[Federal Register Volume 79, Number 219 (Thursday, November 13, 2014)]
[Notices]
[Pages 67440-67441]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-26855]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


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

AGENCY: 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 December 
15, 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: 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: The Health Resources and Services Administration (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 transformative vision.
    Relative to the state's submission of a yearly Application, Annual 
Report and 5-year Needs Assessment, 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, consultations with a few states on 
the proposed changes, and comments received during the 60-day public 
comment period.
    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., Women's/Maternal Health; Perinatal/Infant's Health; 
Child Health; CSHCN; Adolescent Health and Cross-cutting or 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 program data, such as breakdowns of 
MCH populations by race/ethnicity, health indicator data, and national 
performance and outcome measure data will be provided by MCHB, as 
available, from national data sources, thus, reducing the annual 
reporting burden for states; (4) Given that most MCH issues are 
multifactorial, the state will establish evidence based or evidence 
informed strategies to address each of the selected NPMs and will 
report on one or more of the Evidence-based or informed Strategy 
Measures (ESMs) developed for each NPM; (5) Revised instructions and 
the inclusion of a logic model for the State Title V MCH Block Grant 
Application/Annual Report process will provide greater emphasis on the 
need for the 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 eight (8) NPMs which target the 
state-identified priority needs, the development of evidence based or 
informed strategies and related ESMs for addressing each of the 
selected NPMs, and the establishment of between three (3) and five (5) 
State Performance Measures (SPMs) 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

[[Page 67441]]

Executive Summary (up to five pages in length) will be included with 
each submitted Application/Annual Report; (8) A 5-year Needs Assessment 
Summary (up to 20 pages in length) will be integrated into the state's 
MCH Block Grant Application/Annual Report and will replace the more 
comprehensive, stand-alone 5-year Needs Assessment document that the 
state previously submitted; (9) Health System Capacity Indicators will 
be eliminated; and (10) 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 the 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           7,257
 without 5-Year Needs Assessment
Application and Annual Report                 59               1              59           189.3          11,169
 with 5-Year Needs Assessment...
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    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: October 31, 2014
Jackie Painter,
Acting Director, Division of Policy and Information Coordination.
[FR Doc. 2014-26855 Filed 11-12-14; 8:45 am]
BILLING CODE 4165-15-P