Notice2026-09979
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
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Published
May 19, 2026
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
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<title>Federal Register, Volume 91 Issue 96 (Tuesday, May 19, 2026)</title>
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[Federal Register Volume 91, Number 96 (Tuesday, May 19, 2026)]
[Notices]
[Pages 29140-29141]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-09979]
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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: 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.
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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
[[Page 29141]]
(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 20,
2026.
ADDRESSES: Submit your comments to <a href="/cdn-cgi/l/email-protection#582839283d2a2f372a3318302a2b39763f372e"><span class="__cf_email__" data-cfemail="601001100512170f120b20081213014e070f16">[email protected]</span></a> or mail the HRSA
Information Collection Clearance Officer, Room 13N82, 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#4b3b2a3b2e393c2439200b2339382a652c243d"><span class="__cf_email__" data-cfemail="2c5c4d5c495e5b435e476c445e5f4d024b435a">[email protected]</span></a> or call Samantha Miller,
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: Title V Maternal and Child
Health Services Block Grant to States Program: 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 (Guidance). This Guidance is used annually by the 50 states and
nine jurisdictions (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 U.S. Virgin Islands, Guam,
American Samoa, and the Commonwealth of the Northern Mariana Islands;
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 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.
Updates to this edition of the Guidance are editorial and technical
revisions based on feedback from the states in using the Guidance and
Forms since January 2024. Specific updates include the following:
(1) Minor editorial corrections and clarifications to Form 7, Form
10, and Form 12 instructions and the Glossary.
(2) Updates to the short and long titles of the National
Performance Measures to improve title accuracy and fulfill Government
Accountability Office recommendations to align the National Performance
Measures with other HRSA program measures.
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(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
5 years. The information and instructions for the preparation and
submission of this Application/Annual Report are contained in the
Guidance.
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 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 Average burden
Form name Number of responses per Total per response Total burden
respondents respondent responses (in hours) hours
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Application and Annual Report 59 1 59 116 6,844
without Five-Year Needs
Assessment Summary.............
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Total....................... 59 .............. 59 .............. 6,844
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The burden estimates presented in the table above are based on
previous burden estimates and consultation with a few states. States
will use the updated edition of the Guidance to prepare and submit the
fiscal year (FY) 2028, FY 2029, and FY 2030 Applications/FY 2026, FY
2027, and FY 2028 Annual Reports, which will not contain the 5-Year
Needs Assessment Summary. States will submit the next 5-Year Needs
Assessment Summary in 2030, as part of the FY 2031 Application/FY 2029
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 technology to
minimize the information collection burden.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2026-09979 Filed 5-18-26; 8:45 am]
BILLING CODE 4165-15-P
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