35220 Federal Register / Vol. 87, No. 111 / Thursday, June 9, 2022 / Notices 

program. ACF proposes a change in how 

draft plans are submitted. The program 

report provides HHS, Congress, and 

grantees information to document and 

assess the activities and 

accomplishments of the NEW program. 

ACF proposes to extend data collection 

with revisions that clarify that programs 

should not count more than once 

individuals who meet multiple 

categories; for example, persons age 20 

are both youth and adults, but they 

should be counted as one or the other, 

not both. 

Respondents: Indian tribes and tribal 

coalitions that operate NEW programs. 

ANNUAL BURDEN ESTIMATES

Instrument 

Total number 

of respondents 

(over 3 yrs.) 

Annual 

number of 

responses per 

respondent 

Average 

burden hours 

per response 

Annual 

burden hours 

NEW Program Plan Guidance ......................................................................... 40 1.333 29 386 

NEW Program Report ...................................................................................... 40 1 15 600 

Total Estimated Annual Burden ............................................................... ........................ ........................ ........................ 986 

1We have used .333 responses per year to represent one submission of the NEW Program Plan Guidance during the 3-year approval period. 

Authority: 42 U.S.C. 612. 

Mary B. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2022–12424 Filed 6–8–22; 8:45 am] 

BILLING CODE 4184–36–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Proposed Collection: Public 

Comment Request; Maternal and Child 

Health Bureau Performance Measures 

for Discretionary Grant Information 

System (DGIS), OMB No. 0915–0298— 

Revision 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: In compliance with 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 July 11, 2022. 

ADDRESSES: 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 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 paperwork@hrsa.gov or call (301) 

443–9094. 

SUPPLEMENTARY INFORMATION: 

Information Collection Request Title: 

Maternal and Child Health Bureau 

(MCHB) Performance Measures for 

Discretionary Grant Information System 

(DGIS), OMB No. 0915–0298—Revision. 

Abstract: Approval from OMB is 

sought to implement minor revisions to 

the MCHB Performance Measures for 

DGIS. Most of these measures are 

specific to certain types of programs and 

are not required of all grantees. The 

measures are categorized by domain 

(Adolescent Health, Capacity Building, 

Child Health, Children with Special 

Health Care Needs, Lifecourse/ 

Crosscutting, Maternal/Women Health, 

and Perinatal/Infant Health), in addition 

to some program-specific measures. 

Grant programs are assigned domains 

based on their activities and individual 

grantees respond to only a limited 

number of performance measures that 

are relevant to their specific program. 

HRSA intends to change the 

numbering sequence of the DGIS forms 

in an approach different from what was 

outlined in the Federal Register notice 

(87 FR 3313) published on January 21, 

2022. The approach outlined in the 

January 21, 2022, notice provided for 

the re-use of form numbers by 

reordering the form sequence to 

accommodate the forms being removed 

and added. After further consideration, 

HRSA intends to retire the number 

associated with the six DGIS forms 

being removed and give the new DGIS 

Training form the next number in the 

numbering sequence (Training Form 15, 

which was previously labeled as 

Training Form 14 in the January 21, 

2022, notice). This streamlined 

approach will prevent confusion among 

grantees and HRSA when referencing 

the forms after they are updated in 

DGIS. 

No additional forms are proposed to 

be added, removed, or revised beyond 

what was specified in the January 21, 

2022, notice. As noted in the January 21, 

2022, notice, HRSA is making the 

following changes to the current 

information collection for MCHB DGIS 

to more closely align data collection 

forms with the program activities: 

Removing the following existing 

forms: Core 1 (Grant Impact), Capacity 

Building 2 (Technical Assistance), 

Capacity Building 7 (Direct Annual 

Access to MCH Data), Training Form 13 

(Diverse Adolescent Involvement 

(Leadership Education in Adolescent 

Health Program –specific)), Financial 

Form 2 (Project Funding Profile), and 

Financial Form 4 (Project Budget and 

Expenditures); 

Adding the following new forms: 

Training Form 15 (Consultation and 

Training for Mental and Behavioral 

Health) and Leadership, Education, and 

Advancement in Undergraduate 

Pathways Training Program Trainee 

Information Form. The title of Training 

Form 15 was changed from 

‘‘Teleconsultation’’ to ‘‘Consultation’’ to 

acknowledge that some programs that 

report on this form may also have an inperson consultation component. 

Therefore, the form was updated to 

capture both teleconsults and in-person 

consults and the title was adjusted to 

represent this change; 

Revising the following existing forms: 

F2F (Family to Family Form 1), 

Financial Form 1 (MCHB Project Budget 

Details), Financial Form 4 (new name: 


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Federal Register / Vol. 87, No. 111 / Thursday, June 9, 2022 / Notices 35221 

Maternal & Child Health Discretionary 

Grant Project Abstract), MCH Training 

Program Data Forms, Core 3 (Health 

Equity), Financial Form 3 (Budget 

Details by Types of Individuals Served), 

Financial Form 5 (Number of 

Individuals Served (Unduplicated)), and 

Financial Form 6 (Project Abstract); and 

Moving the following form to a new 

category: Core 2 (Quality Improvement) 

will become Capacity Building 8 

(Quality Improvement). Moving this 

form out of the Core category and into 

the Capacity Building category will 

allow HRSA to assign this form to only 

applicable grantees. Note that in the 

January 21, 2022, notice, Core 2 was 

proposed to become Capacity Building 

4, however, due to the decision to 

change the numbering sequence in the 

DGIS, the form will now use the next 

number in the numbering sequence 

(following Capacity Building 7). 

Non-substantive revisions also 

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. 

In response to the notice published on 

January 21, 2022, HRSA received six 

requests to view the proposed revisions 

and six public comments. One 

comment, with which the Department 

agrees, conveyed support for the 

proposed DGIS form updates and 

relayed that it will improve their 

organization’s ability to understand 

trainees with relation to gender 

diversity and decrease the burden of 

completing DGIS reporting. Another 

comment also conveyed support for 

removing several forms to alleviate 

reporting burden, with which the 

Department agrees. In addition, this 

same commenter supported the 

proposal to align the age ranges across 

DGIS measures, specifically between 

Form 5 and Form 3, with which the 

Department also agrees. This commenter 

also relayed concern over the 

administrative burden required to count 

and report specialty providers by 

specialty type for trainings and 

requested clearer guidance for how to 

accurately count provider types in 

Training Form 15 (referenced as 

Training Form 14 in the January 21, 

2022, notice). Finally, the commenter 

relayed concern that requiring providers 

to submit data to HRSA (for purposes of 

Training Form 15) could preclude 

providers from participating in the 

program given their limited resources. 

The Department appreciates the 

challenges of providers reporting data; 

however, this information is critical for 

HRSA to be able to track program 

impact. 

Similar comments regarding count of 

providers by specialty type were 

received by a third commenter, with a 

focus on the difficulty to collect this 

data related to depression training and 

additional burden that is created when 

the count is required to be deduplicated by provider type. The 

Department acknowledges counting and 

reporting specialty providers by 

specialty type requires more effort than 

counting and reporting providers 

without specialty type. However, 

provider specialty type is crucial to 

HRSA’s ability to measure 

programmatic reach and impact, which 

is used to inform programmatic and 

policy decision making. To provide 

better guidance, the form has been 

updated to include ‘‘non-specialty’’ to 

the applicable sections of the tables to 

assist with reporting and the 

Department will ensure Training Form 

15 is programmed into DGIS in such a 

way that it is clearer to the grantee that 

any provider type not listed should be 

counted in an ‘‘Other’’ category. 

Additionally, grantees are not expected 

to de-duplicate training counts by 

provider type. If grantees do not have 

information on the type of providers 

who attended a training, it is acceptable 

to place counts under ‘‘Other.’’ 

Additional comments received by a 

fourth commenter on Training Form 15 

included feedback regarding the 

difficulty for their teleconsultation line 

staff to track and report the number of 

enrolled providers who may be eligible 

to call the line; the need for clarification 

on how a care coordinator/patient 

navigator is defined; the need for 

clarification on what ‘‘teleconsultation’’ 

specifically entails and what level of 

provider needs to provide this service; 

the need for clarification around 

specific terms, including: polysubstance 

use, disruptive, impulse-control, 

conduct disorders as well as cooccurring mental and substance use 

disorders; a request for HRSA to make 

the individuals served screening-level 

measure optional for Maternal 

Depression and Related Behavioral 

Disorders (MDRBD) grantees similar to 

Pediatric Mental Health Care Access 

program (PMHCA) grantees; feedback 

that depending on the specific modality 

used to obtain practice-level screening 

data, the numerator and denominator 

time frame may not fully align with the 

federal fiscal year; and a request for 

clarification regarding reporting the 

number of referrals given with a 

suggestion that HRSA define this 

measure not as the number of referrals 

provided, but rather as the number of 

referrals services/supports that could be 

offered. 

In response to these comments, the 

Department has made the following 

updates to Training Form 15: ‘‘if 

applicable’’ has been added in the first 

table requesting the number of providers 

enrolled AND participating; 

consultation language has been clarified 

by changing ‘‘teleconsultation’’ to 

‘‘consultation,’’ which includes both 

teleconsultation and in-person 

consultation. If a call/contact includes 

both consultation and care coordination 

support the contact should be reported 

in the ‘‘Both’’ category; polysubstance 

use and co-occurring mental and 

substance use disorders have been 

removed from the list of condition(s) to 

report why providers contact the 

program for consultation; and the 

individuals served screening-level 

measure now reflects as optional for 

MDRBD grantees similar to PMHCA 

grantees. 

The Department wishes to clarify that 

family visitors and doulas should be 

reported as Care Coordinators/Patient 

Navigators if that is the role they are 

filling and reporting the number of 

referrals given is solely for referral and 

treatment recommendations for 

providers who contact the program. 

Grantees should be able to collect this 

information at the time the provider 

contacts the program and no updates 

have been made to the form regarding 

this question. 

This commenter also provided 

feedback on the Core Health Equity 

Form, Women and Maternal Health 

(WMH) 1, 2, and 4, and Financial Forms 

2, 3, and 5 (now Financial Forms 3, 5, 

and 7). While the commenter welcomes 

the revisions of the Core Health Equity 

form, they clarified that specific health 

equity goals and objectives being 

pursued may be overarching and 

aligned with organizational equity aims, 

and as such, progress toward achieving 

them may be hard to quantify and/or 

specify from a programmatic-level. 

The Department recognizes there may 

be some overlap with larger 

organizational aims, however, health 

equity is a focus of MCHB programs and 

it is necessary to capture how grantees 

are advancing health equity. With 

regards to WMH 1 and 2, the commenter 

provided feedback that it remains 

difficult to specify/stratify training 

counts specific to pregnancy and 

postpartum care given that most training 

is specific to the perinatal period. As a 

result, grantees whose focus spans the 

entirety of the perinatal period like 

MDRBD grantees would benefit from 


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35222 Federal Register / Vol. 87, No. 111 / Thursday, June 9, 2022 / Notices 

additional reporting instruction on how 

best to fill out these forms and whether 

to include training counts only in 

Training Form 15 or in WMH 1 and 2 

forms as well. The Department 

recognizes that some programs may 

span pregnancy and postpartum 

periods, however, there is a need to 

capture prenatal care (WMH 1) in the 

first trimester and timely postpartum 

visit (WMH 2) separately to demonstrate 

each of these measures are improving. 

The Department wishes to clarify that 

for programs with trainings that may 

cover pregnancy and post-partum care, 

these trainings should be counted under 

both WMH 1 and WMH2. These 

trainings however should include 

content on timely prenatal and timely 

postpartum care. 

Finally, the commenter requested 

HRSA consider making the Tier 4 

measure for WMH 4 optional given 

reporting difficulty and the amount of 

time it would take to enact needed 

electronic medical record modifications 

and reporting protocols to obtain 

treatment/referral information; any 

immediate information provided in this 

area would require manual tracking. 

After further consideration, the Tier 4 

measure for WMH 4 has been updated 

to reflect its optional status, bringing it 

into alignment with the updates made to 

Training Form 15. Additional comments 

received by a final commenter on 

Training Form 15 included requested 

clarification on the definition of 

‘‘enrolled provider,’’ guidance for how 

to classify the reason for provider 

contact, requested clarification on how 

to count the number and types of 

providers trained, an example for what 

constitutes ‘‘treatment strategies,’’ and a 

specific definition for the term 

‘‘treatment.’’ 

As a result of this feedback, the form 

has been updated to include a footnote 

which clarifies that an ‘‘Enrolled’’ 

provider is one who is currently 

enrolled in the program even if initial 

enrollment occurred prior to the current 

reporting period. With regards to 

classifying the reason for a provider 

contact, the Department clarifies that 

the intent is to not limit responses to 

specific diagnoses for this question. If a 

specific diagnosis can be captured at the 

time of the call, it should be captured 

as such. If it cannot, and the reason(s) 

for the call are not included in the 

provided list, the grantee should capture 

the reason for the call under the 

response option titled, ‘‘Other (please 

specify).’’ In addition, the form has been 

updated to state ‘‘Treatment modalityfocused trainings’’ instead of 

‘‘Treatment strategies-related trainings.’’ 

Finally, recognizing each grantee may 

define ‘‘Treatment’’ differently, the 

Department clarifies that ‘‘Treatment’’ is 

broadly defined for both PMHCA and 

MDRBD programs as, ‘‘the provision, 

coordination, or management of health 

care and related services among health 

care providers.’’ 

Two additional commenters provided 

feedback on the Family-to-Family (F2F) 

Form 1. The first commenter provided 

the following: a recommendation that 

parents of children and youth with 

special health care needs be specified in 

the definition of the numerator as they 

are in other related statements in the 

document; concern about the removal of 

the details ‘‘family centered, 

comprehensive, and coordinated 

system’’ in the benchmark data sources 

replaced with ‘‘a system of care,’’ with 

a recommendation of listing additional 

other benchmarks here, such as Healthy 

People 2030 MICH–19; language that 

states F2F services are either one-to-one 

or through group training and events, 

with a recommendation to replace ‘‘oneto-one’’ with ‘‘individual total number 

of families receiving one-to-one services 

(including small group individualized 

assistance); use of a Likert scale when 

capturing the percentage of one-to-one 

services and trainings provided by 

topic, as well as when capturing the 

percentage of services and trainings to 

professionals/providers provided by 

topic; use of the term ‘‘American Indian 

or Alaska Native’’ instead of ‘‘tribal 

organization;’’ and concern about the 

removal of four subcategories that were 

previously used to report the types of 

services/trainings provided to families, 

and removal of references to the six core 

outcomes in the form. 

After considering the feedback, the 

measure’s numerator has been revised to 

state: ‘‘The total number of families of 

children and youth with special health 

care needs receiving one-to-one services 

and training from Family-To-Family 

Health Information Centers.’’ This 

revision reflects how MCHB tracks and 

reports program impact. 

Question 1 has been revised to 

include the phrase, ‘‘small group 

individualized assistance.’’ After 

considering the commenter’s use of 

Likert scales when capturing the 

percentage of one-to-one services and 

trainings provided by topic, as well as 

when capturing the percentage of 

services and trainings to professionals/ 

providers provided by topic, these 

questions have been removed from the 

form. After further consideration, the 

four subcategories that were previously 

used to report the types of services/ 

trainings provided to families has been 

added back to the form. Finally, the 

form has been updated to reflect 

‘‘American Indian or Alaska Native’’ 

instead of ‘‘tribal organization.’’ This 

revision aligns all of the selections in 

table 2c of the F2F form to be 

population focused and not a mix of 

populations and organization. 

With regards to the use of MICH–19 

in addition to the benchmark data 

source of MICH–20, the Department 

intends to proceed with the use of 

MICH–20, as ‘‘systems of care’’ includes 

having a medical home. While the title 

of the objective has changed, the 

objective of receiving care in a system 

of care is still the same. Finally, with 

regards to the removal of references to 

the six core outcomes in the form: 

Despite removal from the form, the six 

core outcomes remain foundational for 

all work to improve systems of care. The 

Department intends to proceed with 

removal and would like to reiterate that 

grantees can report on the six core 

outcomes in their annual progress 

report. 

The second commenter on the F2F 

form mirrored those of the first and no 

additional consideration was necessary. 

Need and Proposed Use of the 

Information: The performance data 

collected through the DGIS serves 

several purposes, including grantee 

monitoring, program planning, 

performance reporting, and the ability to 

demonstrate alignment between MCHB 

discretionary programs and the Title V 

MCH Services Block Grant program. 

This revision will facilitate more 

efficient and accurate reporting of 

information related to Capacity Building 

activities, Financial and Demographic 

data, and Training activities. 

Likely Respondents: The grantees for 

Maternal and Child Health Bureau 

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. 


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Federal Register / Vol. 87, No. 111 / Thursday, June 9, 2022 / Notices 35223 

TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS

Form Number of 

respondents 

Responses 

per 

respondent 

Total 

responses 

Burden hours 

per response 

Total burden 

hours 

Grant Report ........................................................................ 700 1 700 36 25,200 

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. 2022–12391 Filed 6–8–22; 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: HRSA Ryan White 

HIV/AIDS Program Part F AIDS 

Education and Training Center 

Program Evaluation Activities, OMB 

No. 0915–0281—Extension 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: In compliance with 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. 

DATES: Comments on this ICR should be 

received no later than July 11, 2022. 

ADDRESSES: Submit your comments by 

email to paperwork@hrsa.gov or by mail 

to 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 paperwork@hrsa.gov 

or call Samantha Miller, the acting 

HRSA Information Collection Clearance 

Officer, at (301) 443–9094. 

SUPPLEMENTARY INFORMATION:

Information Collection Request Title: 

HRSA Ryan White HIV/AIDS Program 

Part F AIDS Education and Training 

Center Evaluation Activities, OMB No. 

0915–0281—Extension. 

Abstract: The Ryan White HIV/AIDS 

Program’s (RWHAP) Part F AIDS 

Education and Training Center (AETC) 

Program, authorized under Title XXVI 

of the Public Health Service Act, 

supports a network of regional and 

national centers that conduct targeted, 

multi-disciplinary education and 

training programs for health care 

providers treating people with HIV. The 

RWHAP AETC Program’s purpose is to 

increase the number of health care 

providers who are effectively educated 

and motivated to counsel, diagnose, 

treat, and medically manage people 

with HIV. 

The RWHAP AETC Program 

recipients gather data on the training 

activities they conduct using two data 

collection instruments. The Event 

Record (ER) gathers information about 

each training activity, including training 

programs, individual clinical 

consultations, group clinical 

consultations, and technical assistance 

events. Information on the people 

trained, the length of training, the 

content and level of the training, and 

collaborations with other organizations 

is also collected. The Participant 

Information Form (PIF) collects 

information from each of the training 

participants, including demographics, 

profession, the types of HIV services 

they provide, and the characteristics of 

the patient population they serve. The 

RWHAP AETC Program recipients are 

required to report data on the training 

activities and trainees to HRSA once a 

year. 

HRSA is requesting an extension of 

the current ER and PIF with minor 

changes. To more accurately capture the 

length of a training event, RWHAP 

AETC trainers will be asked to report 

the event’s end date in addition to the 

start date. Additionally, if an event was 

not supported by RWHAP AETC base 

grant funding, respondents will be able 

to skip three subsequent questions on 

the ER that are not applicable. An 

update was made to the wording of a 

question on funding sources for clarity 

(i.e., AETC programmatic funding was 

changed to AETC Base Grant funding). 

The skip logic in the response options 

was also modified to improve reporting. 

Respondents will also have the option 

to report multiple clinic and health 

professional program identification 

numbers to reflect multiple affiliations 

on the ER. Additional options were 

added for multiple questions in the ER 

to allow for more complete responses 

(e.g. an ‘‘other’’ response option was 

added to two questions; and response 

options such as trauma-informed care, 

gender affirming care, transgender/nonbinary/other gender, people 

experiencing homelessness, and people 

with justice system involvement were 

added to capture relevant event topics). 

In addition to changes on the ER, minor 

revisions were made to the response 

options for multiple questions on the 

PIF to improve clarity (e.g., ‘‘Substance 

Abuse’’ was changed to ‘‘Substance Use 

Disorder’’). Additionally, the question 

and response options on gender were 

updated. Lastly, options were added to 

multiple questions to allow for more 

complete responses. For example, 

questions on gender, racial and ethnic 

identity now include ‘‘Choose Not to 

Disclose’’ as response options. 

A 60-day notice published in the 

Federal Register, Volume 87. No. 31, FR 

pp. 8593–8594 (February 15, 2022). 

There were two public comments 

proposing minor revisions to the ER and 

PIF forms. Most of the public comments 

were accepted. Comments were rejected 

if they were out of scope, did not make 

sense in the context of the question, or 

could be addressed by an ‘‘other’’ 

response option. In addition to the 

comments, two RWHAP AETC Programs 

requested copies of the revised PIF and 

ER forms, but did not provide any 

comments. 

Need and Proposed Use of the 

Information: HRSA uses the data 

collected when conducting RWHAP 

AETC programmatic assessments to 

determine future program needs. These 

data allow HRSA to identify where gaps 

exist in training HIV professionals as 

well as to measure whether training 

events are meeting the goals of the 

National HIV/AIDS Strategy. 


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