Federal Register / Vol. 89, No. 214 / Tuesday, November 5, 2024 / Notices 87881 

ANNUAL BURDEN ESTIMATES

Instrument 

Total 

number of 

respondents 

Annual 

number of 

responses per 

respondent 

Average 

burden hours 

per response 

Annual 

burden 

hours 

ACF–800: CCDF Annual Aggregate Report .................................................... 56 1 45 2,520 

Comments: The Department 

specifically requests comments on (a) 

whether the proposed collection of 

information is necessary for the proper 

performance of the functions of the 

agency, including whether the 

information shall have practical utility; 

(b) the accuracy of the agency’s estimate 

of the burden of the proposed collection 

of information; (c) the quality, utility, 

and clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 

or other forms of information 

technology. Consideration will be given 

to comments and suggestions submitted 

within 60 days of this publication. 

In addition, the Department seeks 

public comment on use of the pooling 

factor for CCDF administrative data 

reporting. The current ACF–800 and 

ACF–801 reports instruct states that 

pool CCDF and non-CCDF funds to 

report all children and families funded 

by these pooled funding sources on both 

the ACF–800 and ACF–801. ACF then 

applies a pooling factor (reported by the 

state on the ACF–800) to determine the 

number of children and families served 

by CCDF. During the public comment 

period, ACF is soliciting comments on 

this approach, or whether it is possible 

for states to identify and separately 

report all children and families served 

by CCDF without the need to apply a 

pooling factor. 

Authority: The Child Care and 

Development Block Grant Act (42 U.S.C. 

9857 et seq.); regulations at 45 CFR 

98.70 and 98.71. 

Mary C. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2024–25690 Filed 11–4–24; 8:45 am] 

BILLING CODE 4184–81–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; ACF–801: Child Care and 

Development Fund (CCDF) Quarterly 

Case-Level Report (Office of 

Management and Budget #0970–0167) 

AGENCY: Office of Child Care, 

Administration for Children and 

Families, U.S. Department of Health and 

Human Services. 

ACTION: Request for public comments. 

SUMMARY: The Office of Child Care 

(OCC), Administration for Children and 

Families (ACF) is requesting a threeyear extension with changes to the form 

ACF–801: CCDF Quarterly Case-Level 

Report (Office of Management and 

Budget (OMB) #0970–0167, expiration 

4/30/2025). OCC proposes changes to 

the reporting requirements for family 

co-payments and to combine race and 

ethnicity into a single category. 

Additionally, OCC proposes to add a 

new data element, the provider’s county 

Federal Information Processing Series 

(FIPS) code, as well as including 

modified instructions for the total hours 

of care being provided. 

DATES: Comments due January 6, 2025. 

In compliance with the requirements of 

the Paperwork Reduction Act of 1995, 

ACF is soliciting public comment on the 

specific aspects of the information 

collection described above. 

ADDRESSES: You can obtain copies of the 

proposed collection of information and 

submit comments by emailing 

infocollection@acf.hhs.gov. Identify all 

requests by the title of the information 

collection. 

SUPPLEMENTARY INFORMATION: 

Description: The ACF–801 provides 

monthly case-level data on the children 

and families receiving direct child care 

services under CCDF. The ACF–801 

case-level data are reported either 

monthly or quarterly. OCC proposes 

changes to the reporting requirements 

for family co-payments to better 

understand how co-payments are 

distributed across multiple children and 

program settings. 

OCC has updated the race and 

ethnicity question to align with the 

updated Statistical Policy Directive 15: 

Standards for Maintaining, Collecting, 

and Presenting Federal Data on Race 

and Ethnicity (SPD 15). The new 

categories and instructions for reporting 

race and ethnicity will provide 

improved data quality and uniformity of 

information collected that is consistent 

with OMB guidance. Additionally, OCC 

proposes to add a new data element, the 

provider’s county FIPS code, for countylevel analysis, such as mapping or geocoding. Revised instructions for the 

collection of total hours of care 

provided monthly will address 

provisions in the 2024 CCDF final rule 

related to payment based on a child’s 

enrollment rather than attendance. 

Respondents: State and Territory Lead 

Agencies. 

ANNUAL BURDEN ESTIMATES

Instrument 

Total 

number of 

respondents 

Annual 

number of 

responses per 

respondent 

Average 

burden 

hours per 

response 

Annual 

burden hours 

ACF–801: CCDF Quarterly Case-Level Report .............................................. 56 4 6.5 1,456 

Comments: The Department 

specifically requests comments on (a) 

whether the proposed collection of 

information is necessary for the proper 

performance of the functions of the 

agency, including whether the 

information shall have practical utility; 

(b) the accuracy of the agency’s estimate 

of the burden of the proposed collection 

of information; (c) the quality, utility, 

and clarity of the information to be 

collected; and (d) ways to minimize the 


ddrumheller on DSK120RN23PROD with NOTICES1
87882 Federal Register / Vol. 89, No. 214 / Tuesday, November 5, 2024 / Notices 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 

or other forms of information 

technology. Consideration will be given 

to comments and suggestions submitted 

within 60 days of this publication. 

The Department also seeks public 

comment on the proposed changes 

related to reporting family co-payments. 

Finally, the Department seeks public 

comment on use of the pooling factor for 

CCDF administrative data reporting. The 

current ACF–800 and ACF–801 reports 

instruct states that pool CCDF and nonCCDF funds to report all children and 

families funded by these pooled funding 

sources on both the ACF–800 and ACF– 

801. ACF then applies a pooling factor 

(reported by the state on the ACF–800) 

to determine the number of children 

and families served by CCDF. During 

the public comment period, ACF is 

soliciting comments on this approach, 

or whether it is possible for states to 

identify and separately report all 

children and families served by CCDF 

without the need to apply a pooling 

factor. 

Authority: Section 658K of the Child 

Care and Development Block Grant Act 

(42 U.S.C. 9858); regulations 45 CFR 

98.70 and 98.71. 

Mary C. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2024–25691 Filed 11–4–24; 8:45 am] 

BILLING CODE 4184–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Lists of Designated Primary Medical 

Care, Mental Health, and Dental Health 

Professional Shortage Areas 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: This notice informs 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 (HPSAs) in a designated status as 

of October 15, 2024. The lists are 

available on the shortage area topic page 

on HRSA’s data.hrsa.gov website. 

ADDRESSES: Complete lists of HPSAs 

designated as of October 15, 2024, are 

available on the website at https://

data.hrsa.gov/tools/health-workforce/ 

shortage-areas/frn. Frequently updated 

information on HPSAs is available at 

https://data.hrsa.gov/topics/healthworkforce/health-workforce-shortageareas. Information on shortage 

designations is available at https://

bhw.hrsa.gov/workforce-shortage-areas/ 

shortage-designation. 

FOR FURTHER INFORMATION CONTACT: For 

further information on the HPSA 

designations listed on the website or to 

request additional designation, 

withdrawal, or reapplication for 

designation, please contact Dr. Shelby 

Hockenberry, Branch Chief, Shortage 

Designation Branch, Division of Policy 

and Shortage Designation, Bureau of 

Health Workforce, HRSA, 5600 Fishers 

Lane, Rockville, Maryland 20857, sdb@

hrsa.gov, (301) 443–1993. 

SUPPLEMENTARY INFORMATION: 

Background 

Section 332 of the Public Health 

Service (PHS) Act, 42 U.S.C. 254e, 

provides that the Secretary shall 

designate HPSAs based on criteria 

established by regulation. HPSAs are 

defined in section 332 to include (1) 

urban and rural geographic areas with 

shortages of health professionals, (2) 

population groups with such shortages, 

and (3) facilities with such shortages. 

Section 332 further requires that the 

Secretary annually publish lists of the 

designated geographic areas, population 

groups, and facilities. The lists of 

HPSAs are to be reviewed at least 

annually and revised as necessary. 

Final regulations (42 CFR part 5) were 

published on November 17, 1980 (45 FR 

75996), that include the criteria for 

designating HPSAs. Criteria were 

defined for seven health professional 

types: primary medical care, dental, 

psychiatric, vision care, podiatric, 

pharmacy, and veterinary care. The 

criteria for correctional facility HPSAs 

were published on October 29, 1987 (52 

FR 41594), and revised 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. 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 

October 15, 2024. This notice 

incorporates the most recent annual 

reviews of designated HPSAs and 

supersedes the HPSA lists published in 

the Federal Register on July 1, 2024, (89 

FR 54471/Document Number 2024– 

14477). That publication served as a 

notice that if those HPSAs in a proposed 

for withdrawal status were not reevaluated and/or continued to not meet 

designation requirements by the time 

the HPSA Federal Register notice 

published on or before November 1, 

2024, they would be withdrawn. 

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 

(FQHCs) 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. 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 


ddrumheller on DSK120RN23PROD with NOTICES1