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]
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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
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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
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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
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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
