Federal Register / Vol. 86, No. 127 / Wednesday, July 7, 2021 / Notices 35809 

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 in 1980 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 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 designations. 

HPSA designation offers access to 

potential federal assistance. Public or 

private nonprofit entities are eligible to 

apply for assignment of National Health 

Service Corps (NHSC) personnel to 

provide primary medical care, mental 

health, or dental health services in or to 

these HPSAs. NHSC 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 and 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 April 

30, 2021. This notice incorporates the 

most recent annual reviews of 

designated HPSAs and supersedes the 

HPSA lists published in the Federal 

Register on June 15, 2020 (Federal 

Register/Vol. 85, No. 115/Monday, June 

15, 2020/Notices 36219). 

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 

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 (PCOs), 

PCOs conduct needs assessments and 

submit applications to HRSA to 

designate areas as HPSAs. BHW refers 

requests that come from other sources to 

PCOs for review. In addition, 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 Find Shortage Area website. 

The effective date of a withdrawal will 

be the next publication of a notice 

regarding the list of designated HPSAs 

in the Federal Register. 

Diana Espinosa, 

Acting Administrator. 

[FR Doc. 2021–14408 Filed 7–6–21; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Proposed Collection: Public 

Comment Request; Information 

Collection Request Title: The Maternal, 

Infant, and Early Childhood Home 

Visiting Program Quarterly 

Performance Report, OMB No. 0906– 

0016, Revision 

AGENCY: Health Resources and Service’s 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: In compliance with the 

requirement for opportunity for public 

comment on proposed data collection 

projects of the Paperwork Reduction Act 

of 1995, HRSA announces plans to 

submit an Information Collection 

Request (ICR), described below, to the 

Office of Management and Budget 

(OMB). Prior to submitting the ICR to 

OMB, HRSA seeks comments from the 

public regarding the burden estimate, 

below, or any other aspect of the ICR. 

DATES: Comments on this ICR should be 

received no later than September 7, 

2021. 

ADDRESSES: Submit your comments to 

paperwork@hrsa.gov or mail the HRSA 

Information Collection Clearance 

Officer, 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 paperwork@hrsa.gov 

or call Lisa Wright-Solomon, the HRSA 


khammond on DSKJM1Z7X2PROD with NOTICES
35810 Federal Register / Vol. 86, No. 127 / Wednesday, July 7, 2021 / Notices 

Information Collection Clearance Officer 

at (301) 443–1984. 

SUPPLEMENTARY INFORMATION: 

Information Collection Request Title: 

The Maternal, Infant, and Early 

Childhood Home Visiting Program 

Quarterly Performance Report, OMB No. 

0906–0016, Revision 

Abstract: This clearance request is for 

continued approval of the Maternal, 

Infant, and Early Childhood Home 

Visiting (MIECHV) Program Quarterly 

Performance Report. The MIECHV 

Program, administered by HRSA in 

partnership with the Administration for 

Children and Families, supports 

voluntary, evidence-based home visiting 

services during pregnancy and to 

parents with young children up to 

kindergarten entry. States, certain nonprofit organizations, and tribal entities 

are eligible to receive funding from the 

MIECHV Program and have the 

flexibility to tailor the program to serve 

the specific needs of their communities. 

HRSA is revising the data collection 

forms for the MIECHV Program by 

making the following changes: 

• Form 4, reporting guidance: Revise 

reporting instructions to reflect 

updated reporting requirements 

• Form 4, Definition of Key Terms: 

Update definitions for Table A.1 

• Form 4, Definition of Key Terms: Add 

definitions for Table A.2 

HRSA is also requesting approval to 

expand the use of Form 4 in order to 

collect quarterly performance data from 

awardees who receive MIECHV funding 

appropriated by section 9101 of the 

American Rescue Plan Act (Pub. L. 117– 

2). 

Need and Proposed Use of the 

Information: HRSA uses quarterly 

performance information to demonstrate 

program accountability and 

continuously monitor and provide 

oversight to MIECHV Program awardees. 

The information is also used to provide 

quality improvement guidance and 

technical assistance to awardees and 

help inform the development of early 

childhood systems at the national, state, 

and local level. HRSA is seeking to 

revise reporting instructions and 

definitions of key terms and to expand 

the use of Form 4 in order to collect 

distinct quarterly performance data 

related to the use of the American 

Rescue Plan Act funds. This notice is 

subject to the appropriation of funds, 

and is a contingency action taken to 

ensure that, should funds become 

available for this purpose, information 

can be collected in a timely manner. 

Likely Respondents: MIECHV Program 

awardees that are states, territories, and, 

where applicable, nonprofit 

organizations receiving MIECHV 

funding to provide home visiting 

services within states. 

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

Form 

name 

Number 

of respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden 

per response 

(in hours) 

Total burden 

hours 

Form 4: Section A—Quarterly Performance Report ............ 56 8 448 24 10,752 

Form 4: Section B Quarterly Benchmark Performance 

Measures .......................................................................... 10 4 40 200 8,000 

Total .............................................................................. * 56 ........................ 488 ........................ 18,752 

* The 10 responses for Section B are a sub-set of 56 total awardees funded through the MIECHV Program. 

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. 2021–14412 Filed 7–6–21; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Office of the Secretary 

Extension of Designation of Scarce 

Materials or Threatened Materials 

Subject to COVID–19 Hoarding 

Prevention Measures; Extension of 

Effective Date With Modifications 

AGENCY: Department of Health and 

Human Services (HHS). 

ACTION: Temporary notice; solicitation 

of comments. 

SUMMARY: The Department of Health and 

Humans Services (HHS) provides notice 

of the extension of the designation 

issued on February 1, 2021, under 

Executive Order 13910 (Executive 

Order) and section 102 of the Defense 

Production Act of 1950 (the Act), as 

amended, designating health and 

medical resources necessary to respond 

to the spread of the virus associated 

with Coronavirus Disease 2019 (COVID– 

19) that are scarce or the supply of 

which would be threatened by excessive 

accumulation by people or entities not 

needing the excess supplies. These 

designated materials are subject to the 

hoarding prevention measures 

authorized under the Executive Order 

and the Act. 

DATES: This action took effect on July 1, 

2021, and terminates on November 15, 

2021. To be assured consideration, 

comments on this extension and update 

to the list of scarce or threatened 

materials must be received at the 

address provided below by August 6, 

2021. 

ADDRESSES: In commenting, please refer 

to Paige Ezernack: 202–260–0365; 


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