Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: The Maternal, Infant, and Early Childhood Home Visiting Program Statewide Needs Assessment Update
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Abstract
In compliance with the requirement for opportunity for public comment on proposed data collection projects of 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.
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<title>Federal Register, Volume 89 Issue 188 (Friday, September 27, 2024)</title>
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[Federal Register Volume 89, Number 188 (Friday, September 27, 2024)]
[Notices]
[Pages 79297-79299]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-22182]
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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 Statewide
Needs Assessment Update
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
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SUMMARY: In compliance with the requirement for opportunity for public
comment on proposed data collection projects of 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.
DATES: Comments on this ICR should be received no later than October
28, 2024.
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 information
collection by selecting ``Currently under Review--Open for Public
Comments'' or by using the search function.
FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance
requests submitted to OMB for review, email Joella Roland, the HRSA
Information Collection Clearance Officer, at <a href="/cdn-cgi/l/email-protection#1b6b7a6b7e696c7469705b7369687a357c746d"><span class="__cf_email__" data-cfemail="4737263722353028352c072f35342669202831">[email protected]</span></a> or call
(301) 443-3983.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the ICR title for reference.
Information Collection Request Title: The Maternal, Infant, and
Early Childhood Home Visiting Program Statewide Needs Assessment
Update--Amendment, OMB No. 0906-0038--Revision.
Abstract: HRSA is requesting approval to collect amended statewide
needs assessment updates from Maternal, Infant, and Early Childhood
Home Visiting (MIECHV) Program awardees. The 2020 statewide needs
assessment update approved under OMB control number 0906-0038 expired
November 30, 2021, and is discontinued. The prior approval was
discontinued as the requirement was for a one-time data collection in
response to the 2018 reauthorizing statute. Eligible
[[Page 79298]]
entities that are states, jurisdictions, and non-profit organizations
submitted statewide needs assessment updates in response to the 2020
Needs Assessment Update Supplemental Information Request (SIR) (and a
corresponding SIR for jurisdiction awardees). While eligible entities
are not required by law to update their statewide needs assessments,
those that wish to amend their previously submitted needs assessment
updates will have the opportunity to do so prior to submitting their
fiscal year 2025 base and matching grant funding applications and in
response to reissued instructions provided by the agency for this
purpose. This request will reinstate this information collection with
updated instructions. The updated instructions will be for awardees who
request to amend their needs assessment update in advance of their
fiscal year 2025 funding application.
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 to parents
with young children up to kindergarten entry. States, jurisdictions,
tribal entities, and nonprofit organizations, in certain circumstances,
are eligible to receive funding through MIECHV and have the
flexibility, within the parameters of the authorizing statute, to
tailor the program to serve the specific needs of their communities.
The statewide needs assessment is a critical and foundational resource
that assists awardees in identifying and understanding how to meet the
needs of eligible families living in at-risk communities in their
states, especially as awardees make decisions about how to expand
service delivery in their states with annual increases in MIECHV
matching grants.
A 60-day notice was published in the Federal Register on May 24,
2024 at 89 FR 45903-04. HRSA received four comments from interested
parties and MIECHV-funded program administrators. The first comment
discussed interest in HRSA providing updated data tables (similar to
those provided to awardees for the 2020 needs assessment update),
subpopulation level data, requesting additional funding to facilitate
the needs assessment update, and concerns about removing services from
previously served communities. HRSA considered this comment; however,
no changes will be made to the information collection, which allows for
awardees to amend their statewide needs assessment update that was
submitted and approved in response to the 2020 SIR guidance by
identifying additional at-risk communities and does not require that
awardees conduct a full needs assessment update at this time. Because a
full needs assessment update is not required, HRSA is not providing
funding or updated data. HRSA is providing flexibility for awardees to
cite their own data to identify at-risk communities. The primary focus
of the current information collection allows MIECHV awardees to
identify additional at-risk communities where families with the most
need are located using national, state, or local data sources to
support their selection, with no collection of information regarding
potential removal of services from currently served communities.
The second comment discussed concerns regarding the structure of
the needs assessment update submission timeline and limitations of the
needs assessment criteria for serving specific populations, such as
communities experiencing homelessness. HRSA considered this comment;
however, no changes will be made to the information collection because
instructions have already provided flexibility for awardees to leverage
data sources across programs and systems, such as data regarding
families' housing status, to provide justification for their selections
of additional at-risk communities. Rather than completing a full needs
assessment, HRSA is asking awardees for updated information on
additional at-risk counties and minimal edits to previously approved
statewide needs assessments and anticipates that the information
collection can be achieved in a short timeline.
The third comment discussed the benefits of promoting coordination
and referrals across early childhood systems and services within states
and communities through the inclusion of other statewide needs
assessments and additional data sources for identifying at-risk
counties. The comment also suggested that HRSA's guidance allow for
awardees to cite data from other needs assessment and state-level early
childhood grants, such as those funded through the Preschool
Development Grant Birth through Five. HRSA considered this comment;
however, no changes will be made to the information collection because
the 2020 SIR guidance has already provided flexibility for awardees to
leverage national, state, or local data sources across programs and
systems to provide justification for their selections of additional at-
risk communities.
The fourth comment discussed the accuracy of the burden estimate
and the usage of automated collection techniques to minimize the
information collection burden. HRSA considered this comment; however,
no changes will be made to the information collection because the
burden estimate reflects that the instructions only require respondents
to add additional communities and provide supporting data and narrative
for only those additions, rather than completing a full needs
assessment that will support an increased burden estimate, and based on
similar data collection and grant reporting requirements, this burden
estimate reflects and aligns with the experience of awardees.
Need and Proposed Use of the Information: Congress, through
enactment of the Social Security Act, title V, section 511 (42 U.S.C.
711), as amended, established the MIECHV Program. The MIECHV Program is
designed to: (1) strengthen and improve the programs and activities
carried out under title V of the Social Security Act, (2) improve
coordination of services for at-risk communities, and (3) identify and
provide comprehensive services to improve outcomes for families who
reside in at-risk communities. Section 511(b)(1) of the Social Security
Act requires that states review and update their statewide needs
assessments (which may be separate from, but in coordination with, the
Title V statewide needs assessment) no later than October 1, 2020, as a
condition of receiving payments from Title V Block Grant allotments.
Since completing the needs assessment update, state and jurisdiction
awardees may wish to amend their needs assessment update to identify
additional communities where families with the most need are in their
state or jurisdiction.
In response to the 2020 Needs Assessment Update SIR, state and
jurisdiction awardees were required to submit an updated statewide
needs assessment that identified all the following information, as
required by the MIECHV authorizing statute:
(1) Communities with concentrations of (a) premature birth, low-
birth weight infants, and infant mortality, including infant death due
to neglect, or other indicators of at-risk prenatal, maternal, newborn,
or child health; (b) poverty; (c) crime; (d) domestic violence; (e)
high rates of high school drop-outs; (f) substance abuse; (g)
unemployment; or (h) child maltreatment.
(2) The quality and capacity of existing programs or initiatives
for early childhood home visitation in the state including the number
and types of
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individuals and families who are receiving services under such programs
or initiatives, the gaps in early childhood home visitation in the
state, and the extent to which such programs or initiatives are meeting
the needs of eligible families.
(3) The state's capacity for providing substance abuse treatment
and counseling services to individuals and families in need of such
treatment or services.
The SIR provided guidance to states in updating their statewide
needs assessments and submitting the required information to HRSA.
States that elected not to apply or be awarded MIECHV funds were
encouraged to work with nonprofit organizations that received awards to
provide MIECHV-supported services within the state and determine
whether they will submit their needs assessments directly or through
the nonprofit organization awardee. HRSA and recipients providing
MIECHV services within states used the information collected through
the needs assessment update to ensure the continued provision of MIECHV
home visiting services in at-risk communities. The information is also
used to support program planning, improvement, and decision-making.
States wishing to amend their needs assessment will be asked to provide
new information and supporting data. HRSA will provide specific
instructions on timeline and the amendment process to awardees who
request to amend their needs assessment update in advance of their
fiscal year 2025 funding application. HRSA is not proposing any changes
to the previously approved Needs Assessment SIR.
Likely Respondents: MIECHV Program Awardees that are states,
jurisdictions, and where applicable, nonprofit organizations providing
services within states. Based on preliminary interest expressed by
MIECHV awardees to date, HRSA anticipates that approximately 35 of the
56 awardees may respond to this opportunity.
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
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. Burden hours reflect that
existing needs assessments will be amended rather than fully developed.
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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Maternal, Infant, and Early 35 1 35 30 1,050
Childhood Home Visiting Program
Statewide Needs Assessment
Update--Amended................
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Total....................... 35 .............. 35 .............. 1,050
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Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2024-22182 Filed 9-26-24; 8:45 am]
BILLING CODE 4165-15-P
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