[Federal Register Volume 88, Number 86 (Thursday, May 4, 2023)]
[Notices]
[Pages 28566-28569]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-09466]


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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; Maternal and Child Health 
Bureau Performance Measures for Discretionary Grant Information System, 
OMB No. 0915-0298--Revision

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 is submitting a request for public comment on 
redesigned Maternal and Child Health Bureau (MCHB) Performance Measures 
for Discretionary Grant Information System (DGIS) forms. The purpose of 
the redesigned DGIS forms is to facilitate higher quality data 
collection and develop streamlined, clear DGIS metrics to support 
communications about the range of HRSA's maternal and child health 
(MCH) programs. Proposed revisions include eliminating 52 forms, adding 
25 new forms, and revising 23 existing forms. In addition, three forms 
have not undergone substantive revisions since the previously approved 
Office of Management and Budget (OMB) package and are included in the 
time burden estimate. HRSA seeks comments from the public regarding the 
burden estimate, below, or any other aspect of the Information 
Collection Request (ICR).

DATES: Comments on this ICR must be received no later than July 3, 
2023.

ADDRESSES: Submit your comments to [email protected] or mail 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 Samantha Miller, the HRSA Information 
Collection Clearance Officer, at [email protected] or call 301-594-
4394.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the information request collection title 
for reference.

[[Page 28567]]

    Information Collection Request Title: MCHB Performance Measures for 
DGIS, OMB No. 0915-0298 Revision.
    Abstract: Approval from OMB is sought to implement revisions to the 
MCHB Performance Measures for DGIS. The goals of the redesigned 
performance measures are to: (1) improve clarity and validity of DGIS 
forms; (2) increase alignment with MCHB's Strategic Plan and other 
performance measurement efforts; (3) produce timely, actionable data 
for program management; (4) support communications about the range of 
HRSA's MCH programs; (5) reduce the number and complexity of data 
collection forms; and (6) improve data quality.
    The revised forms are grouped into two general categories: central 
measures and program specific measures. Central measures include basic, 
topical, activity, and outcome forms. There are also four sets of 
program-specific forms. Grant programs are assigned forms based on 
their activities and individual grantees respond to only a limited 
number of forms that are relevant to their specific program. Many of 
these forms are specific to certain types of programs and are not 
required of all grantees.
    Forms are proposed to be added, removed, or revised beyond what was 
specified in the Federal Register notice (87 FR 35220) published on 
June 9, 2022. Many of the changes are a result of the redesigned 
categorization of measures. For example, the proposed set of activity 
forms capture common types of activities conducted across MCHB 
investments and replace the set of Population Domain forms (Adolescent 
Health, Capacity Building, Child Health, Children with Special Health 
Care Needs (CSHCN), Life Course/Cross Cutting, Maternal/Women Health, 
and Perinatal/Infant Health). The proposed set of basic forms 
consolidate and simplify the set of financial forms (Form 1, 3, 5, 7, 
and 8). Other changes reflect efforts to reduce burden or the need to 
relocate measures from the Population Domain forms to program-specific 
forms (i.e., Healthy Start). Specifically, HRSA is making the following 
changes to the current information collection for DGIS:
    Removing the following 52 existing forms: Capacity Building (CB) 1 
(State Capacity for Advancing the Health of MCH Populations), CB 3 
(Impact Measurement), CB 4 (Sustainability), CB 5 (Scientific 
Publications), CB 6 (Products), CB 8 (Quality Improvement), Women's/
Maternal Health (WMH) 1 (Prenatal Care), WMH 2 (Perinatal/Postpartum 
Care), WMH 3 (Well Woman Visit/Preventive Health Care), WMH 4 
(Depression Screening), Perinatal Infant Health (PIH) 1 (Safe Sleep), 
PIH 2 (Breast Feeding), PIH 3 (Newborn Screening), Child Health (CH) 1 
(Well Child Visit), CH 2 (Quality of Well Child Visit), CH 3 
(Developmental Screening), CH 4 (Injury Prevention), CSHCN 1 (Family 
Engagement), CSHCN 2 (Access to and Use of Medical Home), CSHCN 3 
(Transition to Adult Health Care), Adolescent Health (AH) 1 (Adolescent 
Well Visit), AH 2 (Injury Prevention), AH 3 (Screening for Major 
Depressive Disorder), Life Course/Cross Cutting (LC) 1 (Adequate Health 
Insurance Coverage), LC 2 (Tobacco and eCigarette Cessation), LC 3 
(Oral Health), Division of Workforce Development (Training) 01 (MCH 
Training Program and Healthy Tomorrows Family Member/Youth/Community 
Member Participation), Training 05 (Policy), Training 06 (Diversity of 
Long-Term Trainees), Training 10 (Leadership), Training 11 (Work with 
MCH Populations), Training 12 (Interdisciplinary Practice), Emergency 
Medical Services for Children (EMSC) 01 (Using NEMSIS Data to Identify 
Pediatric Patient Care Needs), EMSC 02 (Pediatric Emergency Care 
Coordination), EMSC 03 (Use of Pediatric-Specific Equipment), EMSC 05 
(Pediatric Traumatic Emergencies), EMSC 06 (Written Inter-facility 
Transfer Guidelines that Contain All the Components as per the 
Implementation Manual), EMSC 07 (Written Inter-facility Transfer 
Agreements That Covers Pediatric Patients), Healthy Start (HS) 01 
(Reproductive Life Plan), HS 02 (Usual Source of Care), HS 03 
(Interconception Planning), HS 05 (Father/Partner Involvement during 
Pregnancy), HS 06 (Father and/or Partner Involvement with Child 0-24 
Months), HS 07 (Daily Reading), HS 08 (CAN Implementation), HS 09 (CAN 
Participation), Form 3 (Budget Details by Types of Individuals Served), 
Form 5 (Number of Individuals Served (Unduplicated)), Form 7 
(Discretionary Grant Project Summary Data and Demographics), Form 9 
(Program-Specific Project Performance/Outcome Measures), Technical 
Assistance/Collaboration Form, and Continuing Education Form.
    Adding the following 25 new forms: Direct and Enabling Services, 
Training and Workforce Development, Partnerships and Collaboration, 
Engagement of Persons with Lived Experience, Technical Assistance, 
Outreach and Education, Research, Guidelines and Policy, Data and 
Information Systems, Quality Improvement and Evaluation, Knowledge 
Change, Behavior Change, EMSC 10 (Prehospital Emergency Medical 
Services Pediatric Readiness Recognition Program), HS 10 (Prenatal 
Care), HS 11 (Perinatal/Postpartum Care), HS 12 (Well Woman Visit/
Preventive Health Care), HS 13 (Depression Screening), HS 14 (Safe 
Sleep), HS 15 (Breastfeeding), HS 16 (Well Child Visit), HS 17 
(Adequate Health Insurance Coverage), HS 18 (Prenatal Tobacco and 
eCigarette Use), HS 19 (Low Birthweight), HS 20 (Preterm Birth), and HS 
21 (Infant Mortality).
    Revising the following 23 existing forms: Health Equity, Healthy 
Start Site Form, Family to Family Form 1, Financial Form (MCHB Project 
Budget Details), Project Abstract (MCH Discretionary Grant Project 
Abstract), Project Abstract-Research Projects Only, Form 10 (Program-
Specific and Project Developed Measures), Products, Publications, and 
Submissions Data Collection Form, Faculty and Staff Information, Short-
Term Trainees, Medium-Term Trainees, Long-Term Trainees, Former Long-
Term Trainees, LEAP Trainee Information, Training 02 (MCH Training 
Program and Healthy Tomorrows Cultural Competence), Training 03 
(Healthy Tomorrows Title V Collaboration), Training 04 (Title V 
Collaboration), Training 07 (MCH Pipeline Program-Work with MCH 
Populations), Training 08 (MCH Pipeline Program-Work with underserved 
or vulnerable populations), Training 09 (MCH Pipeline-Graduate Program 
Enrollment), Training 15 (Consultation and Training for Mental and 
Behavioral Health), HS 04 (Intimate Partner Violence Screening), and 
EMSC 04 (Pediatric Medical Emergencies).
    The following 3 forms are included with no substantive changes from 
the prior approved OMB package: Training 14 (Medium-Term Trainees Skill 
and Knowledge), EMSC 08 (Established Permanence of EMSC), and EMSC 09 
(Established Permanence of EMSC by Integrating EMSC Priorities into 
Statutes/Regulations).
    Additional non-substantive revisions include updates to 
terminology, goals, benchmark data sources, and significance sections 
included in the measures' detail sheets. A performance measure detail 
sheet defines and describes each performance measure. Forms and detail 
sheets showing the proposed revisions are available upon request.
    Need and Proposed Use of the Information: The performance data 
collected through the DGIS serves several purposes, including grantee 
monitoring, program planning, and performance reporting, and the 
ability to demonstrate alignment between MCHB discretionary programs 
and the Title V

[[Page 28568]]

MCH Services Block Grant program. This revision will facilitate higher 
quality data collection; streamlined, clear DGIS metrics; and support 
communications about the range of HRSA's MCH programs.
    Likely Respondents: Grantees for MCHB Discretionary Grant Programs.
    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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                                     Number of     Responses per       Total       Burden hours    Total burden
            Form name               respondents     respondent       responses     per response        hours
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Project abstract................             817               1             817            1.33           1,087
Project Abstract (Research                    58               1              58            0.66              38
 Projects Only).................
Financial Form..................             817               1             817            0.87             711
Health Equity...................             817               1             817            0.47             384
Direct and Enabling Services....             476               1             476            1.89             900
Training and Workforce                       250               1             250            2.42             605
 Development....................
Partnerships and Collaboration..             380               1             380            1.04             395
Engagement of Persons with Lived             416               1             416            1.58             657
 Experience.....................
Technical Assistance............             300               1             300            2.24             672
Outreach and Education..........             500               1             500            0.61             305
Research........................              65               1              65            3.11             202
Guidelines and Policy...........              78               1              78            0.70              55
Data and Information Systems....              50               1              50            0.67              34
Quality Improvement and                      346               1             346            0.29             100
 Evaluation.....................
Knowledge Change................             200               1             200            1.64             328
Behavior Change.................             200               1             200            1.56             312
Products and Publications.......             672               1             672            4.23           2,843
Training Form 2.................             168               1             168            0.69             116
Training Form 3.................              41               1              41            0.99              41
Training Form 4.................             130               1             130            1.52             198
Training Form 7.................               6               1               6            0.83               5
Training Form 8.................               6               1               6            0.75               5
Training Form 9.................               6               1               6            0.92               6
Training Form 14................               6               1               6            3.64              22
Training Form 15................              52               1              52            3.17             165
Faculty and Staff Information...             124               1             124            1.92             238
Short-Term Trainees.............               8               1               8            0.67               5
Medium-Term Trainees............             121               1             121            2.49             301
Long-Term Trainees..............             112               1             112            6.37             713
Former Long-Term Trainees.......             106               1             106            1.60             170
LEAP Trainee Information........               6               1               6            0.65               4
HS 4............................             101               1             101            0.57              58
HS 10...........................             101               1             101            0.31              31
HS 11...........................             101               1             101            0.61              62
HS 12...........................             101               1             101            0.33              33
HS 13...........................             101               1             101            0.50              51
HS 14...........................             101               1             101            0.43              43
HS 15...........................             101               1             101            0.45              45
HS 16...........................             101               1             101            0.39              39
HS 17...........................             101               1             101            0.40              40
HS 18...........................             101               1             101            0.33              33
HS 19...........................             101               1             101            0.38              38
HS 20...........................             101               1             101            0.37              37
HS 21...........................             101               1             101            0.36              36
Healthy Start Site Form.........             101               1             101            0.32              32
EMSC 4..........................              58               1              58            0.92              53
EMSC 8..........................              58               1              58            0.09               5
EMSC 9..........................              58               1              58            0.42              24
EMSC 10.........................              58               1              58            0.46              27
Family to Family Form 1.........              59               1              59            2.76             163
Form 10.........................             200               2             400           12.87           5,148
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    Total.......................           * 817  ..............             817  ..............          17,615
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* The number of grantees is an estimate as it fluctuates each year.


[[Page 28569]]

    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. 2023-09466 Filed 5-3-23; 8:45 am]
BILLING CODE 4165-15-P