Notice2023-09635
Agency Information Collection Activities: Proposed Collection: Public Comment Request; 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
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
May 5, 2023
Issuing agencies
Health and Human Services DepartmentHealth Resources and Services Administration
Abstract
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). Prior to submitting the ICR to OMB, HRSA seeks comments from the public regarding the burden estimate, below, or any other aspect of the ICR.
Full Text
<html>
<head>
<title>Federal Register, Volume 88 Issue 87 (Friday, May 5, 2023)</title>
</head>
<body><pre>
[Federal Register Volume 88, Number 87 (Friday, May 5, 2023)]
[Notices]
[Pages 29135-29137]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-09635]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection:
Public Comment Request; 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
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). Prior to submitting the ICR to OMB, HRSA seeks comments from the
public regarding the burden estimate, below, or any other aspect of the
ICR.
DATES: Comments on this ICR should be received no later than July 5,
2023.
ADDRESSES: Submit your comments to <a href="/cdn-cgi/l/email-protection#443425342136332b362f042c3637256a232b32"><span class="__cf_email__" data-cfemail="334352435641445c4158735b4140521d545c45">[email protected]</span></a> or mail the HRSA
Information Collection Clearance Officer, Room 14N39, 5600 Fishers
Lane, Rockville, Maryland 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 <a href="/cdn-cgi/l/email-protection#95e5f4e5f0e7e2fae7fed5fde7e6f4bbf2fae3"><span class="__cf_email__" data-cfemail="dfafbeafbaada8b0adb49fb7adacbef1b8b0a9">[email protected]</span></a> or call Samantha Miller,
the HRSA Information Collection Clearance Officer, at (301) 443-1984.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the ICR title for reference.
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: The Title V Maternal and Child Health (MCH) Services
Block Grant to States Program is authorized by Sections 501-509 of
Title V of the Social Security Act (42 U.S.C. 701-709). 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 nine
jurisdictions \1\ (hereafter referred to as ``State'') in applying for
Block Grants under Title V of the Social Security Act and in preparing
the required Annual Report. The updates being proposed by HRSA's
Maternal and Child Health Bureau (MCHB) for this edition of the
Guidance continue to support the Federal-State partnership that is
supported by the Title V MCH Services Block Grant and the state's role
in developing a 5-Year Action Plan that addresses its individual
priority needs. These proposed updates build on and further refine the
reporting structure and vision that was outlined in the previous
edition. As such, they are intended to enable a state to articulate a
comprehensive description of its Title V program activities and its
leadership efforts in advancing and assuring a public health system
that serves the MCH population. HRSA's proposed updates to this edition
of the Guidance were informed by consultation with State Title V
maternal and child health agencies, and by comments received from State
Title V program leadership, national Maternal and Child Health leaders
and other stakeholders.
---------------------------------------------------------------------------
\1\ The following nine jurisdictions receive Title V Maternal
and Child Health Block Grant Program funding: the District of
Columbia, the Republic of the Marshall Islands, the Federated States
of Micronesia, the Republic of Palau the Commonwealth of Puerto
Rico, the US Virgin Islands, Guam, American Samoa, and the
Commonwealth of the Northern Mariana Islands.
---------------------------------------------------------------------------
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) Requirements for narrative reporting have been adjusted to
allow for streamlined reporting in the four interim years after the
needs assessment, giving states the flexibility to update certain
sections if they choose. Reporting for all narrative sections is
required in the year of the Five-Year Needs Assessment.
(2) The requirements for state and program capacity narrative
reporting have been reorganized and streamlined to eliminate
duplication.
(3) Expectations around state Title V reporting on family and
community partnerships have been clarified. These expectations include
enhanced
[[Page 29136]]
discussion on program and financial planning and activities, the impact
they have on the MCH population, and their value in improving outcomes.
(4) A greater emphasis on health equity as a guiding principle of
the Title V program is noted. Discussion on this principle is
incorporated in the needs assessment sections and the state action plan
for each MCH population. States have the option to identify and set
annual targets for priority populations under each National Performance
Measure (NPM) and use prepopulated, stratified data to report annual
progress.
(5) Reporting on the state's implementation of the Blueprint for
Change: A National Framework for a System of Services for Children and
Youth with Special Health Care Needs has been added for the children
with special health care needs (CSHCN) domain, which includes reporting
on the four critical areas in the Blueprint: health equity, family and
child well-being and quality of life, access to services, and financing
of services.
(6) The performance measure framework has been maintained; however,
the NPMs and National Outcome Measures (NOMs) have been updated to
reflect salient and emergent priorities at the state and national
levels. The framework has been updated to include measure domain types
for the NPMs. All NPMs are categorized by one of three types: clinical
health systems; health behaviors; and social determinants of health.
Within each MCH population health domain, there are at least three NPM
options, with at least one NPM for each measure domain type. The
exception is for CSHCN, where there is a greater focus on the need to
improve clinical health systems.
(7) Two NPMs are identified as Universal NPMs that every state is
required to address and report on in its Title V MCH Block Grant
Application/Annual Report. The Universal NPMs serve to accelerate
progress on priority areas with a focus on access and quality of
primary and preventive care. The two Universal NPMs are: (1) NPM 1-
Postpartum Visit in the Women/Maternal Health domain and (2) NPM 17-
Medical Home in the Child Health and CSHCN domains. A state must report
on a minimum of five NPMs, which includes the two Universal NPMs, with
at least one NPM for each of the five MCH population domains. States
have the flexibility to select as many NPMs and State Performance
Measures (SPMs) as necessary to address each of its priority needs
including the other NPMs within the Women/Maternal Health and CSHCN
domains. There is no maximum for the number of NPMs that a state can
select.
(8) A new set of Standardized Measures are available to select as
SPMs. Similar to NOMs and NPMs, annual performance data for these SPMs
will be prepopulated by MCHB from national data sources, if available,
and provided to the states for their use. States will be able to target
priority populations for MCH outcomes. The Standardized Measures set
contains measures that were NPMs in the previous Guidance as well as
former NOMs that function better as performance measures.
(9) A new form, Form 7: Title V Program Workforce, has been added
to quantify the Title V-funded positions in the state. This form will
be required only in the year of the Five-Year Needs Assessment, and
these data will help assist technical assistance efforts to support
workforce development.
Need and Proposed Use of the Information: Each year, all states 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
(sections 505(a) and 506(a)(1) of Title V of the Social Security Act).
In addition, the state MCH Services Block Grant programs are required
to conduct a state-wide, 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 MCH Services Block Grant to States Program: Guidance and Forms for
the Title V Application/Annual Report.
Likely Respondents: Likely respondents are state MCH agencies and
other MCH stakeholders.
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
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Form name Number of responses per Total per response Total burden
respondents respondent responses (in hours) hours
----------------------------------------------------------------------------------------------------------------
Application and Annual Report 59 1 59 115 6,785
without Five-Year Needs
Assessment Summary.............
Application and Annual Report 59 1 59 181 10,679
with Five Year Needs Assessment
Summary........................
-------------------------------------------------------------------------------
Total....................... 59 .............. 59 .............. 17,464
----------------------------------------------------------------------------------------------------------------
States will use the updated edition of the Title V MCH Services
Block Grant to States Program: Guidance and Forms for the Title V
Application/Annual Report to prepare and submit the fiscal year (FY)
2025, FY 2026, and FY 2027 Applications/FY 2023, FY 2024, and FY 2025
Annual Report. In calendar year 2025, states will use the updated
edition of the Title V MCH Services Block Grant to States Program:
Guidance and Forms for the Title V Application/Annual Report to submit
the next five-year needs assessment summary, as part of the FY 2026
Application/FY 2024 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 or other forms of information
[[Page 29137]]
technology to minimize the information collection burden.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2023-09635 Filed 5-4-23; 8:45 am]
BILLING CODE 4165-15-P
</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>Indexed from Federal Register on May 5, 2023.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.