[Federal Register Volume 87, Number 207 (Thursday, October 27, 2022)]
[Notices]
[Pages 65089-65091]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-23394]


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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 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 November 
28, 2022.

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 Samantha Miller, the acting 
HRSA Information Collection Clearance Officer at [email protected] or 
call (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 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 (HP); \1\ and increasing access to clinical 
interventions, including by telehealth. HP education and training will 
support the knowledge and skills acquisition needed to accomplish this 
goal.
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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, patient care navigators.
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    The information will be collected with 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 (P.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

[[Page 65090]]

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.
    A 60-day Notice published in the Federal Register, Vol. 87, No. 
127, FR pp. 39841-42 (July 5, 2022). There was one public comment.
    Need and Proposed Use of the Information: HRSA needs this 
information 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, patient care 
navigators.
     Practice-Level Surveys (2021 PMHCA only): Practice 
managers (e.g., office managers, office leadership, 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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    \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 
investigators 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. 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 five awardees who have identified up to five formal (i.e., there 
is a formal agreement, Memorandum of Understanding, Memorandum of 
Agreement, or letter of support) community partnerships and (2) up 
to five awardees who have identified up to five informal (i.e., 
there is no formal agreement, Memorandum of Understanding, 
Memorandum of Agreement, or letter of support) community 
partnerships. 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.

                                    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           24.00
2021 PMHCA Champion FGD.........              24               1              24            1.00           24.00
2021 PMHCA Community Resources                50               1              50             .50           25.00
 SSI \3\........................
2021 PMHCA Care Coordinator SSI.              24               2              48             .50           24.00
2018/2019 PMHCA and 2018 MDRBD                56               1              56             .50           28.00
 Champion SSI...................
2018/2019 PMHCA and 2018 MDRBD                28               1              28            1.00           28.00
 Champion FGD...................
2018/2019 PMHCA and 2018 MDRBD                50               1              50             .50           25.00
 Community Resources SSI \3\....
2018/2019 PMHCA and 2018 MDRBD                28               1              28             .50           14.00
 Care Coordinator SSI...........
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[[Page 65091]]

 
    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.

Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2022-23394 Filed 10-26-22; 8:45 am]
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