Federal Register / Vol. 87, No. 134 / Thursday, July 14, 2022 / Notices 42183 

Authority: 6 U.S.C. 279; 8 U.S.C. 

1232; Flores v. Reno Settlement 

Agreement, No. CV85–4544–RJK (C.D. 

Cal. 1996) 

Mary B. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2022–15063 Filed 7–13–22; 8:45 am] 

BILLING CODE 4184–45–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: Advancing Health 

Equity in Response to the COVID–19 

Public Health Emergency, 0906–XXXX, 

New 

AGENCY: Health Resources and Services 

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). 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 August 15, 2022. 

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 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: 

The Maternal, Infant, and Early 

Childhood Home Visiting (MIECHV) 

Program: Advancing Health Equity in 

Response to the COVID–19 Public 

Health Emergency, OMB No. 0906– 

XXXX, NEW. 

Abstract: The MIECHV Program is 

authorized by Social Security Act, Title 

V, § 511 (42 U.S.C. 711) and Congress 

made available supplemental 

appropriations to carry out the program 

through the American Rescue Plan Act 

(Pub. L. 117–2). American Rescue Plan 

Act funds are being used to support the 

MIECHV: Advancing Health Equity in 

Response to the COVID–19 Public 

Health Emergency project. The MIECHV 

Program: Advancing Health Equity in 

Response to the COVID–19 Public 

Health Emergency project aims to 

understand how health equity can be 

advanced during the COVID–19 public 

health emergency in communities with 

MIECHV-funded home visiting 

programs. The project includes five case 

studies to be conducted in communities 

across the United States. Communities 

will be selected based on a county level 

assessment from the County Response 

Index to Support Equity in Home 

Visiting (County RISE–HV), the 

variation in COVID–19 patterns 

including indicating disproportionality 

in experiences of COVID–19, and the 

presence of MIECHV-funded local 

implementing agencies. The five 

communities will represent a mix of 

urban and rural counties, will include a 

Tribal community, and will include 

communities with existing health 

disparities by race and ethnicity. The 

case studies will lead to a deeper 

understanding of the ways in which 

COVID–19 has shaped families’ 

experiences, and the role home visiting 

plays (and could play) in addressing the 

inequities that continue to accrue from 

the pandemic within a community. 

Information gained from these case 

studies can inform the development of 

more responsive home visiting systems 

and more equitable health and family 

support systems, in general. Data 

collection activities include key 

informant interviews, focus groups, and 

online surveys. The data collection 

activities have been revised based on 

the public comments received during 

the 60-day comment period. The 

purpose of these changes is to address 

concerns with the burden estimate and 

to modify items for clarity. To address 

the burden estimates, the number of 

items on each of the data collection 

instruments has been reduced. To 

reduce items, the project team identified 

item content where there was 

unnecessary overlap across instruments 

and identified items that were 

extraneous to addressing research 

questions. The burden estimate was 

only increased for the completion of the 

program data tool. All specific 

recommendations for revisions to item 

wording and instructions for 

participants to improve clarity have 

been incorporated into the revised data 

collection instruments. All necessary 

human subjects protections will be 

adhered to, including seeking 

Institutional Review Board approval of 

data collection and analysis plans prior 

to commencing any data collection 

activities. 

A 60-day notice for public comments 

on the proposed data collection 

activities required by Section 

3506(c)(2)(A) of the Paperwork 

Reduction Act of 1995 was published in 

the Federal Register on March 17, 2022, 

(Document Number 2022–05635; 

document citation 87 FR 15254, pages 

15254–15255). Public comments were 

requested by May 16, 2022. There were 

public comments from three 

organizations. 

Need and Proposed Use of the 

Information: HRSA is seeking additional 

information about the strategies and 

partners home visiting programs have 

used to advance health equity in 

communities disproportionately 

impacted by the COVID–19 public 

health emergency. HRSA intends to use 

this information to provide technical 

assistance and disseminate best 

practices to MIECHV awardees, publish 

findings for lay and research audiences 

to advance the field’s knowledge of 

home visiting’s role in COVID–19 

response, and to prepare state and local 

home visiting programs for future public 

health emergencies. 

Likely Respondents: MIECHV Program 

awardees that are states, territories, and, 

where applicable, nonprofit 

organizations receiving MIECHV 

funding to provide home visiting 

services within states; state and local 

representatives from home visiting, 

public health, health care, and other 

human service agencies in the early 

childhood system; community 

organizers, Tribal elders, religious 

leaders; families (including families 

participating in MIECHV-funded home 

visiting services and those with shared 

experiences); community members, 

including community-based program 

administrators and community service 

providers, including home visitors. 

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 


jspears on DSK121TN23PROD with NOTICES1
42184 Federal Register / Vol. 87, No. 134 / Thursday, July 14, 2022 / Notices 

1There may be variation in the number of study 

participants and home visiting programs in each 

community (e.g., some selected communities may 

have fewer home visitors). The total burden hours 

presented here provide information assuming the 

maximum number of respondents in each 

community. 

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. Compared to the versions 

submitted for the 60-day approval 

process in March, estimated burden 

hours have increased as a result of 

implementing the feedback provided in 

public comments during the 60-day 

comment period and pre-testing data 

collection protocols. The total annual 

burden hours estimated for this ICR are 

summarized in the table below. 

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS 1

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total 

burden hours 

Community Interview Protocol ............................................. 60 1 60 1.50 90 

Family and Community Focus Group Guide ....................... 240 1 240 2.00 480 

Community and Home Visitor Survey Instrument ............... 500 1 500 0.75 375 

Program Data ....................................................................... 15 1 15 10.00 150 

Total .............................................................................. 815 ........................ 815 ........................ 1095 

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. 2022–15082 Filed 7–13–22; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Tribal Self-Governance Negotiation 

Cooperative Agreement Program 

Announcement Type: New. 

Funding Announcement Number: 

HHS–2022–IHS–TSGN–0002. 

Assistance Listing (Catalog of Federal 

Domestic Assistance or CFDA) Number: 

93.444. 

Key Dates 

Application Deadline Date: August 

31, 2022. 

Earliest Anticipated Start Date: 

September 30, 2022. 

I. Funding Opportunity Description 

Statutory Authority 

The Indian Health Service (IHS) is 

accepting applications for Negotiation 

Cooperative Agreements for the Tribal 

Self-Governance Program (TSGP). This 

program is authorized under the Snyder 

Act, 25 U.S.C. 13; the Transfer Act, 42 

U.S.C. 2001(a); and Title V of the Indian 

Self-Determination and Education 

Assistance Act (ISDEAA), 25 U.S.C. 

5383(e). This program is described in 

the Assistance Listings located at 

https://sam.gov/content/home (formerly 

known as Catalog of Federal Domestic 

Assistance) under 93.444. 

Background 

The TSGP is more than an IHS 

program; it is an expression of the 

government-to-government relationship 

between the United States (U.S.) and 

Indian Tribes. Through the TSGP, 

Tribes negotiate with the IHS to assume 

Programs, Services, Functions, and 

Activities (PSFAs), or portions thereof, 

which gives Tribes the authority to 

manage and tailor health care programs 

in a manner that best fits the needs of 

their communities. 

Participation in the TSGP affords 

Tribes the most flexibility to tailor their 

health care needs by choosing one of 

three ways to obtain health care from 

the Federal Government for their 

citizens. Specifically, Tribes can choose 

to: (1) receive health care services 

directly from the IHS; (2) contract with 

the IHS to administer individual 

programs and services the IHS would 

otherwise provide (referred to as Title I 

Self-Determination Contracting); and (3) 

compact with the IHS to assume control 

over health care programs the IHS 

would otherwise provide (referred to as 

Title V Self-Governance Compacting or 

the TSGP). These options are not 

exclusive and Tribes may choose to 

combine options based on their 

individual needs and circumstances. 

The TSGP is a tribally-driven 

initiative and strong Federal-Tribal 

partnerships are essential to the 

program’s success. The IHS established 

the Office of Tribal Self-Governance 

(OTSG) to implement the Tribal SelfGovernance authorities under the 

ISDEAA. The primary OTSG functions 

are to: (1) serve as the primary liaison 

and advocate for Tribes participating in 

the TSGP; (2) develop, direct, and 

implement TSGP policies and 

procedures; (3) provide information and 

technical assistance to Self-Governance 

Tribes; and (4) advise the IHS Director 

on compliance with TSGP policies, 

regulations, and guidelines. Each IHS 

Area has an Agency Lead Negotiator 

(ALN), designated by the IHS Director to 

act on his or her behalf, who has 

authority to negotiate Self-Governance 

Compacts and Funding Agreements 

(FA). Tribes interested in participating 

in the TSGP should contact their 

respective ALN to begin the SelfGovernance planning and negotiation 

process. Tribes currently participating 

in the TSGP that are interested in 

expanding existing or adding new 

PSFAs should also contact their 

respective ALN to discuss the best 

methods for expanding or adding new 

PSFAs. 

Purpose 

The purpose of this Negotiation 

Cooperative Agreement is to provide 

Tribes with resources to help defray the 

costs associated with preparing for and 

engaging in TSGP negotiations. TSGP 

negotiations are a dynamic, evolving, 

and tribally-driven process that requires 

careful planning, preparation, and 

sharing of precise, up-to-date 

information by both Tribal and Federal 

parties. Because each Tribal situation is 

unique, a Tribe’s successful transition 


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