[Federal Register Volume 76, Number 210 (Monday, October 31, 2011)]
[Notices]
[Page 67198]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-28033]
[[Page 67198]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
Periodically, the Health Resources and Services Administration
(HRSA) publishes abstracts of information collection requests under
review by the Office of Management and Budget (OMB), in compliance with
the Paperwork Reduction Act of 1995 (44 U.S.C. chapter 35). To request
a copy of the clearance requests submitted to OMB for review, email
paperwork @hrsa.gov or call the HRSA Reports Clearance Office on (301)
443-1129.
The following request has been submitted to the Office of
Management and Budget for review under the Paperwork Reduction Act of
1995:
Proposed Project: Maternal and Child Health Services Title V Block
Grant Program Guidance and Forms for the Title V Application/Annual
Report (OMB No. 0915-0172)--[Revision]
The Health Resources and Services Administration (HRSA) proposes to
revise the Maternal and Child Health Services Title V Block Grant
Program--Guidance and Forms for the Application/Annual Report. The
guidance is used annually by the 50 States and 9 jurisdictions during
both the creation of applications for Block Grants (under Title V of
the Social Security Act) and in the preparation of the required annual
report. The proposed revisions follow and build on extensive
consultation received from a workgroup convened to provide suggestions
to improve the guidance and forms.
The changes in this edition of the Maternal and Child Health
Services Title V Block Grant Program Guidance and Forms for the Title V
Application/Annual Report include the following proposed revisions: (1)
The requirements for reporting on the health status indicators and
health systems capacity indicators were rewritten to reduce the
reporting burden to the States; (2) the instructions for completing
Form 7, ``Number of Individuals Served,'' have been clarified to assist
States in more accurately estimating the number of individuals who
receive Title V services; and (3) the detail sheets for the performance
measures, outcome measures, health systems capacity indicators and
health status indicators have been updated with corresponding Healthy
People 2020 Objectives. In addition, efficiencies through use of the
electronic application are identified for States to reduce their
efforts in completing the application.
The annual estimate of burden is as follows:
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Number of Responses per Total Hours per Total burden
Type of document respondents respondent responses response hours
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Application and Report without 59 1 59 246 14,514
Needs Assessment (2012, 2013 &
2014)..........................
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Total....................... 59 .............. 59 .............. 14,514
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Written comments and recommendations concerning the proposed
information collection should be sent within 30 days of this notice to
the desk officer for HRSA, either by email to OIRA--submission@omb.
eop.gov or by fax to (202) 395-6974. Please direct all correspondence
to the ``attention of the desk officer for HRSA.''
Dated: October 24, 2011.
Reva Harris,
Acting Director, Division of Policy and Information Coordination.
[FR Doc. 2011-28033 Filed 10-28-11; 8:45 am]
BILLING CODE 4165-15-P