[Federal Register Volume 87, Number 127 (Tuesday, July 5, 2022)]
[Notices]
[Pages 39841-39842]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-14184]



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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: 
Evaluation of the Maternal and Child Health Bureau Pediatric Mental 
Health Care Access Program and the Screening and Treatment for Maternal 
Depression and Related Behavioral Disorders Program

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 of the Paperwork Reduction 
Act of 1995, 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 should be received no later than September 
6, 2022.

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 Samantha Miller, 
the acting HRSA Information Collection Clearance Officer at (301) 443-
9094.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the information collection request title 
for reference.
    Information Collection Request Title: Evaluation of the Maternal 
and Child Health Bureau Pediatric Mental Health Care Access Program and 
the Screening and Treatment for Maternal Depression and Related 
Behavioral Disorders Program, OMB No. 0906-XXXX--New.
    Abstract: This notice describes information collection requests for 
two of HRSA's Maternal and Child Health Bureau programs: the Pediatric 
Mental Health Care Access (PMHCA) Program and the Screening and 
Treatment for Maternal Depression and Related Behavioral Disorders 
(MDRBD) Program. Both of these programs aim to increase identification 
of behavioral health conditions by providing support for screening of 
specified populations (e.g., children, adolescents, young adults, and 
pregnant and postpartum women, especially those living in rural, 
isolated, and/or underserved areas); providing clinical behavioral 
health consultation, care coordination support (i.e., communication/
collaboration, accessing resources, referral services), and training to 
health professionals (HPs); \1\ and increasing access to clinical 
interventions, including by telehealth.
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    \1\ HPs may include pediatricians, family physicians, physician 
assistants, advanced practice nurses/nurse practitioners, licensed 
practical nurses, registered nurses, counselors, social workers, 
medical assistants, and patient care navigators.
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    Information will be collected from recipients of awards that were 
issued in 2018 (PMHCA and MDRBD), 2019 (PMHCA), and 2021 (PMHCA). The 
2018, 2019, and 2021 PMHCA programs are authorized by 42 U.S.C. Sec.  
254c-19 (Sec.  330M of the Public Health Service Act), using Section 
2712 of the American Rescue Plan Act of 2021 (Pub. L. 117-2) for 2021 
awardees. The 2018 MDRBD program is authorized by 42 U.S.C. 247b-13a 
(Sec.  317L-1 of the Public Health Service Act). To evaluate progress 
made toward the programs' goals, this data collection will use eight 
instruments: the HP Survey, Practice-Level Survey, Program 
Implementation Survey, Program Implementation Semi-Structured Interview 
(SSI), Champion SSI, Champion Focus Group Discussion (FGD), Community 
Resources SSI, and Care Coordinator SSI.
    Need and Proposed Use of the Information: This information is 
needed by HRSA to evaluate the PMHCA and MDRBD programs and guide 
future policy decisions regarding increasing HPs' capacity to address 
patients' behavioral health and access to behavioral health services. 
Specifically, data collected for the evaluation will be used to study 
the efforts of awardee programs to achieve key awardee outcomes (e.g., 
increase in access to behavioral health services; health professionals 
trained; available community-based resources, including counselors or 
family service providers) and to measure whether and to what extent 
awardee programs are associated with changes in these outcomes. The 
evaluation will also examine changes over time, within a state, 
political subdivision of a state, Indian tribe, or tribal organization, 
and/or across the PMHCA and MDRBD programs, with regard to (1) enrolled 
health professionals/practices related to screening, referral, and care 
coordination support for behavioral health conditions; (2) provision of 
behavioral health services for mental illness and substance use in 
primary care settings; (3) use of consultative services; and (4) 
provision of access to behavioral health services for mental illness 
and substance use.
    Likely Respondents: Likely respondents include:
     HP Surveys (2021 PMHCA only): Pediatricians, family 
physicians, physician assistants, advanced practice nurses/nurse 
practitioners, licensed practical nurses, registered nurses, 
counselors, social workers, medical assistants, and patient care 
navigators.
     Practice-Level Surveys (2021 PMHCA only): Practice 
managers (e.g., office managers, office leadership, and nurse 
champions).
     Program Implementation Survey and SSI (2021 PMHCA only): 
2021 PMHCA cooperative agreement-funded Project Directors/Principal 
Investigators.
     Champion SSI or FGD (all awardees): PMHCA and MDRBD 
program champions, who may include HPs, community and social service 
specialists, and others.
     Community Resources SSI (all awardees): PMHCA and MDRBD 
program-level community resource partner representatives, who may 
include counselors, social workers, other community and social service 
specialists, other HPs/support workers (e.g., patient care navigators, 
medical assistants), and practice/organization managers.
     Care Coordinator SSI (all awardees): PMHCA and MDRBD 
program-level care coordinators.
    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.

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                                     Total Estimated Annualized Burden Hours
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                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total burden
                                    respondents   respondent \2\     responses      (in hours)         hours
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2021 PMHCA HP Survey............           8,029               3          24,087             .25        6,021.75
2021 PMHCA Practice-Level Survey           2,950               3           8,850             .25        2,212.50
2021 PMHCA Program                            24               3              72             .33           23.76
 Implementation Survey..........
2021 PMHCA Program                            24               1              24            1.00           24.00
 Implementation SSI.............
2021 PMHCA Champion SSI.........              48               1              48             .50              24
2021 PMHCA Champion FGD.........              24               1              24            1.00              24
2021 PMHCA Community Resources                50               1              50             .50              25
 SSI \3\........................
2021 PMHCA Care Coordinator SSI.              24               2              48             .50              24
2018/2019 PMHCA and 2018 MDRBD                56               1              56             .50              28
 Champion SSI...................
2018/2019 PMHCA and 2018 MDRBD                28               1              28            1,00              28
 Champion FGD...................
2018/2019 PMHCA and 2018 MDRBD                50               1              50             .50              25
 Community Resources SSI \3\....
2018/2019 PMHCA and 2018 MDRBD                28               1              28             .50              14
 Care Coordinator SSI...........
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    Total.......................          11,335  ..............          33,365  ..............        8,474.01
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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.
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    \2\ The HP, practice-level, and program implementation surveys 
will be administered with enrolled/participating HPs, office 
managers/leadership of enrolled/participating practices, and project 
directors/principal investigators of the 2021 PMHCA cooperative-
agreement funded programs three times during the project period 
(2023, 2024, and 2025) for a total of up to three responses per 
respondent. The 2021 PMHCA Program Implementation SSIs and the 
Champion SSIs and FGDs will be administered to 2021 PMHCA 
cooperative agreement-funded project directors/principal 
investigator and program champions once at the end of the data 
collection period. The 2021 PMHCA Care Coordinator SSI will be 
administered twice, once at the beginning of the data collection 
period and once at the end of the data collection period. The number 
of responses per respondent varies for the Care Coordinator SSI 
between the 2018 and 2019 PMHCA and 2018 MDRBD cooperative-agreement 
funded programs and the 2021 PMHCA cooperative-agreement funded 
program because the 2018 and 2019 cooperative-agreement programs 
will end in 2023 whereas the 2021 PMHCA cooperative agreement-funded 
programs will end in 2026.
    \3\ The Community Resources SSI will be a case study with (1) up 
to 5 awardees who have identified up to 5 formal (i.e., there is a 
formal agreement, Memorandum of Understanding (MOU); Memorandum of 
Agreement (MOA); letter of support) community partnerships and (2) 
up to 5 awardees who have identified up to 5 informal (i.e., there 
is no formal agreement, MOU; MOA; letter of support) community 
partnership; there will be up to 25 respondents for each group 
(i.e., formal, informal) for a total N=50. The Community Resource 
SSIs will be administered for the 2018 and 2019 PMHCA and 2018 MDRBD 
cooperative-agreement funded programs at the end of the data 
collection period in Spring 2023 and for 2021 PMHCA cooperative 
agreement-funded program at the end of the data collection period in 
Fall 2025.

Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2022-14184 Filed 7-1-22; 8:45 am]
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