[Federal Register Volume 87, Number 42 (Thursday, March 3, 2022)]
[Notices]
[Pages 12179-12181]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-04413]


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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; MCH Jurisdictional Survey 
Instrument for the Title V MCH Block Grant Program, OMB No. 0906-0042--
Extension

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 April 4, 
2022.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent

[[Page 12180]]

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 <a href="/cdn-cgi/l/email-protection#dfafbeafbaada8b0adb49fb7adacbef1b8b0a9"><span class="__cf_email__" data-cfemail="fc8c9d8c998e8b938e97bc948e8f9dd29b938a">[email protected]</span></a> or 
call (301) 443-9094.

SUPPLEMENTARY INFORMATION:
    Information Collection Request Title: Maternal and Child Health 
(MCH) Jurisdictional Survey Instrument for the Title V MCH Block Grant 
Program, OMB No. 0906-0042--Extension.
    Abstract: The purpose of the title V MCH Block Grant is to improve 
the health of the Nation's mothers, infants, children, including 
children with special health care needs, and their families by creating 
federal/state partnerships that provide each state/jurisdiction with 
needed flexibility to respond to its individual MCH population needs. 
Unique to the MCH Block Grant is a commitment to performance 
accountability, while assuring state flexibility. Utilizing a three-
tiered national performance measure framework, which includes National 
Outcome Measures, National Performance Measures, and Evidence-Based and 
-Informed Strategy Measures, State Title V programs report annually on 
their performance relative to the selected national performance and 
outcome measures. Such reporting enables the state and federal program 
offices to assess the progress achieved in key MCH priority areas and 
to document Title V program accomplishments.
    By legislation (section 505(a) and 506(a) of title V of the Social 
Security Act), the MCH Block Grant Application/Annual Report must be 
developed by, or in consultation with, state MCH health agencies. In 
establishing state reporting requirements, HRSA's Maternal and Child 
Health Bureau considers the availability of national data from other 
federal agencies. Data for the national performance and outcome 
measures are pre-populated for states in the title V Information 
System. National data sources identified for the National Performance 
Measures and National Outcome Measures in the MCH Block Grant program 
seldom include data from the Title V jurisdictions, with the exception 
of the District of Columbia. The eight remaining jurisdictions (i.e., 
American Samoa, Federated States of Micronesia, Guam, Marshall Islands, 
Northern Mariana Islands, Palau, Puerto Rico, and U.S. Virgin Islands) 
have limited access to significant data and MCH indicators, with 
limited capacity for collecting these data.
    Sponsored by HRSA's Maternal and Child Health Bureau, the MCH 
Jurisdictional Survey is designed to produce data on the physical and 
emotional health of mothers and children under 18 years of age in the 
following eight jurisdictions--American Samoa, Federated States of 
Micronesia, Guam, Marshall Islands, Northern Mariana Islands, Palau, 
Puerto Rico, and Virgin Islands. More specifically, the MCH 
Jurisdictional Survey collects information on factors related to the 
well-being of children, including health status, visits to health care 
providers, health care costs, and health insurance coverage. In 
addition, the MCH Jurisdictional Survey collects information on factors 
related to the well-being of mothers, including health risk behaviors, 
health conditions, and preventive health practices. Collecting this 
data will enable the jurisdictions to meet federal performance 
reporting requirements and to demonstrate the impact of Title V funding 
relative to MCH outcomes for the U.S. jurisdictions in reporting on 
their unique MCH priority needs.
    The MCH Jurisdictional Survey was designed based on information-
gathering activities with Title V leadership and program staff in the 
jurisdictions, experts at the Centers for Disease Control and 
Prevention and other organizations with relevant data collection 
experience. Survey items are based on the National Survey of Children's 
Health; the Behavioral Risk Factor Surveillance System; the Youth 
Behavior Surveillance System; and selected other federal studies. The 
Survey is designed as a core questionnaire to be administered across 
all jurisdictions with a supplemental set of survey questions 
customized to the needs of each jurisdiction.
    A 60-day notice was published in the Federal Register, 86 FR 50365 
(September 8, 2021). There were no public comments.
    Need and Proposed Use of the Information: Data from the MCH 
Jurisdictional Survey will be used to measure progress on national 
performance and outcome measures under the Title V MCH Block Grant 
Program. This survey instrument is critical in order to collect 
information on factors related to the well-being of all mothers, 
children, and their families in the jurisdictional Title V programs, 
and which address their unique MCH needs.
    HRSA is asking to update the previously approved question and 
response options for, ``What is this child's race?'' The updated 
question would ask, ``What is this child's race and ethnicity?'' 
Updated response options would include an expanded list of races and 
ethnicities prevalent in the Pacific Basin (specifically: Tongan, 
Saipanese, Mortlockese, Kosraen, Carolinian, Palauan, Pohnpeian, 
Yapese, Chuukese, and Marshallese). These changes are based on feedback 
from the program staff in the Jurisdictions and interviewers who 
indicated that some respondents were unsure about how to answer since 
they did not identify with any of the races and ethnicities listed, as 
well as on review of the data from 2019-2022. Participants in the 
Pacific Basin often struggled to choose a response from the available 
list and would default to selecting ``other Pacific Islander, please 
specify.'' Furthermore, the lack of additional race and ethnicity 
detail made it difficult for Jurisdictional title V Programs to 
properly analyze data and apply results to title V programming. The 
additional response options represent the most frequent responses 
received from participants to the ``other Pacific Islander, please 
specify'' item. This question is asked one time for each child included 
in the screener (questions A6, A17, A28, and A39).

    1. Is this child of Hispanic, Latino, or Spanish origin?

1. No, not of Hispanic, Latino, or Spanish origin
2. Yes, Mexican, Mexican American, Chicano
3. Yes, Puerto Rican
4. Yes, Cuban
5. Yes, another Hispanic, Latino, or Spanish origin.
 Please specify--------------------------------------------------------

    2. What is this child's race or ethnicity? Select one or more:

1. White
2. Black or African American
3. American Indian or Alaska Native
Please specify
4. Asian Indian
5. Chinese
6. Filipino
7. Japanese
8. Korean
9. Vietnamese
10. Other Asian
 Please specify--------------------------------------------------------
11. Native Hawaiian
12. Guamanian or Chamorro
13. Samoan
14. Tongan
15. Saipanese
16. Mortlockese
17. Kosraen
18. Carolinian
19. Palauan
20. Pohnpeian
21. Yapese

[[Page 12181]]

22. Chuukese
23. Marshallese
24. Other Pacific Islander

 Please specify--------------------------------------------------------

    Likely Respondents: The respondent universe is women age 18 or 
older who live in one of the eight targeted U.S. jurisdictions (Puerto 
Rico, U.S. Virgin Islands, Guam, Northern Mariana Islands, American 
Samoa, Palau, Marshall Islands, or Federated States of Micronesia) and 
who are mothers or guardians of at least one child aged 0-17 years 
living in the same household.
    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.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                     Average
                                                                          Number of      Number of       Total      burden per     Burden       Total
            Type of respondent                       Form name           respondents   responses per   responses     response    hours per      burden
                                                                                        respondent                  (in hours)      form        hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Adult Parents--Puerto Rico...............  Screener....................        2,480               1        2,480         0.03        74.40       299.40
                                           Core........................          250               1          250         0.83       207.50
                                           Jurisdiction Module.........          250               1          250         0.07        17.50
Adult Parents--U.S. Virgin Islands.......  Screener....................        2,153               1        2,153         0.03        64.59       289.59
                                           Core........................          250               1          250         0.83       207.50
                                           Jurisdiction Module.........          250               1          250         0.07        17.50
Adult Parents--Guam......................  Screener....................          684               1          684         0.03        20.52       245.52
                                           Core........................          250               1          250         0.83       207.50
                                           Jurisdiction Module.........          250               1          250         0.07        17.50
Adult Parents--American Samoa............  Screener....................          426               1          426         0.03        12.78       232.78
                                           Core........................          250               1          250         0.83       207.50
                                           Jurisdiction Module.........          250               1          250         0.05        12.50
Adult Parents--Federated States of         Screener....................          339               1          339         0.03        10.17       230.17
 Micronesia.
                                           Core........................          250               1          250         0.83       207.50
                                           Jurisdiction Module.........          250               1          250         0.05        12.50
Adult Parents--Marshall Islands..........  Screener....................          284               1          284         0.03         8.52       236.02
                                           Core........................          250               1          250         0.83       207.50
                                           Jurisdiction Module.........          250               1          250         0.08        20.00
Adult Parents--Northern Mariana Islands..  Screener....................          470               1          470         0.03        14.10       241.60
                                           Core........................          250               1          250         0.83       207.50
                                           Jurisdiction Module.........          250               1          250         0.08        20.00
Adult Parents--Palau.....................  Screener....................          467               1          467         0.03        14.01       226.51
                                           Core........................          250               1          250         0.83       207.50
                                           Jurisdiction Module.........          250               1          250         0.02         5.00
                                                                        --------------------------------------------------------------------------------
    Total................................  ............................        7,303  ..............        7,303  ...........  ...........     2,001.59
--------------------------------------------------------------------------------------------------------------------------------------------------------

    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. 2022-04413 Filed 3-2-22; 8:45 am]
BILLING CODE 4165-15-P


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