Federal Register / Vol. 89, No. 1 / Tuesday, January 2, 2024 / Notices 83 

HPSAs were revised and published on 

March 2, 1989 (54 FR 8735). The criteria 

for psychiatric HPSAs were expanded to 

mental health HPSAs on January 22, 

1992 (57 FR 2473). Currently funded 

PHS Act programs use only the primary 

medical care, mental health, or dental 

HPSA or relevant sub-score designations 

such as Maternity Care Target Areas. 

HPSA designation offers access to 

potential federal assistance. Public or 

private nonprofit entities are eligible to 

apply for assignment of National Health 

Service Corps personnel to provide 

primary medical care, mental health, or 

dental health services in or to these 

HPSAs. National Health Service Corps 

health professionals enter into service 

agreements to serve in federally 

designated HPSAs. Entities with clinical 

training sites located in HPSAs are 

eligible to receive priority for certain 

residency training program grants 

administered by HRSA’s BHW. Other 

federal programs also utilize HPSA 

designations. For example, under 

authorities administered by the Centers 

for Medicare & Medicaid Services, 

certain qualified providers in 

geographic area HPSAs are eligible for 

increased levels of Medicare 

reimbursement. 

Content and Format of Lists 

The three lists of designated HPSAs 

are available on the HRSA Data 

Warehouse shortage area topic web page 

and include a snapshot of all geographic 

areas, population groups, and facilities 

that were designated HPSAs as of 

December 2, 2023. This notice 

incorporates the most recent annual 

reviews of designated HPSAs, which 

can be located on HRSA’s data.hrsa.gov 

website, and supersedes the HPSA lists 

published in the Federal Register on 

July 3, 2023 (88 FR 42725). 

In addition, all Indian Tribes that 

meet the definition of such Tribes in the 

Indian Health Care Improvement Act of 

1976, 25 U.S.C. 1603, are automatically 

designated as population groups with 

primary medical care and dental health 

professional shortages. Further, the 

Health Care Safety Net Amendments of 

2002 provides eligibility for automatic 

facility HPSA designations for all 

federally qualified health centers 

(FQHC) and rural health clinics that 

offer services regardless of ability to 

pay. Specifically, these entities include 

FQHCs funded under section 330 of the 

PHS Act, FQHC Look-Alikes, and Tribal 

and urban Indian clinics operating 

under the Indian Self-Determination 

and Education Act of 1975 (25 U.S.C. 

450) or the Indian Health Care 

Improvement Act. Many, but not all, of 

these entities are included on this 

listing. Since they are automatically 

designated by statute, absence from this 

list does not exclude them from HPSA 

designation; facilities eligible for 

automatic designation are included in 

the database when they are identified. 

Each list of designated HPSAs is 

arranged by state. Within each state, the 

list is presented by county. If only a 

portion (or portions) of a county is (are) 

designated, a county is part of a larger 

designated service area, or a population 

group residing in a county or a facility 

located in the county has been 

designated, the name of the service area, 

population group, or facility involved is 

listed under the county name. A county 

that has a whole county geographic or 

population group HPSA is indicated by 

the phrase ‘‘County’’ following the 

county name. 

Development of the Designation and 

Withdrawal Lists 

Requests for designation or 

withdrawal of a particular geographic 

area, population group, or facility as a 

HPSA are received continuously by 

BHW. Under a Cooperative Agreement 

between HRSA and the 54 state and 

territorial Primary Care Offices (PCO), 

PCOs conduct needs assessments and 

submit applications to HRSA to 

designate HPSAs. BHW also receives 

other requests for designation from 

other sources and refers them to PCOs 

for review. As part of the HPSA 

designation process, interested parties, 

including Governors, state Primary Care 

Associations, and state professional 

associations, are notified of requests so 

that they may submit their comments 

and recommendations. 

BHW reviews each recommendation 

for possible addition, continuation, 

revision, or withdrawal. Following 

review, BHW notifies the appropriate 

agency, individuals, and interested 

organizations of each designation of a 

HPSA, rejection of recommendation for 

HPSA designation, revision of a HPSA 

designation, and/or advance notice of 

pending withdrawals from the HPSA 

list. Designations (or revisions of 

designations) are effective as of the date 

on the notification from BHW and are 

updated daily on the HRSA Data 

Warehouse website. While this list is a 

snapshot of HPSAs at a point in time, 

HPSA designations are regularly being 

updated so the best source of current 

designation status is the HRSA Data 

Warehouse website at (https://

data.hrsa.gov/tools/shortage-area). 

In 2024, BHW will publish two 

Federal Register notices to inform the 

public of the availability of the complete 

lists of all geographic areas, population 

groups, and facilities designated as 

primary medical care, dental health, and 

mental health professional shortage 

areas. The first notice will be on or 

before May 1, 2024, and will list all 

designated HPSAs and those that are 

proposed for withdrawal HPSAs that 

will remain in a designated status until 

the second Federal Register notice 

which will be scheduled on or before 

November 1, 2024. The second Federal 

Register notice will withdraw all HPSAs 

that were proposed for withdrawl and 

do not meet the requirements for 

designation. This two-step process 

provides greater clarity for jurisdictions 

and facilities to prepare for any changes 

in HPSA designation. 

Carole Johnson, 

Administrator. 

[FR Doc. 2023–28844 Filed 12–29–23; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Substance Abuse and Mental Health 

Services Administration 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

Periodically, the Substance Abuse and 

Mental Health Services Administration 

(SAMHSA) will publish a summary of 

information collection requests under 

OMB review, in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

chapter 35). To request a copy of these 

documents, call the SAMHSA Reports 

Clearance Officer on (240) 276–0361. 

Project: Survey of Current and Alumni 

SAMHSA Fellows of the Minority 

Fellowship Program (MFP) (OMB No. 

0930–0304)—REVISION 

In 1973, in response to a substantial 

lack of ethnic and racial minorities in 

the mental health professions, the 

Center for Minority Health at the 

National Institute of Mental Health 

established the MFP. Since the MFP’s 

transition to SAMHSA in 1992, the 

program has continued to facilitate the 

entry of graduate students and 

psychiatric residents into mental health 

careers and has increased the number of 

psychology, psychiatry, nursing, and 

social work professionals trained to 

provide mental health and substance 

abuse services to minority groups. The 

traditional MFP offers sustained grants 

to six national behavioral health 

professional associations: the American 

Association of Marriage and Family 

Therapy (AAMFT), American Nurses 

Association (ANA), American 

Psychiatric Association (APsychA), 


khammond on DSKJM1Z7X2PROD with NOTICES
84 Federal Register / Vol. 89, No. 1 / Tuesday, January 2, 2024 / Notices 

American Psychological Association 

(APA), Council on Social Work 

Education (CSWE), and National Board 

for Certified Counselors (NBCC). In 

addition, the NBCC also administers the 

MFP for the Association for Addiction 

Professionals (NAADAC). A more recent 

program, The Interdisciplinary MFP, is 

also administered by the American 

Psychological Association. 

This data collection includes two 

survey instruments, the Survey of 

Current SAMHSA MFP Fellows and the 

Survey of Alumni SAMHSA MFP 

Fellows. The two online surveys (with 

the option for a hard copy mailed 

through the U.S. Postal Service) will be 

used with the following stakeholders in 

the MFP grant programs: 

1. Current SAMHSA MFP Fellows 

(n=411) 

a. Current MFP fellows (doctoral-level 

fellows) and master’s-level fellows 

currently receiving support during their 

doctoral-level, master’s-level, 

psychiatric residency, or certificate 

training programs will be asked about 

their experiences in the MFP (from 

recruitment into the program through 

their participation in the various 

activities provided by the grantees). 

2. MFP Alumni (n=1,280) 

a. MFP Alumni who participated in 

the MFP during the time the program 

was administered by SAMHSA will be 

asked about their previous experiences 

as fellows in the MFP, their subsequent 

involvement and leadership in their 

professions, and intentions to stay in the 

behavioral health field. 

The information gathered by these 

two surveys will be used to document 

contributions and impacts of current 

and former MFP fellows. The current 

fellows survey includes questions to 

assess the following measures: 

background items on training specialty 

and demographics, practicum and 

internship experiences, professional 

development activities (e.g., number of 

certifications obtained, types of 

professional development/contributions 

to the field such as number of 

presentations or publications), and 

learning opportunities related to MFP 

fellows’ preparation to provide 

culturally competent mental and 

substance use disorder services to 

underserved populations. The alumni 

fellows survey includes questions to 

measure: background items on 

specialization and demographics, status 

of degree completion, employment 

experiences and settings where 

providing culturally competent mental 

and substance use disorder services to 

underserved populations, contributions 

to the field, application of MFP learning 

opportunities in current employment 

experiences, mentoring and other 

support received during the MFP, 

satisfaction with their preparation 

during MFP for their current 

employment or educational placement, 

intentions to stay in or leave the 

behavioral health field, and suggestions 

for improving the MFP. 

This request amends the OMB 

approval that expired August 31, 2019, 

by omitting questions that gathered 

information on number of mentors and 

total mentored hours; as well as selfreported impacts on current and alumni 

fellows such as increased knowledge, 

skills, and aptitude. Both the current 

and alumni fellows’ surveys are revised 

accordingly. For the alumni survey, the 

respondent pool has been limited only 

to those who have completed the MFP 

within the past five years. Additionally, 

to further streamline this data collection 

SAMHSA has also deleted eleven other 

questions that are not critical to 

assessing the program’s progress. In 

turn, the following questions have been 

added to the survey instruments to help 

better assess the program’s progress 

with meeting stated goals and plan for 

future cohorts of fellows: 

(1) Specialization 

Response choices were modified and 

added to align with position titles in 

HRSA’s annual behavioral workforce 

survey. 

My specialization would best prepare 

me/prepared me for positions such as 

those held by (check more than one if 

applicable): 

[ ] Adult psychiatrists 

[ ] Child and adolescent psychiatrists 

[ ] Psychiatric nurse practitioners 

[ ] Physician assistants 

[ ] Psychologists 

[ ] Social workers 

[ ] Marriage and family therapists 

[ ] Addictions counselors 

[ ] Mental health counselors 

[ ] School counselors 

[ ] Other: Please specify [text box] 

(2) Personal Background 

Items and response choices were 

added or revised to align with how 

these are asked in federal national data 

collections (e.g., American Community 

Survey or NIH’s PhenX Toolkit). 

The next set of questions will help 

SAMHSA understand the variation in 

responses based on characteristics of 

MFP fellows. 

(5) What is your gender? 

[ ] Male 

[ ] Female 

[ ] Non-binary, . . . . 

[ ] Two-Spirit 

[ ] TF (Transgender Female) 

[ ] TM (Transgender Male)/ 

[ ] Other (please specify): [text box] * 

[ ] Prefer not to answer 

(6) Are you of Hispanic, Latina/Latino, 

or Spanish origin? * 

[ ] No, not of Hispanic, Latino, or 

Spanish origin 

[ ] Yes 

[ ] Mexican, Mexican Am., Chicano 

[ ] Puerto Rican 

[ ] Cuban 

[ ] Another Hispanic, Latino, or 

Spanish origin—for example, 

Salvadoran, Dominican, Colombian, 

Guatemalan, Spaniard, Ecuadorian, 

etc.) [text box]* 

[ ] Prefer not to answer 

(7) What is your race? For this survey (as 

in the U.S. Census), Hispanic origins are 

not races. Check all that apply.* 

[ ] White—for example, German, Irish, 

English, Italian, Lebanese, Egyptian, 

etc. 

[ ] Black, African, or African 

American—for example, African 

American, Jamaican, Haitian, 

Nigerian, Ethiopian, Somali, etc. 

[ ] American Indian or Alaska Native— 

Print name of enrolled or principal 

tribe(s), for example, Navajo Nation, 

Blackfeet Tribe, Mayan, Aztec, Native 

Village of Barrow Inupiat Traditional 

Government, Nome Eskimo 

Community, etc. 

[ ] Asian or Asian American 

[ ] Chinese 

[ ] Filipino 

[ ] Asian Indian 

[ ] Vietnamese 

[ ] Korean 

[ ] Japanese 

[ ] Other Asian—for example, Pakistani, 

Cambodian, Hmong, etc. 

[ ] Native Hawaiian, Samoan, 

Chamorro, or Other Pacific 

Islander—for example, Tongan, 

Fijian, Marshallese, etc. 

[ ] Some other race—specify race or 

origin: [text box]* 

[ ] Prefer not to answer 

The following items will help us 

understand the immigrant status of our 

trainees and the extent to which we are 

diversifying our trainees to respond to 

the growing needs of immigrant 

families. 

(8) Are you from an immigrant family? 

[ ] NO 

[ ] YES 

[ ] Prefer not to answer 

a. Was either of your parents born 

outside of the U.S.? 

[ ] YES, one parent 

[ ] YES, both parents 

[ ] NO, neither parent 

[ ] Prefer not to answer 


khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 89, No. 1 / Tuesday, January 2, 2024 / Notices 85 

b. Was at least one of your grandparents 

born outside of the U.S.? 

[ ] YES 

[ ] NO 

[ ] Prefer not to answer 

c. Were you born outside of the U.S.? 

[ ] YES 

[ ] NO 

[ ] Prefer not to answer 

(9) List any language(s), other than 

English, in which you have at least 

minimum professional speaking 

proficiency (i.e., can participate 

effectively in most formal and informal 

conversations on practical and 

professional topics). Check all that 

apply.* 

[ ] English only 

[ ] African-other than Amharic (please 

specify below) 

[ ] Amharic 

[ ] Chinese-Mandarin 

[ ] Chinese-Other 

[ ] French 

[ ] German 

[ ] Hindi 

[ ] Japanese 

[ ] Korean 

[ ] Kreyol 

[ ] Portuguese 

[ ] Russian 

[ ] Spanish 

[ ] Other language (please specify): [text 

box] 

[ ] Prefer not to answer 

(10) Do you have a disability or require 

accommodations to perform essential 

professional functions? * 

[ ] Yes 

[ ] No 

[ ]Prefer not to answer 

(3) Learning Opportunities 

Added items or response choices (e.g., 

use of telehealth) to reflect changes in 

behavioral practices and service 

delivery due to COVID–19 restrictions. 

20. During the past MFP year, as part of 

your program, please check the types of 

learning opportunities you had for each 

of the following topics. 

(a) Working with individuals from 

racially and ethnically diverse 

backgrounds? 

(Please select all that apply.) 

[ ] Opportunities to learn via telehealth 

[ ] Observation of clinical encounters inperson 

[ ] Observation of clinical encounters via 

telehealth 

[ ] Clinical experience with the 

population(s) 

[ ] Education about the CLAS standards 

and their impact on the delivery of 

care 

[ ] Instruction in cultural humility/ 

competence and its impact on the 

delivery of care 

[ ] Distance learning (virtual learning, 

web-based learning) 

[ ] Supervision of the clinical experience 

with the population(s) 

(4) Intentions to Stay/Leave Behavioral 

Health Field (alumni only) 

Additional items were added to better 

understand how the stress and burnout 

being witnessed in the health care 

workforce generally and behavioral 

health workforce in particular (due to 

COVID–19 pandemic) may have 

impacted alumni fellows’ intentions to 

stay in or leave the field. 

The following questions ask about 

your intentions to stay in the mental or 

behavioral health field. Using the scales 

provided, indicate how often you think 

about leaving and the likelihood that 

you would leave. 

(31). Do you consider your current job/ 

practice/training as in the mental and 

behavioral health field? 

__ No: Which field are you in? TEXT 

BOX (then skip to Q34) 

__ Yes (ANSWER INTENTIONS 1 and 2 

below) 

31. INTENTIONS–1 1–Never 

2–A few 

times a year 

or less 

3–Once 

a month 

or less 

4–A few 

times a 

month 

5–Once 

a week 

6–A few 

times a 

week 

7–Every 

day 

a. How often do you think about leaving 

your job/training program? ................... b b b b b b b 

b. How often do you think about leaving 

for another job/training program in the 

field? ..................................................... b b b b b b b 

32. INTENTIONS–2 

1– 

Extremely 

unlikely 

2–Very 

unlikely 

3– 

Somewhat 

unlikely 

4–Neutral/ 

unsure 

5– 

Somewhat 

likely 

6–Very 

likely 

7–Extremely 

likely 

a. How likely is it that you will search for 

a job in the same primary role—e.g., 

clinical care, practice, teaching, research, prevention, administration/policy development? ................................. b b b b b b b 

b. How likely is it that you will actually 

leave the mental and behavioral health 

field next year? ..................................... b b b b b b b 

(33) If you are considering leaving the 

mental and behavioral health field, 

what is/are the primary driver(s)? 

llllllllllllllllll

llllllllllllllllll

(34) What changes are needed that 

would convince you to stay? [Limit 

characters to 450] 

llllllllllllllllll

llllllllllllllllll

Burden Estimate 

The total annual burden estimate for 

conducting the surveys is shown below: 

Survey 

name 

Number of 

respondents 

Responses 

per 

respondent 

Total number 

of responses 

Hours per 

response 

Total 

burden 

hours 

SAMHSA MFP Current Fellows Survey .............................. 411 1 411 0.42 173 


khammond on DSKJM1Z7X2PROD with NOTICES
86 Federal Register / Vol. 89, No. 1 / Tuesday, January 2, 2024 / Notices 

Survey 

name 

Number of 

respondents 

Responses 

per 

respondent 

Total number 

of responses 

Hours per 

response 

Total 

burden 

hours 

SAMHSA MFP Alumni Survey ............................................. 1,280 1 1,280 0.42 538 

Totals ............................................................................ 1,691 a ........................ 1,691 ........................ 711 

aThis is an unduplicated count of total respondents. 

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 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

Alicia Broadus, 

Public Health Advisor. 

[FR Doc. 2023–28809 Filed 12–29–23; 8:45 am] 

BILLING CODE 4162–20–P 

DEPARTMENT OF THE INTERIOR 

Fish and Wildlife Service 

[FWS–R7–ES–2023–N092; 

FXES111607MMTRP–245–FF07CAMM00; 

OMB Control Number 1018–0066] 

Agency Information Collection 

Activities; Submission to the Office of 

Management and Budget; Marine 

Mammal Marking, Tagging, and 

Reporting Certificates, and 

Registration of Certain Dead Marine 

Mammal Hard Parts 

AGENCY: Fish and Wildlife Service, 

Interior. 

ACTION: Notice of information collection; 

request for comment. 

SUMMARY: In accordance with the 

Paperwork Reduction Act of 1995, we, 

the U.S. Fish and Wildlife Service 

(Service), are proposing to renew an 

information collection without change. 

DATES: Interested persons are invited to 

submit comments on or before February 

1, 2024. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be 

submitted within 30 days of publication 

of this notice at https://

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. Please 

provide a copy of your comments to the 

Service Information Collection 

Clearance Officer, U.S. Fish and 

Wildlife Service, MS: PRB (JAO/3W), 

5275 Leesburg Pike, Falls Church, VA 

22041–3803 (mail); or by email to Info_

Coll@fws.gov. Please reference ‘‘1018– 

0066’’ in the subject line of your 

comments. 

FOR FURTHER INFORMATION CONTACT: To 

request additional information about 

this ICR, contact Madonna L. Baucum, 

Service Information Collection 

Clearance Officer, by email at Info_

Coll@fws.gov, or by telephone at (703) 

358–2503. Individuals in the United 

States who are deaf, deafblind, hard of 

hearing, or have a speech disability may 

dial 711 (TTY, TDD, or TeleBraille) to 

access telecommunications relay 

services. Individuals outside the United 

States should use the relay services 

offered within their country to make 

international calls to the point-ofcontact in the United States. 

SUPPLEMENTARY INFORMATION: In 

accordance with the Paperwork 

Reduction Act of 1995 (PRA, 44 U.S.C. 

3501 et seq.) and 5 CFR 1320.8(d)(1), we 

provide the general public and other 

Federal agencies with an opportunity to 

comment on new, proposed, revised, 

and continuing collections of 

information. This helps us assess the 

impact of our information collection 

requirements and minimize the public’s 

reporting burden. It also helps the 

public understand our information 

collection requirements and provide the 

requested data in the desired format. 

On July 26, 2023, we published in the 

Federal Register (88 FR 48260) a notice 

of our intent to request that OMB 

approve this information collection. In 

that notice, we solicited comments for 

60 days, ending on September 25, 2023. 

In an effort to increase public awareness 

of, and participation in, our public 

commenting processes associated with 

information collection requests, the 

Service also published the Federal 

Register notice on Regulations.gov 

(Docket No. FWS–R7–ES–2023–0097) to 

provide the public with an additional 

method to submit comments (in 

addition to the typical U.S. mail 

submission methods). We received one 

anonymous comment in response to that 

notice which did not address the 

information collection requirements. No 

response to that comment is required. 

As part of our continuing effort to 

reduce paperwork and respondent 

burdens, we are again soliciting 

comments from the public and other 

Federal agencies on the proposed ICR 

that is described below. We are 

especially interested in public comment 

addressing the following: 

(1) Whether or not the collection of 

information is necessary for the proper 

performance of the functions of the 

agency, including whether or not the 

information will have practical utility; 

(2) The accuracy of our estimate of the 

burden for this collection of 

information, including the validity of 

the methodology and assumptions used; 

(3) Ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and 

(4) How might the agency minimize 

the burden of the collection of 

information on those who are to 

respond, including through the use of 

appropriate automated, electronic, 

mechanical, or other technological 

collection techniques or other forms of 

information technology, e.g., permitting 

electronic submission of response. 

Comments that you submit in 

response to this notice are a matter of 

public record. Before including your 

address, phone number, email address, 

or other personal identifying 

information in your comment, you 

should be aware that your entire 

comment—including your personal 

identifying information—may be made 

publicly available at any time. While 

you can ask us in your comment to 

withhold your personal identifying 

information from public review, we 

cannot guarantee that we will be able to 

do so. 

Abstract: Under section 101(b) of the 

Marine Mammal Protection Act of 1972, 

as amended (MMPA; 16 U.S.C. 1361– 

1407), Alaska Natives residing in Alaska 

and dwelling on the coast of the North 

Pacific or Arctic Oceans may harvest 

polar bears, northern sea otters, and 

Pacific walruses for subsistence or 

handicraft purposes. Section 109(i) of 

the MMPA authorizes the Secretary of 

the Interior to prescribe marking, 

tagging, and reporting regulations 

applicable to the Alaska Native 

subsistence and handicraft take. 


khammond on DSKJM1Z7X2PROD with NOTICES