[Federal Register Volume 84, Number 35 (Thursday, February 21, 2019)]
[Notices]
[Pages 5455-5457]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-02945]


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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; MCH Jurisdictional Survey 
Instrument for the Title V MCH Block Grant Program, OMB No. 0906-xxxx-
NEW

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

ACTION: Notice.

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SUMMARY: In compliance with of the Paperwork Reduction Act of 1995, 
HRSA has submitted an Information Collection Request (ICR) to the 
Office of Management and Budget (OMB) for review and approval. A 60-day 
Federal Register Notice related to this proposed ICR was published in 
the Federal Register on November 16, 2018. No comments were received. 
OMB will accept comments from the public during the 30-day review and 
approval period.

DATES: Comments on this ICR should be received no later than March 25, 
2019.

ADDRESSES: Submit your comments, including the ICR 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 Lisa

[[Page 5456]]

Wright-Solomon, the HRSA Information Collection Clearance Officer at 
[email protected] or call (301) 443-1984.

SUPPLEMENTARY INFORMATION: 
    Information Collection Request Title: Maternal and Child Health 
(MCH) Jurisdictional Survey Instrument for the Title V MCH Block Grant 
Program, OMB No. 0906-xxxx-NEW.
    Abstract: The purpose of the Title V MCH Block Grant is to improve 
the health of the nation's mothers, infants, children, including 
children with special health care needs, and their families by creating 
federal/state partnerships that provide each state/jurisdiction with 
needed flexibility to respond to its individual MCH population needs. 
Unique to the MCH Block Grant is a commitment to performance 
accountability, while assuring state flexibility. Utilizing a 3-tiered 
national performance measure framework, which includes National Outcome 
Measures (NOMs), National Performance Measures (NPMs), and Evidence-
Based and Evidence-Informed Strategy Measures, State Title V programs 
report annually on their performance relative to the selected national 
performance and outcome measures. Such reporting enables the state and 
federal program offices to assess the progress achieved in key MCH 
priority areas and to document Title V program accomplishments.
    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. In 
establishing state reporting requirements, HRSA's Maternal and Child 
Health Bureau (MCHB) considers the availability of national data from 
other federal agencies. Data for the national performance and outcome 
measures are pre-populated for states in the Title V Information 
System. National data sources identified for the NPMs and NOMs in the 
MCH Block Grant program seldom include data from the Title V 
jurisdictions, with the exception of the District of Columbia. The 
eight remaining jurisdictions (American Samoa, Federated States of 
Micronesia, Guam, Marshall Islands, Northern Mariana Islands, Palau, 
Puerto Rico, and U.S. Virgin Islands) have limited access to 
significant data and MCH indicators, with limited capacity for 
collecting these data.
    Sponsored by HRSA's MCHB, the MCH Jurisdictional Survey is designed 
to produce data on the physical and emotional health of mothers and 
children under 18 years of age in the following eight jurisdictions--
American Samoa, Federated States of Micronesia, Guam, Marshall Islands, 
Northern Mariana Islands, Palau, Puerto Rico, and Virgin Islands. More 
specifically, the MCH Jurisdictional Survey collects information on 
factors related to the well-being of children, including health status, 
visits to health care providers, health care costs, and health 
insurance coverage. In addition, the MCH Jurisdictional Survey collects 
information on factors related to the well-being of mothers, including 
health risk behaviors, health conditions, and preventive health 
practices. This data collection will enable the jurisdictions to meet 
federal performance reporting requirements and to demonstrate the 
impact of Title V funding relative to MCH outcomes for the U.S. 
jurisdictions in reporting on their unique MCH priority needs.
    The MCH Jurisdictional Survey was designed based on information-
gathering activities with Title V leadership and program staff in the 
jurisdictions, experts at the Centers for Disease Control and 
Prevention, and other organizations with relevant data collection 
experience. Survey items are based on the National Survey of Children's 
Health, the Behavioral Risk Factor Surveillance System, the Youth 
Behavior Surveillance System, and selected other federal studies. The 
Survey is designed as a core questionnaire to be administered across 
all jurisdictions with a supplemental set of survey questions 
customized to the needs of each jurisdiction.
    Need and Proposed Use of the Information: Data from the MCH 
Jurisdictional Survey will be used to measure progress on national 
performance and outcome measures under the Title V MCH Block Grant 
Program. This survey instrument is critical to collecting information 
on factors related to the well-being of all mothers, children, and 
their families in the jurisdictional Title V programs, and which 
address their unique MCH needs.
    Likely Respondents: The respondent universe is women age 18 or 
older who live in one of the eight targeted U.S. jurisdictions (Puerto 
Rico, U.S. Virgin Islands, Guam, Northern Mariana Islands, American 
Samoa, Palau, Marshall Islands, or Federated States of Micronesia) and 
who are mothers or guardians of at least one child aged 0-17 years 
living in the same household.
    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.
    The number of respondents in the table below has decreased slightly 
for Puerto Rico, U.S. Virgin Islands, and Guam from the numbers 
included in the 60-day FRN. This decrease is due to a change in the 
data collection methodology from phone to in-person in these 
jurisdictions based on the results of the pre-test.

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                                                     Number of    Average burden
            Form name                Number of     responses per   per response    Burden hours    Total burden
                                    respondents     respondent      (in hours)       per form          hours
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Adult Parents--Puerto Rico:
    Screener....................             810               1            0.03           24.30          204.30
    Core........................             200               1            0.83          166.00
    Jurisdiction Module.........             200               1            0.07           14.00
Adult Parents--U.S. Virgin
 Islands:
    Screener....................             903               1            0.03           27.09          207.09
    Core........................             200               1            0.83          166.00
    Jurisdiction Module.........             200               1            0.07           14.00
Adult Parents--Guam:

[[Page 5457]]

 
    Screener....................             566               1            0.03           16.98          196.98
    Core........................             200               1            0.83          166.00
    Jurisdiction Module.........             200               1            0.07           14.00
Adult Parents--American Samoa:
    Screener....................             395               1            0.03           11.85          187.85
    Core........................             200               1            0.83          166.00
    Jurisdiction Module.........             200               1            0.05           10.00
Adult Parents--Federated States
 of Micronesia:
    Screener....................             857               1            0.03           25.71          201.71
    Core........................             200               1            0.83          166.00
    Jurisdiction Module.........             200               1            0.05           10.00
Adult Parents--Marshall Islands:
    Screener....................             857               1            0.03           25.71          207.71
    Core........................             200               1            0.83          166.00
    Jurisdiction Module.........             200               1            0.08           16.00
Adult Parents--Northern Mariana
 Islands:
    Screener....................             600               1            0.03           18.00          200.00
    Core........................             200               1            0.83          166.00
    Jurisdiction Module.........             200               1            0.08           16.00
Adult Parents--Palau:
    Screener....................             967               1            0.03           29.01          199.01
    Core........................             200               1            0.83          166.00
    Jurisdiction Module.........             200               1            0.02            4.00
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        Total...................           5,955  ..............  ..............  ..............        1,604.65
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 Amy P. McNulty,
Acting Director, Division of the Executive Secretariat.
[FR Doc. 2019-02945 Filed 2-20-19; 8:45 am]
 BILLING CODE 4165-15-P