[Federal Register Volume 86, Number 171 (Wednesday, September 8, 2021)]
[Notices]
[Pages 50365-50367]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-19447]


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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: MCH 
Jurisdictional Survey Instrument for the Title V MCH Block Grant 
Program, OMB No. 0906-0042, Extension

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 of the Paperwork Reduction 
Act of 1995 for opportunity for public comment on proposed data 
collection projects, HRSA announces

[[Page 50366]]

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, or any other aspect of the ICR related 
to the Maternal and Child Health (MCH) Jurisdictional Survey that is to 
be administered in the U.S. territories and jurisdictions (excluding 
the District of Columbia) for purposes of collecting information 
related to the well-being of all mothers, children, and their families.

DATES: Comments on this Information Collection Request must be received 
no later than November 8, 2021.

ADDRESSES: Submit your comments to [email protected] or by mail to 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 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: MCH Jurisdictional Survey 
Instrument for the Title V MCH Block Grant Program, OMB No. 0906-0042, 
Extension.
    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 three-
tiered national performance measure framework, which includes National 
Outcome Measures, National Performance Measures, and Evidence-Based and 
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 (Sections 505(a) and 506(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 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 National Performance 
Measures and National Outcome Measures 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 (i.e., 
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 Maternal and Child Health Bureau, 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 enables 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 is used to measure progress on national 
performance and outcome measures under the Title V MCH Block Grant 
Program. This survey instrument is critical to collect information on 
factors related to the well-being of all mothers, children, and their 
families in the jurisdictional Title V programs, 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. Included is 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.

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                                                         Total Estimated Annualized Burden Hours
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                                                                             Number of                    Average burden
        Type of respondent                Form name          Number of     responses per       Total       per response    Burden hours    Total burden
                                                            respondents     respondent       responses      (in hours)       per form          hours
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Adult Parents--Puerto Rico........  Screener............           2,480               1           2,480            0.03           74.40          299.40
                                    Core................             250               1             250            0.83          207.50
                                    Jurisdiction Module.             250               1             250            0.07           17.50
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Adult Parents--U.S. Virgin Islands  Screener............           2,153               1           2,153            0.03           64.59          289.59
                                    Core................             250               1             250            0.83          207.50
                                    Jurisdiction Module.             250               1             250            0.07           17.50
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Adult Parents--Guam...............  Screener............             684               1             684            0.03           20.52          245.52
                                    Core................             250               1             250            0.83          207.50
                                    Jurisdiction Module.             250               1             250            0.07           17.50
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Adult Parents--American Samoa.....  Screener............             426               1             426            0.03           12.78          232.78
                                    Core................             250               1             250            0.83          207.50
                                    Jurisdiction Module.             250               1             250            0.05           12.50
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Adult Parents--Federated States of  Screener............             339               1             339            0.03           10.17          230.17
 Micronesia.                        Core................             250               1             250            0.83          207.50
                                    Jurisdiction Module.             250               1             250            0.05           12.50
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Adult Parents--Marshall Islands...  Screener............             284               1             284            0.03            8.52          236.02
                                    Core................             250               1             250            0.83          207.50
                                    Jurisdiction Module.             250               1             250            0.08           20.00
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Adult Parents--Northern Mariana     Screener............             470               1             470            0.03           14.10          241.60
 Islands.                           Core................             250               1             250            0.83          207.50
                                    Jurisdiction Module.             250               1             250            0.08           20.00
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Adult Parents--Palau..............  Screener............             467               1             467            0.03           14.01          226.51
                                    Core................             250               1             250            0.83          207.50
                                    Jurisdiction Module.             250               1             250            0.02            5.00
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    Total.........................  ....................           7,303  ..............           7,303  ..............  ..............        2,001.59
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    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. 2021-19447 Filed 9-7-21; 8:45 am]
BILLING CODE 4165-15-P