Notice2023-04185
Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Maternal, Infant, and Early Childhood Home Visiting Program Home Visiting Program Budget Assistance Tool
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
March 1, 2023
Issuing agencies
Health and Human Services DepartmentHealth Resources and Services Administration
Abstract
In compliance with the Paperwork Reduction Act of 1995, HRSA 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.
Full Text
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<title>Federal Register, Volume 88 Issue 40 (Wednesday, March 1, 2023)</title>
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[Federal Register Volume 88, Number 40 (Wednesday, March 1, 2023)]
[Notices]
[Pages 12951-12953]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-04185]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Submission to OMB for
Review and Approval; Public Comment Request; Maternal, Infant, and
Early Childhood Home Visiting Program Home Visiting Program Budget
Assistance Tool
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
submitted an Information Collection Request (ICR) to the Office of
[[Page 12952]]
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 March 31,
2023.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. 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 more information on the
proposed project or to obtain a copy of the data collection plans and
draft instruments, email <a href="/cdn-cgi/l/email-protection#1f6f7e6f7a6d68706d745f776d6c7e31787069"><span class="__cf_email__" data-cfemail="d8a8b9a8bdaaafb7aab398b0aaabb9f6bfb7ae">[email protected]</span></a> or call Samantha Miller,
the acting HRSA Information Collection Clearance Officer, at 301-594-
4394.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title: Maternal, Infant, and Early
Childhood Home Visiting (MIECHV) Program Home Visiting Budget
Assistance Tool (HV-BAT), OMB No. 0906-0025--Revision.
Abstract: HRSA is requesting an extension of approval and revision
to the burden estimates for the HV-BAT. The tool collects information
on standardized cost metrics from programs that deliver home visiting
services. Entities receiving MIECHV formula funds that are states,
jurisdictions, and nonprofit awardees are required to submit cost data
using the HV-BAT to HRSA once every 3 years to be reviewed for accuracy
and quality control and to collect data to estimate national program
costs.
The MIECHV Program, authorized by section 511 of the Social
Security Act, 42 U.S.C. 711, and administered by HRSA in partnership
with the Administration for Children and Families, supports voluntary,
evidence-based home visiting services during pregnancy and for parents
with young children up to kindergarten entry. States, tribal entities,
and certain nonprofit organizations 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. Funding recipients
may subaward grant funds to local implementing agencies (LIAs) to
provide services to eligible families in at-risk communities. HRSA is
making the following changes to the HV-BAT:
<bullet> Updating the burden estimate for completing the HV-BAT
based on recently gathered information. The burden estimate reflects
both awardee and LIA staff hours to complete an HV-BAT. HRSA expects
the majority of awardees will be submitting data from multiple LIAs,
and some LIAs may submit multiple HV-BATs to account for each model
implemented at their site.
<bullet> Translating the HV-BAT data collection instrument into
Spanish to expand accessibility.
A 60-day notice was published in the Federal Register on November
8, 2022, 87 FR 67481-82. HRSA received five responses to the request
for public comment. Two commentors are current MIECHV awardees, one is
a home visiting model developer, one is a national membership
organization representing MIECHV awardees, and one is a consultancy
group directing a national initiative relating to home visiting.
Commentors posed questions about the utility of HV-BAT data (e.g.,
relevance of data collected from the prior year, lack of data context
collected through the tool, how HRSA will account for variation in
local labor markets) and of the specific data items collected (e.g.,
necessity of collecting rural and frontier visit data, MIECHV funding
percentages, and combined salary and fringe data). In addition,
commentors provided recommendations for updating burden estimates and
improving HRSA's technical assistance and feedback (e.g., providing
support for estimating in-kind costs and additional suggestions for
review and feedback from HRSA).
HRSA views HV-BAT as an important tool for collecting standardized
cost information across awardees, understanding the comprehensive costs
of home visiting, and informing program planning and policy. During HV-
BAT tool development, HRSA reviewed available cost measurement reports,
tested the tool with awardees during the pilot and feasibility studies,
and assessed the types of data that would be critical for understanding
home visiting costs and funding allocation. Data categories within the
tool were chosen to address these identified needs and fill in gaps in
existing research. To ensure consistency in data collected across three
cohorts of respondents, HRSA is not proposing to make updates to the
data collection instrument itself at this time. However, in response to
feedback on burden, the estimated average burden per response was
increased from 24 to 40 hours, which includes burden on both LIAs and
state-level awardees. In addition, awardees will have the option for
HRSA to aggregate their LIA-level HV-BAT data, decreasing awardee
burden. HRSA values the comments received regarding technical
assistance, such as challenges with the tool and the utility of
feedback received during the first round of submissions. HRSA is in the
process of refining technical assistance materials and processes to
better support awardees in response to these comments and to decrease
awardee time spent on back-and-forth regarding HV-BAT revisions.
Need and Proposed Use of the Information: HRSA uses HV-BAT data to
collect comprehensive home visiting cost data. Awardees submit
aggregated data from their individual LIAs, which provides HRSA with
information needed to produce state and national cost estimates and
support procurement activities and subrecipient monitoring. Requiring
data submission also allows HRSA to ensure the tool is being accurately
and appropriately used. Because the use of a standardized tool of this
kind is novel to the field of home visiting, HRSA requires that states
submit data collected using HV-BAT to HRSA for the purposes of quality
control reviews and accuracy checks. Submission will allow HRSA to
estimate national-level costs for use in conducting research and
analysis of home visiting costs, understanding cost variation, and
assessing how comprehensive program cost data can inform other policy
priorities, such as innovative financing strategies. HRSA is seeking to
revise burden estimates to ensure accuracy and inform awardee planning
for this activity. In addition, HRSA is translating the HV-BAT data
collection instrument into Spanish in response to previous awardee
feedback and to increase accessibility for LIA sites that primarily
operate in Spanish.
Likely Respondents: One-third of MIECHV Program awardees (n=19,
annually) that are states, jurisdictions, and 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
[[Page 12953]]
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 Average burden
Form name Number of responses per Total per response Total burden
respondents respondent responses (in hours) hours
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Home Visiting Budget Assistance 19 13 247 40 9,880
Tool...........................
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Total....................... 19 13 247 40 9,880
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Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2023-04185 Filed 2-28-23; 8:45 am]
BILLING CODE 4165-15-P
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