[Federal Register Volume 78, Number 214 (Tuesday, November 5, 2013)]
[Notices]
[Pages 66360-66361]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-26401]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier HHS-OS-20790-60D]


Agency Information Collection Activities; Proposed Collection; 
Public Comment Request

AGENCY: Office of the Secretary, HHS.

ACTION: Notice.

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SUMMARY: In compliance with section 3506(c)(2)(A) of the Paperwork 
Reduction Act of 1995, the Office of the Secretary (OS), Department of 
Health and Human Services, announces plans to submit a new Information 
Collection Request (ICR), described below, to the Office of Management 
and Budget (OMB). Prior to submitting that ICR to OMB, OS seeks 
comments from the public regarding the burden estimate, below, or any 
other aspect of the ICR.

DATES: Comments on the ICR must be received on or before January 6, 
2014.

ADDRESSES: Submit your comments to 
[email protected] or by calling (202) 690-6162.

FOR FURTHER INFORMATION CONTACT: Information Collection Clearance 
staff, [email protected] or (202) 690-6162.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the document identifier HHS-OS-20790-60D 
for reference. Information Collection Request Title: Title X Family 
Planning Outreach and Enrollment Data Collection Form.
    Abstract: The Office of Population Affairs within the Office of the 
Assistant Secretary for Health seeks to collect data from the Title X 
service delivery grantees on efforts related to outreach and enrollment 
to assist individuals in obtaining health insurance available as a 
result of the Affordable Care Act (ACA). Grantees will be asked to 
collect and report information on the numbers of individuals who are; 
(1) Assisted by a trained health center worker; (2) number of 
individuals who receive an eligibility determination for the 
marketplace, Medicaid or CHIP with the assistance of a trained worker; 
and (3) number of individuals who enroll in an insurance program with 
the assistance of a trained worker. The information will be reported 
for all sites in their grantee network.
    Need and Proposed Use of the Information:
    The Title X Family Planning Program (``Title X program'' or 
``program'') is the only Federal grant program dedicated solely to 
providing individuals with comprehensive family planning and related 
preventive health services (e.g., screening for breast and cervical 
cancer, sexually transmitted diseases (STDs), and human 
immunodeficiency virus [HIV]). By law, priority is given to persons 
from low-income families (Section 1006[c] of Title X of the Public 
Health Service Act, 42 USC 300). The Office of Population Affairs (OPA) 
within the Office of the Assistant Secretary for Health administers the 
Title X program.
    In fiscal year 2013, Congress appropriated approximately $296.8 
million for Title X family planning activities. In accordance with the 
statute and regulations (42 Code of Federal Regulations [CFR] Part 59), 
at least 90% of the appropriation is used for clinical family planning 
services. In 2012, 98 Title X grantees provided family planning 
services to five million women and men through a network of 4,400 
community-based clinics that include state and local health 
departments, tribal organizations, and other public and private 
nonprofit agencies. There is at least one clinic that receives Title X 
funds and provides services as required under the Title X statute in 
73% of U.S. counties.
    Sixty percent of the clients seen at Title X funded service sites 
self-identify as being uninsured. Seventy percent of the total clients 
are under the age 30.

[[Page 66361]]

Thus Title X service sites see a large proportion of young and 
uninsured individuals. Over the past years, OPA has encouraged grantees 
to develop enrollment programs to ensure that clients who are currently 
uninsured understand new health insurance options that are available as 
a result of the ACA. Some sites already assist individuals with 
enrolling in Medicaid and other public insurance programs. With the 
availability of the health insurance marketplace, many more service 
delivery sites are assisting clients enroll in health insurance 
programs.
    OPA does not have any data on how many sites are assisting and 
enrolling clients into health insurance programs. Thus we seek to 
collect this data in order to understand the impact of Title X funded 
service sites on assisting and enrolling clients into insurance 
programs. We will utilize this information to guide strategic planning 
around how Title X service sites and prepare for, and assist with, the 
full implementation of the ACA. Through a separate data collection 
process called the Family Planning Annual Report (FPAR) (OMB No. 0990-
0221, expiration January 31, 2016), OPA collects information on the 
insurance status of the clients served. With the implementation of the 
ACA, many of the traditional clients served by Title X service sites 
will qualify for health insurance. Due to the varying resources 
available at the State level to conduct outreach and enrollment, OPA 
has authorized grantees to use funding to conduct outreach and 
enrollment activities. However, we are not currently collecting data on 
how many sites are conducting such activities, the impact of those 
activities in enrolling clients into health insurance programs, and the 
need for additional resources to conduct outreach and enrollment. By 
collecting information on how many clients are assisted and enrolled in 
health insurance programs, OPA can; (1) measure the impact of Title X 
service sites in enrolling clients into insurance programs; (2) design 
strategic initiatives to encourage outreach and enrollment; and (3) 
better understand the impact of the Affordable Care Act on Title X 
service delivery sites.
    Likely Respondents: This annual reporting requirement is for family 
planning services delivery projects authorized and funded by the Title 
X Family Planning Program [``Population Research and Voluntary Family 
Planning Programs'' (Pub. L. 91-572)], which was enacted in 1970 as 
Title X of the Public Health Service Act (Section 1001 of Title X of 
the Public Health Service Act, 42 United States Code [USC] 300).
    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.
    This data is currently being collected by the Health Resources and 
Services Administration (HRSA) and the burden estimate is based on the 
supporting statement from their OMB application.
    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     per response     Total burden
                                                respondents       respondent       (in hours)         hours
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Outreach and Enrollment Activities..........              95                1                1               95
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    OS 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.

Darius Taylor,
Deputy, Information Collection Clearance Officer.
[FR Doc. 2013-26401 Filed 11-4-13; 8:45 am]
BILLING CODE 4150-47-P