[Federal Register Volume 86, Number 73 (Monday, April 19, 2021)]
[Notices]
[Pages 20372-20374]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-07971]


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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; The Maternal, Infant, and 
Early Childhood Home Visiting Program Performance Measurement 
Information System, OMB No. 0906-0017, 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 should be received no later than May 19, 
2021.

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:
    Information Collection Request Title: The Maternal, Infant, and 
Early Childhood Home Visiting Program Performance Measurement 
Information System, OMB NO. 0906-0017, Revision.
    Abstract: This clearance request is for continued approval of the 
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program 
Performance Measurement Information System, as updated. The MIECHV 
Program, administered by HRSA in partnership with the Administration 
for Children and Families, supports voluntary, evidence-based home 
visiting services to pregnant women and to parents with young children 
up to kindergarten entry. States, certain non-profit organizations, and 
tribal entities are eligible to receive funding from the MIECHV Program 
and have the flexibility to tailor the program to serve the specific 
needs of their communities.
    A 60-day notice published in the Federal Register on December 18, 
2020, vol. 85, No. 244; pp. 82490-91. There were 24 public comments.
    These comments provided suggestions to improve clarity, protect 
privacy, and reduce reporting burden related to information complexity 
in Form 1. Comments also suggested ways to enhance the quality, 
utility, and clarity of existing guidance in Form 2

[[Page 20373]]

and suggested that the implementation of two newly proposed measures 
related to substance use screening and referrals would require updates 
to training activities and data collection.
    HRSA appreciates these comments and recommended revisions to the 
information collection. HRSA has responded to the recommended revisions 
by revising certain demographic categories, removing a proposed table 
on father and caregiver engagement, making the reporting of proposed 
measures on substance use screening and referrals optional, and 
increasing the estimated burden on respondents due to the inclusion of 
two new optional measures (Form 2) for substance use and referral that 
are being introduced through this revision. HRSA intends for the 
following proposed revisions to the data collection for the MIECHV 
Program to further improve clarity, protect privacy, and address 
increased reporting burden:
     Form 1, Table 1: Update table to include reporting for 
gender non-binary participants and unknown/did not report participant 
gender.
     Form 1, Tables 3, 5, 6, 7, 18, 19, and 20: Update tables 
to remove index child gender reporting.
     Form 1, Tables 3, 4, 6, 7, 8, 9, 10, 11, and 18: Update 
tables to remove adult participant gender reporting.
     Form 1, Table 15: Change table title to ``Home Visits.''
     Form 1, Table 15: Update table to collect the number of 
home visits completed virtually.
     Form 1, Tables 4, 9, 10, and 18: Update tables to include 
reporting for new and continuing adult participants.
     Form 1, Tables 5, 19, and 20: Update tables to include 
reporting for new and continuing index children.
     Form 2, Measure 13: Change measure name to ``Behavioral 
Concern Inquiries.''
     Form 2, Measure 16: Update measure to reflect caregiver 
health insurance coverage status.
     Form 2, Measures 17, 18, and 19: Update missing data 
guidance.
     Form 2: Inclusion of two optional measures to collect 
information on subtance use screening and referrals.
    Need and Proposed Use of the Information: HRSA uses performance 
information to demonstrate program accountability and continuously 
monitor and provide oversight to MIECHV Program awardees. The 
information is also used to provide quality improvement guidance and 
technical assistance to awardees and help inform the development of 
early childhood systems at the national, state, and local level. HRSA 
is seeking to revise and extend demographic, service utilization, and 
select clinical indicators for participants enrolled in home visiting 
services. In addition, HRSA will collect a set of standardized 
performance and outcome indicators that correspond with the statutorily 
identified benchmark areas.
    This information will be used to demonstrate awardees' compliance 
with legislative and programmatic requirements. It will also be used to 
monitor and provide continued oversight for awardee performance and to 
target technical assistance resources to awardees. In the future, HRSA 
anticipates that MIECHV funding decisions may be allocated, in part, 
based on awardee performance, including on benchmark performance areas. 
This notice is subject to the appropriation of funds, and is a 
contingency action taken to ensure that, should funds become available 
for this purpose, information can be collected in a timely manner.
    Likely Respondents: MIECHV Program awardees that are states, 
territories, and, where applicable, nonprofit organizations providing 
home visiting services within states.
    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
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                                                                                      Average
                                     Number of       Number of         Total        burden per     Total burden
            Form name               respondents   responses  per     responses     response  (in       hours
                                                     respondent                       hours)
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Form 1: Demographic, Service                  56               1              56             440          24,640
 Utilization, and Select
 Clinical Indicators............
Form 2: Performance Indicators                56               1              56             360          20,160
 and Systems Outcome Measures...
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    Total.......................              56  ..............              56  ..............          44,800
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[[Page 20374]]

    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. 2021-07971 Filed 4-16-21; 8:45 am]
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