[Federal Register Volume 85, Number 115 (Monday, June 15, 2020)]
[Notices]
[Pages 36217-36219]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-12786]


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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, 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 ICR must be received no later than August 14, 
2020.

ADDRESSES: Submit your comments to [email protected] or mail the HRSA 
Information Collection Clearance Officer, Room 14N136B, 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 Lisa Wright-
Solomon, 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 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 nine jurisdictions (hereafter referred to as 
``state'') in applying for Block Grants under Title V of the Social 
Security Act and in preparing the required Annual Report. The updates 
being proposed by HRSA's Maternal and Child Health Bureau for this 
edition of the Guidance continue to honor the federal-state partnership 
that is supported by the Title V Maternal and Child Health Services 
Block Grant and reinforce the state's role in developing a 5-year 
Action Plan that addresses its individual priority needs. These 
proposed updates build on and further refine the reporting structure 
and vision that was outlined in the previous edition. As such, they are 
intended to enable a state to provide an articulate and comprehensive 
description of its Title V program activities and its leadership 
efforts in advancing and assuring a public health system that serves 
the Maternal and Child Health population. HRSA's proposed updates to 
this edition of the Guidance were informed by comments received from 
State Title V program leadership, national Maternal and Child Health 
leaders and other stakeholders.
    While retaining the current organizational structure, performance 
measure framework and focus on family partnership, 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) Add clarifying language/instructions for completing reporting 
forms and update the Glossary of terms, references and citations, as 
needed.
    (2) Revise the content of the National Outcome/Performance Measure 
Detail Sheets to include the 2030 Healthy People Objectives and to 
provide clear links to evidence-based and-informed strategies, 
federally available/state-reported data and data notes.
    (3) Revise the format for Form #10e, which serves as the detail 
sheet for the state-specific measures (i.e., Evidence-based and -
Informed Strategy Measures, State Performance Measures, and State 
Outcome Measures).
    (4) Provide continued emphasis on family partnership and engagement 
at the systems level and include the

[[Page 36218]]

Family Engagement in Systems Assessment Tool and Toolkit as one 
possible tool for State Title V programs to consider.
    (5) Share background information, resources, state examples/metrics 
and definitions to assist states in their efforts to advance population 
health strategies for children with special health care needs (CSHCN).
    (6) Expand Form 5 to include infants in the state's reporting on 
the number (5a) and percent (5b) of CSHCN served by Title V, i.e., 
update the reporting to include infants and children with special 
health care needs (0-21 years).
    (7) Enhance the narrative and performance reporting on State Title 
V efforts to build or expand program capacity related to Maternal and 
Child Health data access and cross-program data linkages, Maternal and 
Child Health workforce development/training, and emergency planning/
preparedness.
    a. Strengthen the narrative discussion on the State Systems 
Development Initiative (SSDI) grant and add a reporting form for 
annually assessing State Title V program capacity to access essential 
Maternal and Child Health data that supports timely program planning, 
monitoring, and evaluation.
    b. Enhance the annual narrative reporting to include a more robust 
description of the State Title V workforce capacity (e.g., number/types 
of Full-Time Equivalents, trends/shifts in Maternal and Child Health 
workforce, and key external partners) and professional development 
efforts, while providing resources to assist State Title V programs in 
their ongoing assessment of Maternal and Child Health workforce and 
training needs.
    c. Expand the annual narrative reporting to include a descriptive 
analysis of the State Title V program's capacity related to emergency 
planning and preparedness, with the intended purpose of enabling each 
state to better assess its capacity for responding to emerging public 
health threats and disasters that could potentially impact the Maternal 
and Child Health population.
    (8) Expand and enhance the Appendices to include supportive 
background information, examples, resources and tools.
    In consideration of the increasing demands that are being placed on 
State Title V programs at this time due to the COVID-19 emergency and 
given that no major changes to the reporting requirements are being 
proposed, the burden estimates presented in the table below are based 
on the previous burden estimates for completion of the Title V Maternal 
and Child Health Services Block Grant Application/Annual Report. These 
estimates were developed based on prior estimates and consultations 
with a few States. When the COVID-19 emergency subsides, HRSA can 
solicit additional information from states to derive more accurate 
burden estimates.
    The addition of clarifying instructions, state examples, expanded 
background information and supportive resources and tools, where 
possible, is expected to assist State Title V programs in responding to 
the reporting requirements. It is anticipated that further reductions 
in burden will be realized through the proposed revisions to the 
National Outcome/Performance Measure detail sheets and to Form #10e, 
which states use to define their state-specific measures. These 
reductions in burden will be partially offset by the addition of one 
reporting form (formerly part of the state's annual performance 
reporting for the SSDI grant), which will enable State Title V programs 
to annually assess their progress in building/expanding Maternal and 
Child Health data capacity. This reporting will be coupled with 
expanded narrative reporting on the state's SSDI grant activities, 
along with other capacity-building efforts that relate to the Maternal 
and Child Health workforce and emergency planning and preparedness.
    Need and Proposed Use of the Information: Each year, all states are 
required to submit an Application/Annual Report for Federal funds for 
their Title V Maternal and Child Health Services Block Grant to States 
Program to HRSA (Section 505(a) of Title V of the Social Security Act). 
In addition, the State Maternal and Child Health Services Block Grant 
programs are required to conduct a state-wide, 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 Maternal and Child Health Services Block 
Grant Application/Annual Report must be developed by, or in 
consultation with, the State Maternal and Child 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.

                                    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 Five-Year Needs
 Assessment Summary.............
                                 -------------------------------------------------------------------------------
Average Total Annual Burden.....              59              --              59              --           7,080
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    States will use the updated 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 to prepare and submit the 
fiscal year (FY) 2022, FY 2023 and FY 2024 Applications/FY 2020, FY 
2021 and FY 2022 Annual Reports, which will not contain the 5-Year 
Needs Assessment Summary. States will submit the next Five-Year Needs 
Assessment Summary in 2025, as part of the FY 2026 Application/FY 2024 
Annual Report. Instructions for preparing the FY 2025, FY 2026 and FY

[[Page 36219]]

2027 Applications/FY 2023, FY 2024 and FY 2025 Annual Reports will be 
provided in the subsequent edition of the Application/Annual Report 
Guidance.
    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.

Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2020-12786 Filed 6-12-20; 8:45 am]
BILLING CODE 4165-15-P