[Federal Register Volume 82, Number 217 (Monday, November 13, 2017)]
[Notices]
[Pages 52312-52314]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-24495]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

[OMB No. 0915-0172--Revision]


Agency Information Collection Activities: Submission to OMB for 
Review and Approval; Public Comment Request; Title V Maternal and Child 
Health Services Block Grant to States Program: Guidance and Forms for 
the Title V Application/Annual Report

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services.

ACTION: Notice.

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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 December 
13, 2017.

ADDRESSES: Submit your comments, including the ICR Title, to the desk 
officer for HRSA, either by email to <a href="/cdn-cgi/l/email-protection#a5eaecf7e4fad6d0c7c8ccd6d6cccacbe5cac8c78bc0cad58bc2cad3"><span class="__cf_email__" data-cfemail="236c6a71627c5056414e4a50504a4c4d634c4e410d464c530d444c55">[email protected]</span></a> or by 
fax to 202-395-5806.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email Lisa Wright-Solomon, the 
HRSA Information Collection Clearance Officer at <a href="/cdn-cgi/l/email-protection#6e1e0f1e0b1c19011c052e061c1d0f40090118"><span class="__cf_email__" data-cfemail="a4d4c5d4c1d6d3cbd6cfe4ccd6d7c58ac3cbd2">[email protected]</span></a> or 
call (301) 443-1984.

SUPPLEMENTARY INFORMATION: 
    Information Collection Request Title: Title V Maternal and Child 
Health Services Block Grant to States Program: Guidance and Forms for 
the Title V Application/Annual Report.
    OMB No.: 0915-0172--Revision.
    Abstract: HRSA is updating the Title V Maternal and Child Health 
Services Block Grant to States Program: Guidance and Forms for the 
Title V Application/Annual Report. This guidance is used annually by 
the 50 states and 9 jurisdictions in applying for Block Grants under 
Title V of the Social Security Act and in preparing the required annual 
report. The updates proposed by HRSA's Maternal and Child Health Bureau 
(MCHB) for this edition of the guidance are intended to reinforce the 
reporting structure and vision outlined in the previous edition and to 
reinforce the role of the state in developing a Title V Maternal and 
Child Health (MCH) Action Plan that responds to its unique priority 
needs. These updates are intended to enable a state to present an 
articulate and comprehensive description of its Title V program 
activities and leadership role in assuring a public health system for 
serving the MCH population. The proposed updates to the next edition of 
the guidance were informed by comments received from state Title V MCH 
program leadership, national MCH leaders, family-led organizations, 
other MCH stakeholders and the public. Publication of a 60-day Federal 
Register notice on June 9, 2017 at 82 FR 26810, generated comments on 
the proposed changes to the narrative reporting requirements, reporting 
forms, definitions, consolidation of the 15 National Performance 
Measures (NPMs) into five domains, re-titling of a sixth domain to 
``Cross-cutting and Systems Building,'' reduction in the required 
number of state-selected NPMs and description of family partnerships.
    Specific updates to this edition of the Title V Maternal and Child 
Health Services Block Grant to States Program: Guidance and Forms for 
the Title V Application/Annual Report include the following:
    (1) The current performance measure framework is maintained, but 
the 15 National Performance Measures (NPMs) are now distributed within 
five population domains (i.e., (Women/Maternal Health; Perinatal/Infant 
Health; Child Health; Adolescent Health; and Children with Special 
Health Care Needs (CSHCN)).
    (2) The Cross-cutting/Life Course domain is replaced by the Cross-
cutting and Systems Building Domain, which is an optional domain for 
states to include as a State Performance Measure (SPM) for addressing 
an identified priority

[[Page 52313]]

need that is not aligned with one or more of the five population health 
domains. The compound NPMs formerly included in the Cross-cutting/Life 
Course domain (i.e., NPM #13 and NPM #14), along with NPM #15, are 
incorporated into the most relevant population health domain(s).
    (3) The required minimum number of NPMs to be selected by a state 
is reduced from eight to five. A state will select at least one NPM in 
each of the five population health domains, but a state can choose to 
select additional NPMs based on its current State Action Plan and 
identified priority needs.
    (4) A state has flexibility in the number of SPMs it develops, 
provided each identified MCH priority need is addressed by either a NPM 
and/or SPM.
    (5) The development and implementation of evidence-based and/or 
evidence-informed strategies and measures continues to be a point of 
focus and an enhanced definition of ``evidence-based,'' clarifying 
instructions and state examples of Evidence-based or -informed Strategy 
Measures are included.
    (6) Clearer expectations around state Title V reporting on family 
are outlined, which include enhanced discussion of specific program 
activities, their impact on all sectors of the MCH population and their 
demonstrated value in improving MCH outcomes.
    (7) Narrative reporting requirements around services for CSHCN are 
enhanced to allow each state to identify and define the components of 
its system of services. States are also encouraged to reflect on the 
impact of these services within the context of the identified priority 
needs and the measures selected for the State Action Plan.
    (8) Further anticipated reductions to state burden are attained 
through more streamlined narrative reporting, particularly between the 
State Overview, Needs Assessment and State Action Plan sections; 
clearer descriptions of expected content in each of the narrative 
sections; and refined instructions for completing the data reporting 
forms. Notable among these updates is the restructuring of the State 
Action Plan narrative discussion to allow a state Title V program 
greater flexibility in describing its public health framework (e.g., 
life course model), leadership and partnership roles, cross-cutting 
strategies and the leveraging of resources.
    It is recognized that the full extent of the anticipated burden 
reduction will be realized over time as states become more familiar 
with the updated instructions and reporting requirements. The burden 
estimates presented in the table below are based on previous burden 
estimates and consultations with a few states on the proposed updates. 
Once implemented, HRSA will explore opportunities for soliciting 
additional information from no more than nine states to derive accurate 
estimates.
    Need and Proposed Use of the Information: Each year, all states and 
jurisdictions are required to submit an Application/Annual Report for 
Federal funds for their Title V MCH Services Block Grant to States 
Program to HRSA's MCHB (Section 505(a) of Title V of the Social 
Security Act). In addition, each state is required to conduct a 
statewide, comprehensive Needs Assessment every five years. The 
information and instructions for the preparation and submission of this 
Application/Annual Report are contained in the Title V Maternal and 
Child Health Services Block Grant to States Program: Guidance and Forms 
for the Title V Application/Annual Report.
    Likely Respondents: By legislation (Section 505(a) of Title V of 
the Social Security Act), the MCH Block Grant application/annual report 
must be developed by, or in consultation with, the state MCH Health 
agency.
    Burden Statement: Burden in this context means the time expended by 
persons to generate, maintain, retain, disclose, or provide the 
information requested. This estimate 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
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                                                     Number of                      Burden per
            Form name               Number  of     responses per       Total       response  (in   Total  burden
                                    respondents     respondent       responses        hours)           hours
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Application and Annual Report                 59               1              59             120           7,080
 without 5-Year Needs Assessment
 Summary........................
Application and Annual Report                 59               1              59             189          11,151
 with 5-Year Needs Assessment
 Summary........................
                                 -------------------------------------------------------------------------------
    Average Total Annual Burden.              59  ..............              59  ..............         * 8,437
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* Reflects the average of one Application/Annual Report with a Five-Year Needs Assessment Summary and two
  Applications/Annual Reports without a Five-Year Needs Assessment Summary.

    In fiscal year (FY) 2019 and FY 2020, states and jurisdictions will 
be submitting an application and annual report without a Five-year 
Needs Assessment Summary for a total estimated burden of 14,160 hours. 
In FY 2021, states and jurisdictions will be submitting an application 
and annual report with a five-year Needs Assessment Summary for a total 
estimated burden of 11,151 hours.
    In deriving these estimates, HRSA contacted fewer than 10 states to 
discuss the level of burden associated with the development and 
submission of an application/annual Report under the current guidance. 
The burden estimates reflect the average level of burden necessary to 
meet the specified reporting requirements. States often report a range 
of burden hours due to the differences in their population size, 
program resources and the extensiveness of the processes they use to 
conduct their five-year Needs Assessment and to prepare the yearly MCH 
Block Grant Applications/Annual Reports. Continued enhancements to the 
electronic data entry system also contribute to reductions in state 
burden associated with the yearly preparation/submission of an 
application/annual Report.
    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

[[Page 52314]]

or other forms of information technology to minimize the information 
collection burden.

Amy McNulty,
Acting Director, Division of the Executive Secretariat.
[FR Doc. 2017-24495 Filed 11-9-17; 8:45 am]
 BILLING CODE 4165-15-P


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