ADDRESSES: Submit your comments to [email protected] or mail the HRSA 
Information Collection Clearance Officer, Room 10-29, Parklawn 
Building, 5600 Fishers Lane, Rockville, MD 20857.

FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the data collection plans and 
draft instruments, email [email protected] or call the HRSA 
Information Collection Clearance Officer at (301) 443-1984.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the information request collection title 
for reference.
    Information Collection Request Title: Title V Maternal and Child 
Health Services Block Grant to States Program: Guidance and Forms for 
the Title V Application/Annual Report OMB No. 0915-0172--Revision.
    Abstract: HRSA is revising the Title V Maternal and Child Health 
Services Block Grant to States Program: Guidance and Forms for the 
Title V Application/Annual Report. The Guidance is used annually by the 
50 states and nine jurisdictions in applying for Block Grants under 
Title V of the Social Security Act and in preparing the required Annual 
Report. In partnership with the leadership in State Title V Maternal 
and Child Health (MCH) programs as well as with other national MCH 
leaders and stakeholders, HRSA's Maternal and Child Health Bureau 
(MCHB) has been working over the past year to develop and refine a 
vision for transforming the MCH Block Grant to States Program to better 
meet current and future challenges facing our nation's mothers and 
children, including children with special health care needs (CSHCN) and 
their families. The proposed revisions to the Application and Annual 
Reporting requirements and to the data forms that are contained in the 
revised Guidance reflect this vision.
    The aims of the MCH Block Grant to States Program transformation 
are threefold: (1) Reduce burden to states, (2) maintain state 
flexibility, and (3) improve accountability. Revisions to this edition 
are intended to enable the state to tell a more cohesive and 
comprehensive Title V story and to better reflect on the program's 
leadership role and its contributions to the state's public health 
system in building improved and expanded systems of care for the MCH 
population. It is recognized that the full extent of the anticipated 
burden reduction will be realized over time as states become more 
familiar with the new instructions and reporting requirements. The 
burden estimates presented in the table below are based on previous 
burden estimates and consultations with a few states on the proposed 
changes. HRSA plans to solicit additional information from no more than 
nine states to derive more accurate estimates.
    Specific changes to this edition of the Title V Maternal and Child 
Health Services Block Grant to States Program: Guidance and Forms for 
the Title V Application/Annual Report include the following:
    (1) Narrative reporting will be organized by six population health 
domains (i.e., maternal and women's health, perinatal health, child 
health, CSHCN, adolescent health, and life course); (2) Revised 
National Performance Measure (NPM) framework will be implemented with 
states selecting 8 of 15 NPMs for their programmatic focus; (3) State-
level data for the selected NPMs will be provided by MCHB from national 
data sources thus reducing burden; (4) For each selected NPM, the state 
will establish and report only on a Structural/Process Measure (S&PM); 
(5) Revised instructions for the State Application/Annual Report 
process reflect the need for state priority needs and national MCH 
priority areas to drive the state's reporting on the 5-year (and 
ongoing) Needs Assessment findings, the selection of NPMs which target 
the state-identified priority needs, the development of evidence-based 
strategies and S&PMs for addressing the selected NPMs, and the 
establishment of State Performance Measures which respond to the 
state's identified unique needs; (6) State Application/Annual Report 
will include a 5-year Action Plan for addressing the identified MCH 
priority areas; (7) An Executive Summary will be included with each 
submitted Application/Annual Report; (8) A 5-year Needs Assessment 
Summary will be integrated into the State's Application/Annual Report 
and will replace the more comprehensive, standalone 5-year Needs 
Assessment document that the state previously submitted; (9) Health 
System Capacity Indicators will be eliminated; (10) Data for Health 
Status Indicators will be provided by the MCHB, as available, rather 
than collected and reported by the state; and (11) Federal and State 
Title V Program budget and expenditures will be reported separately by 
the state.
    Need and Proposed Use of the Information: Each year, all states and 
jurisdictions are required to submit an Application/Annual Report for 
federal funds for their Title V MCH Services Block Grant to States 
Program to HRSA's MCHB (Section 505(a) of Title V of the Social 
Security Act). In addition, the state/jurisdictional MCH Block Grant 
programs are required to conduct a statewide, comprehensive Needs 
Assessment every 5 years. The information and instructions for the 
preparation and submission of this Application/Annual Report are 
contained in the Title V Maternal and Child Health Services Block Grant 
to States Program: Guidance and Forms for the Title V Application/
Annual Report.
    Likely Respondents: By legislation (Section 505(a) of Title V of 
the Social Security Act), the MCH Block Grant Application/Annual Report 
must be developed by, or in consultation with, the State MCH Health 
agency.
    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 Information Collection Request are summarized in the table below.
    Total Estimated Annualized burden hours:

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                                                     Number of                      Burden per
            Form name                Number of     responses per       Total       response (in    Total burden
                                    respondents     respondent       responses        hours)           hours
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Application and Annual Report                 59               1              59           123.0           7,257
 without 5-Year Needs Assessment

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Application and Annual Report                 59               1              59           189.3          11,169
 with 5-Year Needs Assessment...
Average Total Annual Burden.....              59  ..............              59  ..............        * 8,561
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* (Reflects the average of one Application/Annual Report with Needs Assessment and two Application/Annual
  Reports without Needs Assessment.)

    In fiscal year (FY) 2016, states and jurisdictions will be 
submitting an application and annual report with a 5-year needs 
assessment for a total estimated burden of 11,169 hours. In FY 2017 and 
FY 2018, states and jurisdictions will be submitting an application and 
annual report without a 5-year needs assessment for a total estimated 
burden of 14,514.
    HRSA specifically requests comments on (1) the necessity and 
utility of the proposed information collection for the proper 
performance of the agency's functions, (2) the accuracy of the 
estimated burden, (3) ways to enhance the quality, utility, and clarity 
of the information to be collected, and (4) the use of automated 
collection techniques or other forms of information technology to 
minimize the information collection burden.

    Dated: June 20, 2014.
Jackie Painter,
Acting Director, Division of Policy and Information Coordination.
[FR Doc. 2014-15051 Filed 6-26-14; 8:45 am]
BILLING CODE 4165-15-P