Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; MCH Jurisdictional Survey Instrument for the Title V MCH Block Grant Program, OMB No. 0906-xxxx-NEW, 5455-5457 [2019-02945]

Download as PDF amozie on DSK3GDR082PROD with NOTICES1 Federal Register / Vol. 84, No. 35 / Thursday, February 21, 2019 / Notices of Federal Claims No: 19–0070V 44. Andrea Morgan, Glendale, Arizona, Court of Federal Claims No: 19–0071V 45. John Hendricks, Kirkland, Washington, Court of Federal Claims No: 19–0072V 46. Irma Carmona, Santa Ana, California, Court of Federal Claims No: 19–0073V 47. Karena Harrison on behalf of A.N., Jacksonville, Florida, Court of Federal Claims No: 19–0074V 48. Galia Greenberg, Bethesda, Maryland, Court of Federal Claims No: 19–0075V 49. Maxine Paul, Dallas, Texas, Court of Federal Claims No: 19–0076V 50. Valorie Scamyhorn Hodges, Columbus, Ohio, Court of Federal Claims No: 19– 0078V 51. Emily Meacham and Christopher Ryan St. Andre on behalf of Joey Lynn Bates, Deceased, Waynesboro, Tennessee, Court of Federal Claims No: 19–0079V 52. Tina D’Errico and Paul D’Errico on behalf of R.D., Rockville Center, New York, Court of Federal Claims No: 19–0081V 53. Wade Hutton, Ironwood, Michigan, Court of Federal Claims No: 19–0082V 54. Elaine Mercante, Hammond, Louisiana, Court of Federal Claims No: 19–0084V 55. Hector A. Licon, Jr., San Antonio, Texas, Court of Federal Claims No: 19–0088V 56. Matthew Doye and Renee Doye on behalf of J.R.D., Carmel, Indiana, Court of Federal Claims No: 19–0089V 57. Charles Shane Roberson, Evansville, Indiana, Court of Federal Claims No: 19– 0090V 58. Michael Bisceglia and Lori Bisceglia on behalf of N.E.B., North Charleston, South Carolina, Court of Federal Claims No: 19–0091V 59. Michele Solari, Norwell, Massachusetts, Court of Federal Claims No: 19–0092V 60. Daniel Ferrari, Joliet, Illinois, Court of Federal Claims No: 19–0093V 61. Matthew Golitko and Raygan Golitko on behalf of G.M.G., Carmel, Indiana, Court of Federal Claims No: 19–0096V 62. Lisa Egger, Louisville, Kentucky, Court of Federal Claims No: 19–0098V 63. Cheryl Kowal, Reading, Pennsylvania, Court of Federal Claims No: 19–0099V 64. Ana Galan, Kansas City, Missouri, Court of Federal Claims No: 19–0100V 65. Brian Van Vickle, Forest Lake, Minnesota, Court of Federal Claims No: 19–0101V 66. Chester Godek, Garden City, New York, Court of Federal Claims No: 19–0106V 67. Bernaleo Henderson, Sarasota, Florida, Court of Federal Claims No: 19–0107V 68. Christine Heil, Flint, Michigan, Court of Federal Claims No: 19–0109V 69. Duane Hoffman, Marion, Ohio, Court of Federal Claims No: 19–0111V 70. Riley Truttman, Mequon, Wisconsin, Court of Federal Claims No: 19–0112V 71. Leticia L. Lafosse, White Plains, New York, Court of Federal Claims No: 19– 0113V 72. Laurie Bishara, Parkland, Florida, Court of Federal Claims No: 19–0115V 73. James D. Daughtery, Richmond, Kentucky, Court of Federal Claims No: 19–0116V 74. Steven E. Ovenden, Townshend, Vermont, Court of Federal Claims No: 19–0117V VerDate Sep<11>2014 17:08 Feb 20, 2019 Jkt 247001 75. Theresa Marich, East Brunswick, New Jersey, Court of Federal Claims No: 19– 0119V 76. Zahra Aden, Centreville, Virginia, Court of Federal Claims No: 19–0120V 77. Jane Reininger, San Diego, California, Court of Federal Claims No: 19–0122V 78. Meghan Kouba, Columbia, Missouri, Court of Federal Claims No: 19–0123V 79. Andrea Miller, Dallas, Texas, Court of Federal Claims No: 19–0128V 80. Mamie Porter, Waukegan, Illinois, Court of Federal Claims No: 19–0130V 81. Rebecca Reske and Timothy Reske on behalf of J.R., Reisterstown, Maryland, Court of Federal Claims No: 19–0131V 82. Karl Tiedemann, Jr., Port Charlotte, Florida, Court of Federal Claims No: 19– 0132V 83. Sueann Staskewicz, Tabernacle, New Jersey, Court of Federal Claims No: 19– 0133V 84. Kristan McMahon, Clifton Park, New York, Court of Federal Claims No: 19– 0134V 85. Marguerite Bradley, Spring Hill, Florida, Court of Federal Claims No: 19–0135V 86. Burnell Buckwalter, Florence, South Carolina, Court of Federal Claims No: 19–0136V 87. Britta Schwartz, Portland, Oregon, Court of Federal Claims No: 19–0137V 88. Madison Edwards, Lake Charles, Louisiana, Court of Federal Claims No: 19–0138V 89. Dana Chambers, Phoenix, Arizona, Court of Federal Claims No: 19–0140V 90. Marsha Goldberg, Cockeysville, Maryland, Court of Federal Claims No: 19–0142V 91. Sean Farrelly, Portland, Oregon, Court of Federal Claims No: 19–0143V 92. Cynthia Thomas, Atlanta, Georgia, Court of Federal Claims No: 19–0144V 93. Rene Reaska, Buffalo, New York, Court of Federal Claims No: 19–0145V 94. Mohamed Idli, Charlotte, North Carolina, Court of Federal Claims No: 19–0146V 95. Lisa M. Jackson, Eagan, Minnesota, Court of Federal Claims No: 19–0147V 96. Kathie M. Hale, Salyersville, Kentucky, Court of Federal Claims No: 19–0154V 97. Noah Scott Campbell, Dresher, Pennsylvania, Court of Federal Claims No: 19–0156V 98. Tina McFarlin, San Juan Capistrano, California, Court of Federal Claims No: 19–0157V 99. Jeffrey Dobyns, Birmingham, Alabama, Court of Federal Claims No: 19–0158V 100. Barbara Miller, Appleton, Wisconsin, Court of Federal Claims No: 19–0160V 101. Victor Velazquez, White Plains, New York, Court of Federal Claims No: 19– 0162V 102. Amy J. Johnson on behalf of P.J., Jefferson City, Missouri, Court of Federal Claims No: 19–0163V 103. David Sazera, Dallas, Texas, Court of Federal Claims No: 19–0164V 104. Amy Moreno, Riverside, California, Court of Federal Claims No: 19–0170V 105. Brian Hahn, Cheektowaga, New York, Court of Federal Claims No: 19–0172V 106. Richard Booth, Amarillo, Texas, Court of Federal Claims No: 19–0174V PO 00000 Frm 00052 Fmt 4703 Sfmt 4703 5455 107. Bonnie Locke, Punta Gorda, Florida, Court of Federal Claims No: 19–0175V 108. Jessica R. Boatwright, Greensboro, North Carolina, Court of Federal Claims No: 19–0176V 109. Samantha Frost, Phoenix, Maryland, Court of Federal Claims No: 19–0177V 110. Cynthia McVeigh, Eustis, Florida, Court of Federal Claims No: 19–0178V 111. Teresa Leon, Yuba City, California, Court of Federal Claims No: 19–0179V 112. Misty Lotz, Brownsville, Texas, Court of Federal Claims No: 19–0180V 113. Valerie Eldridge, Little Rock, Arkansas, Court of Federal Claims No: 19–0181V 114. Michael Kahn, Berlin, New Jersey, Court of Federal Claims No: 19–0182V 115. Dulce Concepcion Muller-Carillo, Los Angeles, California, Court of Federal Claims No: 19–0183V 116. Janis Edminster, Placerville, California, Court of Federal Claims No: 19–0184V 117. Christopher Agard, Victorville, California, Court of Federal Claims No: 19–0185V 118. Diana Schmauder, Newberg, Oregon, Court of Federal Claims No: 19–0186V [FR Doc. 2019–02948 Filed 2–20–19; 8:45 am] BILLING CODE 4165–15–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; MCH Jurisdictional Survey Instrument for the Title V MCH Block Grant Program, OMB No. 0906–xxxx– NEW Health Resources and Services Administration (HRSA), Department of Health and Human Services. ACTION: Notice. AGENCY: In compliance with of the Paperwork Reduction Act of 1995, HRSA has submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. A 60-day Federal Register Notice related to this proposed ICR was published in the Federal Register on November 16, 2018. No comments were received. OMB will accept comments from the public during the 30-day review and approval period. DATES: Comments on this ICR should be received no later than March 25, 2019. ADDRESSES: Submit your comments, including the ICR Title, to the desk officer for HRSA, either by email to OIRA_submission@omb.eop.gov or by fax to (202) 395–5806. FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance requests submitted to OMB for review, email Lisa SUMMARY: E:\FR\FM\21FEN1.SGM 21FEN1 5456 Federal Register / Vol. 84, No. 35 / Thursday, February 21, 2019 / Notices Wright-Solomon, the HRSA Information Collection Clearance Officer at paperwork@hrsa.gov or call (301) 443– 1984. SUPPLEMENTARY INFORMATION: Information Collection Request Title: Maternal and Child Health (MCH) Jurisdictional Survey Instrument for the Title V MCH Block Grant Program, OMB No. 0906–xxxx–NEW. Abstract: The purpose of the Title V MCH 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 3tiered national performance measure framework, which includes National Outcome Measures (NOMs), National Performance Measures (NPMs), and Evidence-Based and Evidence-Informed Strategy Measures, State Title V 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 Title V program accomplishments. By legislation (Section 505(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’s Maternal and Child Health Bureau (MCHB) considers the availability of national data from other federal agencies. Data for the national performance and outcome measures are pre-populated for states in the Title V Information System. National data sources identified for the NPMs and NOMs in the MCH Block Grant program seldom include data from the Title V jurisdictions, with the exception of the District of Columbia. The eight remaining jurisdictions (American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, Palau, Puerto Rico, and U.S. Virgin Islands) have limited access to significant data and MCH indicators, with limited capacity for collecting these data. Sponsored by HRSA’s MCHB, 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, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, Palau, Puerto Rico, and 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. This data collection will enable the jurisdictions to meet federal performance reporting requirements and to demonstrate the impact of Title V funding relative to MCH outcomes for the U.S. jurisdictions in reporting on their unique MCH priority needs. The MCH Jurisdictional Survey was designed based on informationgathering activities with Title V leadership and program staff in the jurisdictions, experts at the Centers for Disease Control and Prevention, and other 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. Number of respondents amozie on DSK3GDR082PROD with NOTICES1 Form name Adult Parents—Puerto Rico: Screener ....................................................................... Core .............................................................................. Jurisdiction Module ....................................................... Adult Parents—U.S. Virgin Islands: Screener ....................................................................... Core .............................................................................. Jurisdiction Module ....................................................... Adult Parents—Guam: VerDate Sep<11>2014 17:08 Feb 20, 2019 Jkt 247001 PO 00000 Frm 00053 Fmt 4703 Number of responses per respondent Need and Proposed Use of the Information: Data from the MCH Jurisdictional Survey will be used to measure progress on national performance and outcome measures under the Title V MCH Block Grant Program. This survey instrument is critical to collecting information on factors related to the well-being of all mothers, children, and their families in the jurisdictional Title V programs, and which address their unique MCH needs. Likely Respondents: The respondent universe is women age 18 or older who live in one of the eight targeted U.S. jurisdictions (Puerto Rico, U.S. Virgin Islands, Guam, Northern Mariana Islands, American Samoa, Palau, Marshall Islands, or Federated States of Micronesia) 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. The number of respondents in the table below has decreased slightly for Puerto Rico, U.S. Virgin Islands, and Guam from the numbers included in the 60-day FRN. This decrease is due to a change in the data collection methodology from phone to in-person in these jurisdictions based on the results of the pre-test. Average burden per response (in hours) Burden hours per form Total burden hours 810 200 200 1 1 1 0.03 0.83 0.07 24.30 166.00 14.00 204.30 903 200 200 1 1 1 0.03 0.83 0.07 27.09 166.00 14.00 207.09 Sfmt 4703 E:\FR\FM\21FEN1.SGM 21FEN1 5457 Federal Register / Vol. 84, No. 35 / Thursday, February 21, 2019 / Notices Number of respondents Form name Average burden per response (in hours) Burden hours per form Total burden hours Screener ....................................................................... Core .............................................................................. Jurisdiction Module ....................................................... Adult Parents—American Samoa: Screener ....................................................................... Core .............................................................................. Jurisdiction Module ....................................................... Adult Parents—Federated States of Micronesia: Screener ....................................................................... Core .............................................................................. Jurisdiction Module ....................................................... Adult Parents—Marshall Islands: Screener ....................................................................... Core .............................................................................. Jurisdiction Module ....................................................... Adult Parents—Northern Mariana Islands: Screener ....................................................................... Core .............................................................................. Jurisdiction Module ....................................................... Adult Parents—Palau: Screener ....................................................................... Core .............................................................................. Jurisdiction Module ....................................................... 566 200 200 1 1 1 0.03 0.83 0.07 16.98 166.00 14.00 196.98 395 200 200 1 1 1 0.03 0.83 0.05 11.85 166.00 10.00 187.85 857 200 200 1 1 1 0.03 0.83 0.05 25.71 166.00 10.00 201.71 857 200 200 1 1 1 0.03 0.83 0.08 25.71 166.00 16.00 207.71 600 200 200 1 1 1 0.03 0.83 0.08 18.00 166.00 16.00 200.00 967 200 200 1 1 1 0.03 0.83 0.02 29.01 166.00 4.00 199.01 Total ....................................................................... 5,955 ........................ ........................ ........................ 1,604.65 Amy P. McNulty, Acting Director, Division of the Executive Secretariat. BILLING CODE 4165–15–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Service Administration Meeting of the Advisory Committee on Interdisciplinary, Community-Based Linkages Health Resources and Service Administration (HRSA), Department of Health and Human Services (HHS). ACTION: Notice. AGENCY: In accordance with the Federal Advisory Committee Act, this notice announces that the Advisory Committee on Interdisciplinary, Community-Based Linkages (ACICBL) has scheduled public meetings for the 2019 calendar year. Information about the ACICBL, agendas, and materials for these meetings can be found on the ACICBL website at https://www.hrsa. gov/advisory-committees/ interdisciplinary-community-linkages/ index.html. DATES: May 16, 2019, 8:30 a.m.–5:00 p.m. Eastern Time (ET) and May 17, 2019, 8:30 a.m.–2:00 p.m. ET; and August 14, 2019, 11:00 a.m.–4:00 p.m. ET. SUMMARY: VerDate Sep<11>2014 17:08 Feb 20, 2019 Jkt 247001 The May 16 and May 17, 2019, in-person ACICBL two-day meeting will be held at 5600 Fishers Lane, Rockville, Maryland 20857, and the August 14, 2019, meeting will be held through Adobe Connect webinar. Instructions for joining the meetings either in person or remotely will be posted on the ACICBL website 30 business days before the date of the meeting. For meeting information updates, go to the ACICBL website meeting page at https://www.hrsa.gov/ advisory-committees/interdisciplinarycommunity-linkages/meetings/ index.html. FOR FURTHER INFORMATION CONTACT: Joan Weiss, Ph.D., RN, CRNP, FAAN, Senior Advisor and Designated Federal Official (DFO), Division of Medicine and Dentistry, HRSA, 5600 Fishers Lane, Rockville, Maryland 20857; 301–443– 0430; or BHWACICBL@hrsa.gov. SUPPLEMENTARY INFORMATION: ACICBL provides advice and recommendations to the Secretary of HHS on policy, program development, and other matters of significance concerning activities under sections 750–760, Title VII, Part D of the Public Health Service (PHS) Act. During the May 2019 and August 2019 meetings, ACICBL members will discuss the overarching topic of population health within the following contexts: • Inclusion of population health at the nexus of primary health care delivery and public health; ADDRESSES: [FR Doc. 2019–02945 Filed 2–20–19; 8:45 am] amozie on DSK3GDR082PROD with NOTICES1 Number of responses per respondent PO 00000 Frm 00054 Fmt 4703 Sfmt 4703 • Use of population health as a method of identifying place based risks, root causes, and possible interventions to address the structural and social determinants of health; and • Preparation of clinicians to serve as change agents promoting primary prevention by developing the knowledge and skills to address the health needs of populations as measured by a variety of health status indicators. Agenda items are subject to change as priorities dictate. Refer to the ACICBL website for any updated information concerning the meetings. An agenda will be posted on the website at least 10 business days before the meetings. Members of the public will have the opportunity to provide comments. Public participants may submit written statements in advance of the scheduled meetings. Oral comments will be honored in the order they are requested and may be limited as time allows. Requests to submit a written statement or make oral comments to the ACICBL should be sent to Joan Weiss, DFO, using the contact information above at least five business days before the meeting dates. Individuals who need special assistance or another reasonable accommodation should notify Dr. Weiss at the address and phone number listed above at least 10 business days before the meetings they wish to attend. Since all in-person meeting will occur in a federal government building, attendees E:\FR\FM\21FEN1.SGM 21FEN1

Agencies

[Federal Register Volume 84, Number 35 (Thursday, February 21, 2019)]
[Notices]
[Pages 5455-5457]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-02945]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission to OMB for 
Review and Approval; Public Comment Request; MCH Jurisdictional Survey 
Instrument for the Title V MCH Block Grant Program, OMB No. 0906-xxxx-
NEW

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In compliance with of the Paperwork Reduction Act of 1995, 
HRSA has submitted an Information Collection Request (ICR) to the 
Office of Management and Budget (OMB) for review and approval. A 60-day 
Federal Register Notice related to this proposed ICR was published in 
the Federal Register on November 16, 2018. No comments were received. 
OMB will accept comments from the public during the 30-day review and 
approval period.

DATES: Comments on this ICR should be received no later than March 25, 
2019.

ADDRESSES: Submit your comments, including the ICR Title, to the desk 
officer for HRSA, either by email to OIRA_submission@omb.eop.gov or by 
fax to (202) 395-5806.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email Lisa

[[Page 5456]]

Wright-Solomon, the HRSA Information Collection Clearance Officer at 
paperwork@hrsa.gov or call (301) 443-1984.

SUPPLEMENTARY INFORMATION: 
    Information Collection Request Title: Maternal and Child Health 
(MCH) Jurisdictional Survey Instrument for the Title V MCH Block Grant 
Program, OMB No. 0906-xxxx-NEW.
    Abstract: The purpose of the Title V MCH 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 3-tiered 
national performance measure framework, which includes National Outcome 
Measures (NOMs), National Performance Measures (NPMs), and Evidence-
Based and Evidence-Informed Strategy Measures, State Title V 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 Title V program accomplishments.
    By legislation (Section 505(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's Maternal and Child 
Health Bureau (MCHB) considers the availability of national data from 
other federal agencies. Data for the national performance and outcome 
measures are pre-populated for states in the Title V Information 
System. National data sources identified for the NPMs and NOMs in the 
MCH Block Grant program seldom include data from the Title V 
jurisdictions, with the exception of the District of Columbia. The 
eight remaining jurisdictions (American Samoa, Federated States of 
Micronesia, Guam, Marshall Islands, Northern Mariana Islands, Palau, 
Puerto Rico, and U.S. Virgin Islands) have limited access to 
significant data and MCH indicators, with limited capacity for 
collecting these data.
    Sponsored by HRSA's MCHB, 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, Federated States of Micronesia, Guam, Marshall Islands, 
Northern Mariana Islands, Palau, Puerto Rico, and 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. This data collection will enable the jurisdictions to meet 
federal performance reporting requirements and to demonstrate the 
impact of Title V funding relative to MCH outcomes for the U.S. 
jurisdictions in reporting on their unique MCH priority needs.
    The MCH Jurisdictional Survey was designed based on information-
gathering activities with Title V leadership and program staff in the 
jurisdictions, experts at the Centers for Disease Control and 
Prevention, and other 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.
    Need and Proposed Use of the Information: Data from the MCH 
Jurisdictional Survey will be used to measure progress on national 
performance and outcome measures under the Title V MCH Block Grant 
Program. This survey instrument is critical to collecting information 
on factors related to the well-being of all mothers, children, and 
their families in the jurisdictional Title V programs, and which 
address their unique MCH needs.
    Likely Respondents: The respondent universe is women age 18 or 
older who live in one of the eight targeted U.S. jurisdictions (Puerto 
Rico, U.S. Virgin Islands, Guam, Northern Mariana Islands, American 
Samoa, Palau, Marshall Islands, or Federated States of Micronesia) 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.
    The number of respondents in the table below has decreased slightly 
for Puerto Rico, U.S. Virgin Islands, and Guam from the numbers 
included in the 60-day FRN. This decrease is due to a change in the 
data collection methodology from phone to in-person in these 
jurisdictions based on the results of the pre-test.

----------------------------------------------------------------------------------------------------------------
                                                     Number of    Average burden
            Form name                Number of     responses per   per response    Burden hours    Total burden
                                    respondents     respondent      (in hours)       per form          hours
----------------------------------------------------------------------------------------------------------------
Adult Parents--Puerto Rico:
    Screener....................             810               1            0.03           24.30          204.30
    Core........................             200               1            0.83          166.00
    Jurisdiction Module.........             200               1            0.07           14.00
Adult Parents--U.S. Virgin
 Islands:
    Screener....................             903               1            0.03           27.09          207.09
    Core........................             200               1            0.83          166.00
    Jurisdiction Module.........             200               1            0.07           14.00
Adult Parents--Guam:

[[Page 5457]]

 
    Screener....................             566               1            0.03           16.98          196.98
    Core........................             200               1            0.83          166.00
    Jurisdiction Module.........             200               1            0.07           14.00
Adult Parents--American Samoa:
    Screener....................             395               1            0.03           11.85          187.85
    Core........................             200               1            0.83          166.00
    Jurisdiction Module.........             200               1            0.05           10.00
Adult Parents--Federated States
 of Micronesia:
    Screener....................             857               1            0.03           25.71          201.71
    Core........................             200               1            0.83          166.00
    Jurisdiction Module.........             200               1            0.05           10.00
Adult Parents--Marshall Islands:
    Screener....................             857               1            0.03           25.71          207.71
    Core........................             200               1            0.83          166.00
    Jurisdiction Module.........             200               1            0.08           16.00
Adult Parents--Northern Mariana
 Islands:
    Screener....................             600               1            0.03           18.00          200.00
    Core........................             200               1            0.83          166.00
    Jurisdiction Module.........             200               1            0.08           16.00
Adult Parents--Palau:
    Screener....................             967               1            0.03           29.01          199.01
    Core........................             200               1            0.83          166.00
    Jurisdiction Module.........             200               1            0.02            4.00
                                 -------------------------------------------------------------------------------
        Total...................           5,955  ..............  ..............  ..............        1,604.65
----------------------------------------------------------------------------------------------------------------


 Amy P. McNulty,
Acting Director, Division of the Executive Secretariat.
[FR Doc. 2019-02945 Filed 2-20-19; 8:45 am]
 BILLING CODE 4165-15-P