[Federal Register Volume 78, Number 247 (Tuesday, December 24, 2013)]
[Notices]
[Pages 77690-77692]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-30613]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

Administration for Children and Families


Agency Information Collection Activities: Proposed Collection: 
Public Comment Request

AGENCY: Health Resources and Services Administration, HHS. 
Administration for Children and Families, HHS.

ACTION: Notice.

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SUMMARY: In compliance with the requirement for opportunity for public 
comment on proposed data collection projects (Section 3506(c)(2)(A) of 
the Paperwork Reduction Act of 1995), the Health Resources and Services 
Administration (HRSA) and the Administration for Children and Families 
(ACF) announce 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 and ACF seek comments from the public 
regarding the burden estimate, below, or any other aspect of the ICR.

DATES: Comments on this Information Collection Request must be received 
within 60 days of this notice.

ADDRESSES: Submit your comments to [email protected] or mail the HRSA 
Information Collection Clearance Officer, Room 10-29, Parklawn

[[Page 77691]]

Building, 5600 Fishers Lane, Rockville, MD 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 [email protected] or call the HRSA 
Information Collection Clearance Officer at (301) 443-1984.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the information request collection title 
for reference.

Information Collection Request Title: Maternal, Infant, and Early 
Childhood Home Visiting Program Information System

OMB No. 0915-0357--Revision

    Abstract: On March 23, 2010, the President signed into law the 
Patient Protection and Affordable Care Act of 2010 (Pub. L. 111-148), 
historic and transformative legislation designed to make quality, 
affordable health care available to all Americans, reduce costs, 
improve health care quality, enhance disease prevention, and strengthen 
the health care workforce. Through a provision authorizing the creation 
of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) 
Program, the Act responds to the diverse needs of children and families 
in communities at risk and provides an unprecedented opportunity for 
collaboration and partnership at the federal, state, and community 
levels to improve health and development outcomes for at-risk children 
through voluntary evidence-based home visiting programs. The MIECHV 
Program is designed: (1) To strengthen and improve the programs and 
activities carried out under Title V of the Social Security Act; (2) to 
improve coordination of services for at-risk communities; and (3) to 
identify and provide comprehensive services to improve outcomes for 
families who reside in at-risk communities.
    The program is jointly administered by HRSA and ACF and includes 
grants to states, jurisdictions, and eligible non-profits (State MIECHV 
program) and grants to Tribes (including consortia of tribes), Tribal 
Organizations, and Urban Indian Organizations (Tribal MIECHV program).
    The Social Security Act, Title V, Section 511 (42 U.S.C. 711), as 
amended by the Patient Protection and Affordable Care Act of 2010, 
requires that State and Tribal MIECHV grantees collect data to measure 
improvements for eligible families in six specified areas (referred to 
as ``benchmark areas'') that encompass the major goals for the program: 
(1) Improved maternal and newborn health; (2) prevention of child 
injuries, child abuse, neglect, or maltreatment, and reduction of 
emergency room visits; (3) improvement in school readiness and 
achievement; (4) reduction in crime or domestic violence; 5) 
improvements in family economic self-sufficiency; and (6) improvements 
in the coordination and referrals for other community resources and 
supports.
    The Supplemental Information Request for the Submission of the 
Updated State Plan for a State Home Visiting Program, published on 
February 8, 2011, further listed a variety of constructs under each 
benchmark area for which State MIECHV grantees were to select and 
submit relevant performance measures. Per Section 511(d)(1)(B)(i) of 
the legislation, no later than 30 days after the end of the third year 
of the program, grantees are required to demonstrate improvement in at 
least four of the six benchmark areas. Funding opportunity 
announcements, notices of award, and program guidance documents for 
competitive, formula, and non-profit grants also require annual 
reporting on the constructs under each benchmark area, as well as on 
demographic, service utilization, budgetary, and other administrative 
data related to program implementation.
    Tribal MIECHV grantees must also report annually on demographic, 
service utilization, budgetary, and other administrative data related 
to program implementation. In addition, Tribal MIECHV grantees must 
propose a plan for meeting the benchmark requirements specified in the 
legislation and must report on improvement on constructs under each 
benchmark area at the end of Year 4 and Year 5 of their 5-year grants.
    Need and Proposed Use of the Information: The data collected from 
the proposed Home Visiting (HV) forms will be used to track State and 
Tribal MIECHV grantees' progress in demonstrating improvement under 
each benchmark area and provide an overall picture of the population 
being served. The proposed data collection forms are as follows:
    Home Visiting Form 1--Demographic and Service Utilization Data for 
Enrollees and Children--This form requests data to determine the 
unduplicated number of participants and of participant groups by 
primary insurance coverage. This form also requests data on the 
demographic characteristics of program participants such as race, 
ethnicity, and income. The form is used by both State and Tribal MIECHV 
grantees. As this form has current approval from OMB and is in use, no 
changes are proposed.
    Home Visiting Form 2--State Grantee Performance Measures: Grantees 
have already selected relevant performance measures for the 
legislatively identified benchmark areas. This form provides a template 
for grantees to report aggregate data on their selected performance 
measures. This form is used by State MIECHV grantees only. As this form 
has current approval from OMB and is in use, no changes are proposed.
    Home Visiting Form 3--Tribal Grantee Performance Measures: To show 
quantifiable, measurable improvement in benchmark areas, each Tribal 
MIECHV grantee must submit data demonstrating improvement on constructs 
in each of the six benchmark areas. The purpose of the proposed 
collection on Home Visiting Form 3 will be to track Tribal MIECHV 
grantees' progress in demonstrating improvement under each benchmark 
area. This form is used by Tribal MIECHV grantees only. As this form 
was not included in the previous submission to OMB, this form is new to 
the information system.
    Likely Respondents: Home Visiting Form 1 is used by all MIECHV 
Program grantees. Home Visiting Form 2 is used by the states, the 
District of Columbia, Puerto Rico, Guam, the Virgin Islands, the 
Northern Mariana Islands, American Samoa, and non-profit organizations 
providing services within states through the State MIECHV Program. Home 
Visiting Form 3 will be used by Tribal MIECHV grantees.
    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 Information Collection Request are summarized in the table below.
    Total Estimated Annualized burden hours: (Note: We will need to 
confirm the total number of respondents (grantees) for this table.)

[[Page 77692]]



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                                                    Number of                     Average burden
          Form name                Number of      responses per  Total responses   per response    Total burden
                                  respondents      respondent                       (in hours)         hours
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HV Form 1: Demographic and     81\1\ (All                     1  81 (All MIECHV              731         59, 211
 Service Utilization Data for   MIECHV grantees                   grantees
 Enrollees and Children.        including                         including
                                Tribal                            Tribal
                                grantees).                        grantees).
HV Form 2: Grantee             56\2\ (State                   1  56 (State                   313         17, 528
 Performance Measures.          MIECHV                            MIECHV
                                grantees).                        grantees).
HV Form 3: Tribal-Grantee      25\3\ (Tribal                  1  25 (Tribal                  475          11,875
 Performance Measures.          MIECHV                            MIECHV
                                grantees).                        grantees).
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    Total....................  81..............  ..............  81.............  ..............         88, 614
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\1\ In addition to 56 jurisdictions and non-profit organizations, it is estimated that 25 Tribal MIECHV program
  grantees will utilize Form 1 to report on demographic and service utilization data for all participant
  families.
\2\ This number does not include Tribal MIECHV program grantees.
\3\ This number reflects the number of Tribal MIECHV grantees.

    HRSA and ACF specifically request 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.

    Dated: December 17, 2013.
Bahar Niakan,
Director, Division of Policy and Information Coordination, Health 
Resources and Services Administration.
Linda K. Smith,
Deputy Assistant Secretary and Inter-Departmental Liaison for Early 
Childhood Development, Administration for Children and Families.
[FR Doc. 2013-30613 Filed 12-23-13; 8:45 am]
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