[Federal Register Volume 85, Number 219 (Thursday, November 12, 2020)]
[Notices]
[Pages 71925-71927]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-25031]


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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; 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 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. 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. OMB may act on HRSA's ICR only after the 30 
day comment period for this notice has closed.

DATES: Comments on this ICR must be received no later than December 14, 
2020.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under Review--Open for 
Public Comments'' or by using the search function.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email Lisa Wright-Solomon, the 
HRSA Information Collection Clearance Officer at [email protected] or 
call (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 (MCHB) 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 
Five-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

[[Page 71926]]

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. Publication of a 60-day Federal 
Register Notice on June 15, 2020 (85 FR 36217) generated comments on 
proposed changes to the narrative instructions, reporting forms, and 
appendices.
    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 the 
reporting forms and updating 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 (ESM), State Performance Measures (SPM), and 
State Outcome Measures (SOM)). Implement a staggered approach that 
requires states to use the revised form for all newly established 
state-specific measures and allows states to transition existing 
measures to the new form by the end of the five-year reporting cycle.
    (4) Provide continued emphasis on family partnership and engagement 
at the systems level and include the Family Engagement in Systems 
Assessment Tool and Toolkit (FESAT) 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. Integrate key aspects of the annual performance and progress 
reporting for the State Systems Development Initiative (SSDI) grant 
into the Title V Maternal and Child Health Services Block Grant 
Application/Annual Report to allow for more focused narrative reporting 
on SSDI program goals and activities relative to the State Title V 
Maternal and Child Health program and provide an annual assessment of 
the state's progress in building/expanding Maternal and Child Health 
data capacity through an added reporting form.
    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
    Title V program's role in the state's emergency planning and 
preparedness efforts, with the intended purpose of enabling each State 
Title V program to better assess capacity within the state 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, 
reformatted Glossary, 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. 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). 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.
    A 60-day notice published in the Federal Register on June 15, 2020, 
vol. 85, No. 115; pp. 36217-18. There were 10 public comments.
    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 the HRSA's MCHB (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 five 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 Information Collection Request are summarized in the table below.

[[Page 71927]]



                                     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.............
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    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 Five-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 
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. 2020-25031 Filed 11-10-20; 8:45 am]
BILLING CODE 4165-15-P