Federal Register / Vol. 80, No. 9 / Wednesday, January 14, 2015 / Notices 1919 

Management (see ADDRESSES) between 9 

a.m. and 4 p.m., Monday through Friday 

and will be posted to the docket at 

http://www.regulations.gov. 

This notice is issued under section 

351 of the Public Health Service Act (42 

U.S.C. 262) and sections 201, 501, 502, 

505, and 701 of the Federal Food, Drug, 

and Cosmetic Acts (21 U.S.C. 321, 351, 

352, 355, and 371), and under the 

authority delegated to the Commissioner 

and redelegated to the Director and 

Deputy Director of the Center for 

Biologics Evaluation and Research (FDA 

Staff Manual Guide 1410.203). 

Dated: January 9, 2015. 

Leslie Kux, 

Associate Commissioner for Policy. 

[FR Doc. 2015–00442 Filed 1–13–15; 8:45 am] 

BILLING CODE 4164–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Determining Mental Health 

Professional Shortage Areas of 

Greatest Need 

AGENCY: Health Resources and Services 

Administration (HRSA), Health and 

Human Services (HHS). 

ACTION: updating of the scoring criteria 

for determining mental health 

professional shortage areas (HPSA) of 

greatest need. 

SUMMARY: In accordance with the 

requirements of section 333A(b)(1) of 

the Public Health Service (PHS) Act, as 

amended by the Health Care Safety Net 

Amendments of 2002, 42 U.S.C. 254f1(b)(1), the Secretary of HHS shall 

establish the criteria which she will use 

to make determinations under section 

333A(a)(1)(A) of the HPSAs with the 

greatest shortages. This notice sets forth 

revised criteria for determining mental 

health HPSAs with the greatest shortage. 

This updates the previous criteria 

published on May 30, 2003. 

DATES: Effective January 14, 2015. 

FOR FURTHER INFORMATION CONTACT: Kae 

Brickerd, Ph.D., Chief, Shortage 

Designation Branch, Bureau of Health 

Workforce, Division of Policy and 

Shortage Designation, Health Resources 

and Services Administration, 11W14 

Parklawn Building, 5600 Fishers Lane, 

Rockville, Maryland 20857, 301 945– 

0828, kbrickerd@hrsa.gov. 

SUPPLEMENTARY INFORMATION: Section 

332 of the 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. 

The required regulations setting forth 

the criteria for designating HPSAs are 

codified at 42 CFR part 5. Section 

333A(a)(1)(A) of the PHS Act and 

requires that the Secretary give priority 

in the assignment of National Health 

Service Corps personnel to entities 

serving HPSAs with the greatest health 

professional shortage. Section 333A(b) 

of the PHS Act requires that the 

Secretary establish criteria specifying 

the manner in which she determines 

HPSAs of greatest shortage and publish 

the criteria, and any revisions to the 

criteria, in the Federal Register. The 

criteria established by the Secretary 

create a method for scoring HPSAs 

based on relative shortage. 

In the Federal Register notice on May 

30, 2003, 68 FR 32531, the following 

criteria were identified for determining 

scores for mental health HPSAs: 

population to provider ratio, percentage 

of the population below 100 percent of 

poverty, travel time to the nearest 

alternative source of care, the ratio of 

children under age 18 to adults age 18– 

64, the ratio of adults over age 65 to 

adults age 18–64, and alcohol and 

substance abuse prevalence rates. Each 

factor is given points and the score is 

the sum of the points, up to 25. This 

notice modifies and provides 

clarification to the point scale for the 

population to provider ratio component 

of the formula, based on an assessment 

that the current point scale for the 

population to provider ratio does not 

adequately reflect the level of shortage. 

As a result of the modifications, the 

point values assigned for some 

population to provider ratios will see 

either a small increase or decrease, 

while others may remain unchanged. 

All other scoring criteria and point 

scales remain the same as published in 

the previous notice. 

The point scale published in 2003 for 

the population to provider ratio is 

presented in the following table: 

Psychiatrist ratio Core mental health ratio Score 

>45,000:0 AND .............................................................................. >4,500:0 ....................................................................................... 8 

>4500:1 and <6000:11 ................................................................. 7 

<20,000:1 and >15,000:1 AND ..................................................... >6000:1 and <9,000:1 ................................................................. 6 

<30,000:1 and >15,000:1 OR ....................................................... >4,500:1 and <6,000:1 ................................................................ 5 

<45,000:1 and > 20,000:1 AND .................................................... >4,500:0 and <6,000:0 ................................................................ 4 

>20,000:1 AND .............................................................................. >6,000:1 ....................................................................................... 3 

>30,000:1 ...................................................................................... ...................................................................................................... 2 

>9,000:1 ....................................................................................... 1 

1 > = Greater Than; < = Less Than 

To reflect the mental health services 

available in a community, entities 

applying for Mental Health HPSAs are 

encouraged to report on the number of 

both psychiatrists and core mental 

health providers rendering services. The 

revised point scale is as follows: 

For Geographic High Need and 

Population HPSAs, as defined in the 

designation criteria set forth in 42 CFR 

part 5, Appendix C, Part 1, and A.4. 

BILLING CODE 4165–15–P 

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Geographic High Need Core Mental Health Ratio 

and Population 2:4.5K 2:6K 2:7.5K 2:9K 2:12K 2:15K 

and and and and and and 

<6K:1 2 <7.5K:1 <9K:l <12K:1 <15K:l <18K:l 2: 18K:l 

> 15K and <20K: 1 1 2 3 4 5 6 7 

0 2:20K and <25K: 1 2 3 4 5 6 7 7 ·-~ 2:25K and <30K: 1 3 4 5 6 7 7 7 0:: 

...... 

ifJ. 2:30K and <35K:l 4 5 6 7 7 7 7 . ~ 2:35K and <40K: 1 5 6 7 7 7 7 7 .tl 

ro 

·-,.s::: >40K and <45K: 1 6 7 7 7 7 7 7 (.) 

~ 2:45K:1 or 0 ifJ. 

0... psychiatrists as 

verified by HRSA 7 7 7 7 7 7 7 

Only Reporting No Psychiatrists or Core Mental 

Psychiatrists (Geographic Only Reporting Core Mental Health Providers as verified by 

High Need and Health Providers( Geographic HRSA (Geographic High Need and 

Population) High Need and Population) Population) 

Ratio Score Ratio Score Ratio Score 

2:20K and <25K: 1 1 2:6K and <7.5K:l 1 2:1.5K and <3K:O 1 

2:25K and <30K: 1 2 2:7 .5K and <9K: 1 2 2:3K and <4.5K:O 2 

2:30K and <35K:1 3 2:9Kand <12K: 1 3 2:4.5K and <6K:O 3 

2:35K and <40K:1 4 2:12K and <15K:l 4 2:6K and <7.5K:O 4 

2:40K and <45K: 1 5 2: 5K and <18K:1 5 2:7.5K and <9K:O 5 

2:45K and <50K: 1 6 2:18K and <24K:1 6 2:9K and <12K:O 6 

2:50K:l 7 2:24K:l 7 2:12K and <15K:O 7 

2 :=::=Greater Than or Equal to; K=thousand 
Federal Register / Vol. 80, No. 9 / Wednesday, January 14, 2015 / Notices 1921 

Dated: January 6, 2015. 

Mary K. Wakefield, 

Administrator. 

[FR Doc. 2015–00398 Filed 1–13–15; 8:45 am] 

BILLING CODE 4165–15–C 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Submission for OMB Review; 30-day 

Comment Request Progress Reports 

for Center for Global Health’s Low and 

Mid-Income Countries (LMICs) Global 

Health Collaborations (NCI) 

SUMMARY: Under the provisions of 

Section 3507(a)(1)(D) of the Paperwork 

Reduction Act of 1995, the National 

Institutes of Health (NIH), has submitted 

to the Office of Management and Budget 

(OMB) a request for review and 

approval of the information collection 

listed below. This proposed information 

collection was previously published in 

the Federal Register on July 28, 2014, 

Vol. 79, P. 43755 and allowed 60-days 

for public comment. No public 

comments were received. The purpose 

of this notice is to allow an additional 

30 days for public comment. The 

National Cancer Institute (NCI), 

National Institutes of Health, may not 

conduct or sponsor, and the respondent 

is not required to respond to, an 

information collection that has been 

extended, revised, or implemented on or 

after October 1, 1995, unless it displays 

a currently valid OMB control number. 

Direct Comments to OMB: Written 

comments and/or suggestions regarding 

the item(s) contained in this notice, 

especially regarding the estimated 

public burden and associated response 

time, should be directed to the: Office 

of Management and Budget, Office of 

Regulatory Affairs, OIRA_submission@

omb.eop.gov or by fax to 202–395–6974, 

Attention: NIH Desk Officer. 

DATES: Comment Due Date: Comments 

regarding this information collection are 

best assured of having their full effect if 

received within 30-days of the date of 

this publication. 

FOR FURTHER INFORMATION CONTACT: To 

obtain a copy of the data collection 

plans and instruments, or request more 

information on the proposed project, 

contact: Paul C. Pearlman, Ph.D., Center 

for Global Health, National Cancer 

Institute, 9609 Medical Center Dr., RM 

3W550, Rockville, MD 20850 or call 

non-toll-free number 240–276–5354 or 

Email your request, including your 

address to: paul.pearlman@nih.gov. 

Formal requests for additional plans and 

instruments must be requested in 

writing. 

Proposed Collection: Progress Reports 

for Center for Global Health’s Low and 

Mid-Income Countries (LMICs) Global 


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