Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: Maternal and Child Health Jurisdictional Survey Instrument for the Title V Maternal and Child Health Block Grant Program

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Published

October 31, 2024

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.

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<title>Federal Register, Volume 89 Issue 211 (Thursday, October 31, 2024)</title>
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[Federal Register Volume 89, Number 211 (Thursday, October 31, 2024)]
[Notices]
[Pages 86822-86823]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-25246]

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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: Maternal
and Child Health Jurisdictional Survey Instrument for the Title V
Maternal and Child Health Block Grant Program

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 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 December
30, 2024.

ADDRESSES: Submit your comments to <a href="/cdn-cgi/l/email-protection#6717061702151008150c270f15140649000811"><span class="__cf_email__" data-cfemail="e09081908592978f928ba088929381ce878f96">[email&#160;protected]</span></a> or mail the HRSA
Information Collection Clearance Officer, Room 14NWH04, 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#423223322730352d3029022a3031236c252d34"><span class="__cf_email__" data-cfemail="304051405542475f425b70584243511e575f46">[email&#160;protected]</span></a> or call Joella Roland, the
HRSA Information Collection Clearance Officer, at (301) 443-3983.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the ICR title for reference.
Information Collection Request Title: Maternal and Child Health
(MCH) Jurisdictional Survey Instrument for the Title V MCH Block Grant
Program, OMB No. 0906-0042--Revision
Abstract: The purpose of the Title V MCH Services Block Grant is to
improve the health of the nation's mothers, infants, children,
including children with special health care needs, and their families
by creating Federal/State partnerships that provide each State/
jurisdiction with needed flexibility to respond to its individual MCH
population needs. Unique to the MCH Block Grant is a commitment to
performance accountability, while assuring State flexibility. Utilizing
a three-tiered national performance measure framework, which includes
National Outcome Measures, National Performance Measures, and Evidence-
Based and -Informed Strategy Measures, State MCH Block Grant programs
report annually on their performance relative to the selected national
performance and outcome measures. Such reporting enables the State and
Federal program offices to assess the progress achieved in key MCH
priority areas and to document MCH Block Grant program accomplishments.
By legislation (section 505(a) and 506(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. In
establishing State reporting requirements, HRSA considers the
availability of national data from Federal agencies. Data for the
National Performance and Outcome Measures are pre-populated for States
in the Title V Information System. Such national data sources often do
not include data from the title V jurisdiction grantees, with the
exception of the District of Columbia. As a result, the eight remaining
jurisdictions (i.e., American Samoa, Guam, the Commonwealth of the
Northern Mariana Islands, the Republic of Palau, Puerto Rico, the
Republic of the Marshall Islands, the Federated States of Micronesia,
and U.S. Virgin Islands) have limited access to significant data and
MCH indicators, with limited resources for collecting these data.
Sponsored by HRSA, the MCH Jurisdictional Survey is designed to
produce data on the physical and emotional health of mothers and
children under 18 years of age in the following eight jurisdictions--
American Samoa, Guam, the Commonwealth of the Northern Mariana Islands,
the Republic of Palau, Puerto Rico, the Republic of the Marshall
Islands, the Federated States of Micronesia, and U.S. Virgin Islands.
More specifically, the MCH Jurisdictional Survey collects information
on factors related to the well-being of children, including health
status, visits to health care providers, health care costs, and health
insurance coverage. In addition, the MCH Jurisdictional Survey collects
information on factors related to the well-being of mothers, including
health risk behaviors, health conditions, and preventive health
practices. Collecting these data will enable the jurisdictions to meet
Federal performance reporting requirements and demonstrate the impact
of MCH Block Grant funding on MCH outcomes.
The MCH Jurisdictional Survey was designed based on information-
gathering activities with title V leadership and program staff in the
jurisdictions, Federal experts, and organizations with relevant data
collection experience. Survey items are based on the National Survey of
Children's Health; the Behavioral Risk Factor Surveillance System; the
Youth Behavior Surveillance System; and selected other Federal studies.
The Survey is designed as a core questionnaire to be administered
across all jurisdictions with a supplemental set of survey questions
customized to the needs of each jurisdiction.
The MCH Jurisdictional Survey has been conducted annually since
2019, with several modifications to address emerging issues and
challenges related to survey questions and methods. The 2022 extension
(ICR 202203-0906-002) enhanced the detail in collecting demographic
data through race and ethnicity survey questions in response to
jurisdictional feedback. Since the

[[Page 86823]]

2022 extension, two non-substantive change requests (ICRs: 202211-0906-
001, and 202404-0906-002) allowed for adjustments, such as refining
hurricane-related questions, to make them more general and increasing
sample sizes.
Need and Proposed Use of the Information: There is an ongoing need
for future data collections, as data from the MCH Jurisdictional Survey
is used to measure progress on national performance and outcome
measures under the Title V MCH Services Block Grant Program. This
survey instrument is critical to collect information on factors related
to the well-being of all mothers, children, and their families in the
jurisdiction MCH Block Grant programs, which address their unique MCH
needs.
This revision enables continued data collection for Federal
reporting and to show the impact of MCH Block Grant funding on
jurisdiction MCH priorities. The current request proposes further
updates to survey questions to align with new Federal data standards,
including updated guidance from OMB on collecting information on race
and ethnicity.\1\ Updates also reflect program oversight and
administration needs.
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\1\ Office of Management and Budget, ``Revisions to OMB's
Statistical Policy Directive No. 15: Standards for Maintaining,
Collecting, and Presenting Federal Data on Race and Ethnicity,'' 89
FR 22182-22190 (March 29, 2024), <a href="https://www.federalregister.gov/documents/2024/03/29/2024-06469/revisions-to-ombs-statistical-policy-directive-no-15-standards-for-maintaining-collecting-and/">https://www.federalregister.gov/documents/2024/03/29/2024-06469/revisions-to-ombs-statistical-policy-directive-no-15-standards-for-maintaining-collecting-and/</a>.
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To continue improving the precision of the data in all
jurisdictions, HRSA also seeks to increase the sample size. Given the
varying populations of children in each jurisdiction, the increased
sample size varies for each jurisdiction. While the target number of
interviews for each jurisdiction may be limited by funding, the maximum
number of completed interviews possible for each jurisdiction is as
follows: American Samoa, 450; Guam, 450; Commonwealth of the Northern
Mariana Islands, 500; Republic of Palau, 250; Puerto Rico, 1,250;
Republic of the Marshall Islands, 300; Federated States of Micronesia,
450; and U.S. Virgin Islands, 350.
Likely Respondents: The respondent universe is women age 18 or
older who live in one of the eight targeted jurisdictions (American
Samoa, Guam, the Commonwealth of the Northern Mariana Islands, the
Republic of Palau, Puerto Rico, the Republic of the Marshall Islands,
the Federated States of Micronesia, and U.S. Virgin Islands) and who
are mothers or guardians of at least one child aged 0-17 years living
in the same household.
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.

Total Estimated Annualized Burden Hours
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Average
Number of Number of Total burden per Burden Total
Type of respondent Form name respondents responses per responses response hours per burden
respondent (in hours) form hours \2\
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Adults--Puerto Rico...................... Screener.................... 5,205 1 5,205 0.03 156.15 1,093.65
Core........................ 1,250 1 1,250 0.75 937.50
Adults--U.S. Virgin Islands.............. Screener.................... 1,457 1 1,457 0.03 43.71 288.71
Core........................ 350 1 350 0.70 245
Adults--Guam............................. Screener.................... 1,334 1 1,334 0.03 40.02 337.02
Core........................ 450 1 450 0.66 297
Adults--American Samoa................... Screener.................... 564 1 564 0.03 16.92 345.42
Core........................ 450 1 450 0.73 328.50
Adults--Federated States of Micronesia... Screener.................... 625 1 625 0.03 18.75 324.75
Core........................ 450 1 450 0.68 306.00
Adults--Republic of the Marshall Islands. Screener.................... 360 1 360 0.03 10.80 205.80
Core........................ 300 1 300 0.65 195.00
Adults--Common-wealth of the Northern Screener.................... 670 1 670 0.03 20.10 395.10
Mariana Islands. Core........................ 500 1 500 0.75 375
Adults--Republic of Palau................ Screener.................... 285 1 285 0.03 8.55 183.55
Core........................ 250 1 250 0.70 175
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Total................................ Screener.................... 10,500 1 10,500 0.03 315.00 3,155
Core........................ 4,000 1 4,000 0.71 2,840.00
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The table above shows a total annual burden of 3,155 hours, a
decrease from the previously estimated 3,480.52 hours in ICR 202404-
0906-002. Although the total number of interviews has increased, the
burden hours have declined due to two factors: (1) survey timings have
been adjusted to reflect actual survey times from the three completed
rounds of data collection, rather than prior estimates, and (2)
eligibility assumptions and response rates have been updated based on
actual results from the same three rounds of data collection
experience.
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\2\ For the purposes of this table, numbers are rounded to the
nearest hundredth decimal place.
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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 technology to
minimize the information collection burden.

Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2024-25246 Filed 10-30-24; 8:45 am]
BILLING CODE 4165-15-P

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