[Federal Register Volume 82, Number 110 (Friday, June 9, 2017)]
[Notices]
[Pages 26810-26811]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-12003]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Public Comment Request; 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

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services.

ACTION: Notice.

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SUMMARY: In compliance with the requirement for opportunity for public 
comment on proposed data collection projects, 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 ICR must be received no later than August 8, 
2017.

ADDRESSES: Submit your comments to [email protected] or mail the HRSA 
Information Collection Clearance Officer, Room 14N39, 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, in compliance with Section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995.
    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 updating the Title V Maternal and Child Health 
Services Block Grant to States Program: Guidance and Forms for the 
Title V Application/Annual Report. This guidance is used annually by 
the 50 states and 9 jurisdictions (hereafter state) in applying for 
Block Grants under Title V of the Social Security Act and in preparing 
the required annual report. The updates proposed by HRSA's Maternal and 
Child Health Bureau (MCHB) for this edition of the guidance are 
intended to reinforce the role of the state in developing a Title V 
Maternal and Child Health (MCH) Action Plan that addresses its priority 
needs. These proposed updates further refine the reporting structure 
and vision that was outlined in the previous edition. As such, they are 
intended to enable a state to articulate its Title V program activities 
and leadership efforts for serving the MCH population. The proposed 
updates to the guidance are informed by comments received from state 
Title V MCH program leaders, national MCH leaders, and other MCH 
stakeholders.
    Specific updates 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) The performance measure framework has been maintained, but a 
state has added flexibility to determine the best combination of 
National Performance Measures (NPMs) and State Performance Measures 
(SPMs) for addressing its identified MCH priority needs. States will 
address each priority need by either a NPM or SPM.
    (2) The required minimum number of NPMs to be selected by a state 
has been reduced from eight to five. States will select at least one 
NPM in each of the five population health domains, specifically: (1) 
Women/Maternal Health; (2) Perinatal/Infant Health; (3) Child Health; 
(4) Children with Special Health Care Needs (CSHCN); and (5) Adolescent 
Health.
    (3) A sixth and optional domain, Cross-cutting and Systems 
Building, has been added to replace the Cross-cutting/Life Course 
domain. The three NPMs that were formerly included in the Cross-
cutting/Life Course domain (i.e., NPM #13A/B, NPM #14 A/B and NPM #15) 
have been incorporated into the relevant population health domain(s). 
No NPMs are included in the Cross-cutting and Systems Building domain; 
however, a state may choose to include a SPM in this domain if relevant 
to its priority needs.
    (4) The focus on evidence-based or evidence-informed strategies and 
measures (ESMs) continues, with an enhanced definition of ``evidence-
base'' provided. Clarifying instructions and state examples of ESMs 
have been added.
    (5) Expectations around state Title V reporting on family/consumer 
partnership have been clarified. These expectations include enhanced 
discussion of specific program activities, the impact they have on all 
sectors of the MCH population, and their demonstrated value in 
improving MCH outcomes.
    (6) The narrative reporting requirements around services for CSHCN 
have been strengthened to allow each state to identify and define the 
components of its system of services. States are also encouraged to 
reflect on the impact of these services within the context of the 
identified priority needs and the measures selected for the State 
Action Plan.
    (7) Further anticipated reductions to state burden have been 
incorporated through more streamlined narrative reporting, particularly 
between the State Overview, Needs Assessment, and State Action Plan 
sections; clearer descriptions of expected content in each of the 
narrative sections; and refined instructions for completing the data 
reporting forms. Notable among these updates is the restructuring of 
the State Action Plan narrative discussion to allow a Title V program 
greater flexibility in describing its public health framework (e.g., 
life course model), leadership and partnership roles, cross-cutting 
strategies, and the leveraging of resources.
    The full extent of the anticipated burden reduction will be 
realized over time as states become more familiar with the updated 
instructions and reporting requirements. The burden estimates presented 
in the table below are based on previous burden estimates and 
consultation with a few states.
    Need and Proposed Use of the Information: Each year, states 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, 
each state is required to conduct a 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: Per section 505(a) of Title V of the Social 
Security Act, the MCH Block Grant application/annual

[[Page 26811]]

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 estimate 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.
    In fiscal year (FY) 2019 and FY 2020, states will submit an 
application/annual report without the 5-year needs assessment summary 
for a total annual estimated burden of 7,080 hours. In FY 2021, states 
will submit an application/annual report with the 5-year needs 
assessment summary for a total estimated burden of 11,151 hours. As a 
result of the proposed revisions, average annual burden is projected to 
be reduced by approximately 700 hours.
    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             120           7,080
 without 5-Year Needs Assessment
 Summary........................
Application and Annual Report                 59               1              59             189          11,151
 with 5-Year Needs Assessment
 Summary........................
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
    Average Total Annual Burden.              59  ..............              59  ..............         * 8,437
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* Reflects the average of one Application/Annual Report with Needs Assessment Summary and two Application/Annual
  Reports without Needs Assessment Summary

    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.

Jason E. Bennett,
Director, Division of the Executive Secretariat.
[FR Doc. 2017-12003 Filed 6-8-17; 8:45 am]
 BILLING CODE 4165-15-P