Request for Public Comment: 30-Day Information Collection: Urban Indian Organization On-Site Review, 55448-55449 [2022-19493]
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Federal Register / Vol. 87, No. 174 / Friday, September 9, 2022 / Notices
year estimate incorporating the 2020
experimental estimate with prior yearto-year changes since 2014—the first
year of annual updates to poverty share
data using 3-year ACS estimates. HRSA
noted greater observed data variability
and a greater number of States that
would experience large decreases in
their poverty share. HRSA was
concerned about the accuracy of the
2020 experimental estimates as applied
to the Title V MCH Services Block Grant
allocation.
In order to ameliorate these concerns
and because of the nature of the data,
the ACS 2020 experimental estimates
will not be used in calculating Title V
MCH Services Block Grant allocations.
Instead, HRSA will base the FY 2023
funding allocation on the same poverty
data used in the FY 2022 allocation (i.e.,
pooled 1-year estimates for 2017, 2018,
and 2019 ACS). Funding allocations for
FY 2024 and FY 2025 will continue to
incorporate the latest 1-year ACS data
while skipping the 2020 experimental
data (i.e., for FY 2024, the 2018, 2019,
and 2021 ACS data will be used; for FY
2025, the 2019, 2021, and 2022 ACS
data will be used). In FY 2026, the
temporary change to the method for
calculating allocations will no longer be
necessary, and HRSA will resume
pooling of three consecutive 1-year
estimates (2021–2023).
The proposed temporary change in
State Title V MCH Services Block Grant
allocations was announced in the
Federal Register at 87 FR 37873 on June
24, 2022. A comment period of 30 days
was established to allow interested
parties to submit comments. HRSA
received two responses. One comment
expressed support for the proposed
temporary change. HRSA appreciates
this comment. The other comment is
beyond the scope of this notice, as it did
not specifically address the proposed
changes in the State Title V MCH
Services Block Grant allocation, but
instead expressed concern about child
vaccinations.
Diana Espinosa,
Deputy Administrator.
[FR Doc. 2022–19477 Filed 9–8–22; 8:45 am]
BILLING CODE 4165–15–P
jspears on DSK121TN23PROD with NOTICES
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Request for Public Comment: 30-Day
Information Collection: Urban Indian
Organization On-Site Review
AGENCY:
Indian Health Service, HHS.
VerDate Sep<11>2014
18:57 Sep 08, 2022
Jkt 256001
Notice and request for
comments; request for approval.
ACTION:
In compliance with the
Paperwork Reduction Act of 1995, the
Indian Health Service (IHS) invites the
general public to comment on a new
information collection titled, ‘‘Urban
Indian Organization On-Site Review.’’
IHS is requesting the Office of
Management and Budget (OMB) to
approve this new collection. The
purpose of this notice is to announce
the IHS’ intent to submit this collection
to OMB and to allow 30 days for public
comment to be submitted directly to
OMB.
SUMMARY:
Consideration will be given to all
comments received by October 11, 2022.
ADDRESSES: A copy of the supporting
statement is available at
www.regulations.gov (see Docket ID:
IHS_FRDOC_0001).
Direct Your Comments to OMB: Send
your comments and suggestions
regarding the proposed information
collection contained in this notice,
especially regarding the estimated
public burden and associated response
time to: Office of Management and
Budget, Office of Regulatory Affairs,
New Executive Office Building, Room
10235, Washington, DC 20503,
Attention: Desk Officer for IHS.
FOR FURTHER INFORMATION CONTACT: To
request additional information, please
contact Evonne Bennett, Information
Collection Clearance Officer at:
Evonne.Bennett@ihs.gov or 301–443–
4750.
DATES:
SUPPLEMENTARY INFORMATION:
Summary of Comments: There was
one comment that was submitted to the
Agency regarding the 60-Day Federal
Register Notice published on February
11, 2022 (87 FR 8020).
Comment Summary: The National
Council of Urban Indian Health
(NCUIH) was the only comment to the
FRN, and a summary of the comments,
requests, and recommendations in
response to the February 11, 2022,
notice, is summarized below. These
comments can be found in full on
www.regulations.gov (see Docket ID:
IHS_FRDOC_0001) and based on
NCUIH’s consultations with Urban
Indian Organizations (UIOs) and
NCUIH’s subject matter expertise. In
summary, the NCUIH recommends the
following:
• Update the Manual regularly and as
needed to remain consistent with other
relevant accreditation processes.
• Provide greater flexibility in the
Manual to accommodate diverse UIO
program/facility goals and services.
PO 00000
Frm 00061
Fmt 4703
Sfmt 4703
• The IHS to provide a consolidated
list of requirement documents to UIOs
prior to the on-site review.
• Ensure that UIOs can use existing
administrative or site visit data in
meeting the requirements of the Manual.
Additional Recommendations for
UIOs includes that the Office of Urban
Indian Health Programs (OUIHP) host
an Urban Confer with UIOs to learn
directly from UIO leaders about their
experiences with the Manual and
overall review process. The NCUIH also
wanted consideration on (1) Provide a
timeline for processing information
collected in the annual review process;
and (2) Improve overall review by
ensuring reviewers are licensed medical
providers.
IHS Response: The IHS Urban Indian
Organization On-Site Review is
conducted annually by the IHS Area
Offices to evaluate IHS-funded UIOs’
compliance with the Federal
Acquisition Regulations (FAR), the
Indian Health Care Improvement Act
(IHCIA), and other contract and grant
requirements. The on-site review
requirements are based on best-practice
standards for delivering safe and high
quality health care. The OUIHP at IHS
Headquarters provides national
oversight of the annual on-site reviews.
In Fiscal Year (FY) 2018, the OUIHP
executed an Indefinite-Delivery,
Indefinite Quantity contract to revise
the outdated 2013 Annual On-site
Review Manual using current
Accreditation Association for
Ambulatory Health Care (AAAHC), The
Joint Commission, and Commission on
Accreditation of Rehabilitation
Facilities accreditation standards, and
the IHS Manual to improve consistency
and usefulness of on-site reviews. IHS
solicited feedback and
recommendations from UIOs by
conducting seven site visits: 1 outreach
and referral program, 2 limited
ambulatory programs, 2 comprehensive
ambulatory programs, and 2 residential
and outpatient treatment centers. In FY
2020, the OUIHP finalized the Annual
On-site Review Manual incorporating
UIOs’ feedback and recommendations.
In FY 2021, the OUIHP began
development of an electronic Annual
On-site Review application to replace
the hardcopy and a national dashboard
to enhance the efficiency of on-site
reviews. The application enables IHS
Area Office staff and UIOs to document
on-site reviews electronically by (1)
completing corrective action plans; (2)
documenting on-site reviews
simultaneously at UIOs by IHS and UIO
staff; (3) uploading on-site review
documents; (4) calculating compliance
scores to provide real-time feedback; (5)
E:\FR\FM\09SEN1.SGM
09SEN1
55449
Federal Register / Vol. 87, No. 174 / Friday, September 9, 2022 / Notices
generating compliance trend data as a
baseline measure; (6) uploading on-site
review data if no internet connection is
available; and (7) printing options for
the on-site review manual and
completed reviews. The advantages of
automating the Annual On-site Review
Manual and process will increase
productivity, increase communication
on status of on-site reviews, increase
efficient use of the Annual On-site
Review Manual, and improve
implementation of corrective action
plans. In FY 2022, the OUIHP continues
to develop the electronic Annual Onsite Review Manual and process
including seeking OMB approval.
The standardization of the Annual
On-site Review Manual and process was
in line with the 2017–2021 OUIHP
strategic plan to improve the
consistency, usefulness, and efficiency
of annual on-site reviews for IHS Area
Offices and UIOs.
The IHCIA at 25 U.S.C. 1655, states
that the IHS will annually review and
evaluate each UIO funded under the
law. The IHCIA also requires IHS to
develop procedures for evaluating
compliance with awards made under
the statute. Section 1655 states, in part:
(a) Contract Compliance and
Performance
The Secretary, through the Service,
shall develop procedures to evaluate
compliance with grant requirements
under this subchapter and compliance
with, and performance of contracts
entered into by [UIOs] under this
subchapter. Such procedures shall
include provisions for carrying out the
requirements of this section.
(b) Annual On-Site Evaluation
The Secretary, through the Service,
shall conduct an annual on-site
evaluation of each [UIO] which has
entered into a contract or received a
grant under Section 1653 of this title for
purposes of determining the compliance
of such organization with, and
evaluating the performance of such
organization under, such contract or the
terms of such grant.
To meet statutory compliance, the IHS
will conduct annual on-site reviews of
UIOs funded under the IHCIA to ensure
grant and contract compliance and the
delivery of safe and high-quality health
care.
Estimated
number of
respondents
jspears on DSK121TN23PROD with NOTICES
Data collection instrument(s)
This notice announces our intent to
establish a new information collection.
Title: Urban Indian Organization OnSite Review. Need and Use of
Information Collection: The Office of
Urban Indian Health Programs (OUIHP)
at IHS Headquarters provides national
oversight of the annual on-site reviews.
The IHS Urban Indian Organization OnSite Review is conducted annually by
the IHS Area Offices to evaluate IHSfunded Urban Indian Organizations’
compliance with Federal Acquisition
Regulation (FAR) contractual
requirements and grant requirements
established through the IHCIA. The onsite review requirements are based on
best-practice standards for delivering
safe and high quality health care.
Agency Form Number: none. Members
of Affected Public: IHS-funded Urban
Indian Organizations. Status of the
Proposed Information Collection: new.
The table below provides: Types of
data collection instruments, Estimated
number of respondents, Number of
responses per respondent, Average
burden hour per response, and Total
annual burden hours.
Responses
per
respondent
Average
burden hour
per response
Total annual
burden hours
UIOs .................................................................................................................
41
1
16
656
Total ..........................................................................................................
41
1
16
656
There are no direct costs to
respondents to report.
Requests for Comments: Your written
comments and/or suggestions are
invited on one or more of the following
points:
(a) whether the information collection
activity is necessary to carry out an
agency function;
(b) whether the agency processes the
information collected in a useful and
timely fashion;
(c) the accuracy of the public burden
estimate (the estimated amount of time
needed for individual respondents to
provide the requested information);
(d) whether the methodology and
assumptions used to determine the
estimates are logical;
(e) ways to enhance the quality,
utility, and clarity of the information
being collected; and
(f) ways to minimize the public
burden through the use of automated,
electronic, mechanical, or other
VerDate Sep<11>2014
18:57 Sep 08, 2022
Jkt 256001
technological collection techniques or
other forms of information technology
Elizabeth A. Fowler,
Acting Director, Indian Health Service.
[FR Doc. 2022–19493 Filed 9–8–22; 8:45 am]
BILLING CODE 4165–16–P
DEPARTMENT OF HOMELAND
SECURITY
Coast Guard
[Docket No. USCG–2011–0351]
Consolidated Port Approaches and
International Entry and Departure
Transit Areas Port Access Route
Studies (PARS) Integral to Efficiency of
Possible Atlantic Coast Fairways
Coast Guard, DHS.
Notice of availability.
summarizes the findings of four regional
port access route studies: the Northern
New York Bight; Seacoast of New Jersey
Including Offshore Approaches to the
Delaware Bay, Delaware; Approaches to
the Chesapeake Bay, Virginia; and the
Seacoast of North Carolina Including
Approaches to the Cape Fear River and
Beaufort Inlet, North Carolina. This
notice announces the conclusion of the
studies supplemental to the Atlantic
Coast Port Access Route Study
(ACPARS), announced on in the Federal
Register on March 15, 2019.
FOR FURTHER INFORMATION CONTACT: For
information about this document call or
email John Stone, Coast Guard;
telephone 202–372–1093, email
john.m.stone@uscg.mil.
SUPPLEMENTARY INFORMATION:
AGENCY:
Background
ACTION:
Atlantic Coast Port Access Route Study
On April 5, 2017, the Coast Guard
announced the completion of the
Atlantic Coast Port Access Route Study
in the Federal Register (82 FR 16510),
which is available for viewing and
The Coast Guard announces
the availability of the Consolidated Port
Approaches and International Entry and
Departure Transit Areas Port Access
Route Studies (CPAPARS). This report
SUMMARY:
PO 00000
Frm 00062
Fmt 4703
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]]>Agencies
[Federal Register Volume 87, Number 174 (Friday, September 9, 2022)]
[Notices]
[Pages 55448-55449]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-19493]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Request for Public Comment: 30-Day Information Collection: Urban
Indian Organization On-Site Review
AGENCY: Indian Health Service, HHS.
ACTION: Notice and request for comments; request for approval.
-----------------------------------------------------------------------
SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the
Indian Health Service (IHS) invites the general public to comment on a
new information collection titled, ``Urban Indian Organization On-Site
Review.'' IHS is requesting the Office of Management and Budget (OMB)
to approve this new collection. The purpose of this notice is to
announce the IHS' intent to submit this collection to OMB and to allow
30 days for public comment to be submitted directly to OMB.
DATES: Consideration will be given to all comments received by October
11, 2022.
ADDRESSES: A copy of the supporting statement is available at
www.regulations.gov (see Docket ID: IHS_FRDOC_0001).
Direct Your Comments to OMB: Send your comments and suggestions
regarding the proposed information collection contained in this notice,
especially regarding the estimated public burden and associated
response time to: Office of Management and Budget, Office of Regulatory
Affairs, New Executive Office Building, Room 10235, Washington, DC
20503, Attention: Desk Officer for IHS.
FOR FURTHER INFORMATION CONTACT: To request additional information,
please contact Evonne Bennett, Information Collection Clearance Officer
at: [email protected] or 301-443-4750.
SUPPLEMENTARY INFORMATION:
Summary of Comments: There was one comment that was submitted to
the Agency regarding the 60-Day Federal Register Notice published on
February 11, 2022 (87 FR 8020).
Comment Summary: The National Council of Urban Indian Health
(NCUIH) was the only comment to the FRN, and a summary of the comments,
requests, and recommendations in response to the February 11, 2022,
notice, is summarized below. These comments can be found in full on
www.regulations.gov (see Docket ID: IHS_FRDOC_0001) and based on
NCUIH's consultations with Urban Indian Organizations (UIOs) and
NCUIH's subject matter expertise. In summary, the NCUIH recommends the
following:
Update the Manual regularly and as needed to remain
consistent with other relevant accreditation processes.
Provide greater flexibility in the Manual to accommodate
diverse UIO program/facility goals and services.
The IHS to provide a consolidated list of requirement
documents to UIOs prior to the on-site review.
Ensure that UIOs can use existing administrative or site
visit data in meeting the requirements of the Manual.
Additional Recommendations for UIOs includes that the Office of
Urban Indian Health Programs (OUIHP) host an Urban Confer with UIOs to
learn directly from UIO leaders about their experiences with the Manual
and overall review process. The NCUIH also wanted consideration on (1)
Provide a timeline for processing information collected in the annual
review process; and (2) Improve overall review by ensuring reviewers
are licensed medical providers.
IHS Response: The IHS Urban Indian Organization On-Site Review is
conducted annually by the IHS Area Offices to evaluate IHS-funded UIOs'
compliance with the Federal Acquisition Regulations (FAR), the Indian
Health Care Improvement Act (IHCIA), and other contract and grant
requirements. The on-site review requirements are based on best-
practice standards for delivering safe and high quality health care.
The OUIHP at IHS Headquarters provides national oversight of the annual
on-site reviews.
In Fiscal Year (FY) 2018, the OUIHP executed an Indefinite-
Delivery, Indefinite Quantity contract to revise the outdated 2013
Annual On-site Review Manual using current Accreditation Association
for Ambulatory Health Care (AAAHC), The Joint Commission, and
Commission on Accreditation of Rehabilitation Facilities accreditation
standards, and the IHS Manual to improve consistency and usefulness of
on-site reviews. IHS solicited feedback and recommendations from UIOs
by conducting seven site visits: 1 outreach and referral program, 2
limited ambulatory programs, 2 comprehensive ambulatory programs, and 2
residential and outpatient treatment centers. In FY 2020, the OUIHP
finalized the Annual On-site Review Manual incorporating UIOs' feedback
and recommendations.
In FY 2021, the OUIHP began development of an electronic Annual On-
site Review application to replace the hardcopy and a national
dashboard to enhance the efficiency of on-site reviews. The application
enables IHS Area Office staff and UIOs to document on-site reviews
electronically by (1) completing corrective action plans; (2)
documenting on-site reviews simultaneously at UIOs by IHS and UIO
staff; (3) uploading on-site review documents; (4) calculating
compliance scores to provide real-time feedback; (5)
[[Page 55449]]
generating compliance trend data as a baseline measure; (6) uploading
on-site review data if no internet connection is available; and (7)
printing options for the on-site review manual and completed reviews.
The advantages of automating the Annual On-site Review Manual and
process will increase productivity, increase communication on status of
on-site reviews, increase efficient use of the Annual On-site Review
Manual, and improve implementation of corrective action plans. In FY
2022, the OUIHP continues to develop the electronic Annual On-site
Review Manual and process including seeking OMB approval.
The standardization of the Annual On-site Review Manual and process
was in line with the 2017-2021 OUIHP strategic plan to improve the
consistency, usefulness, and efficiency of annual on-site reviews for
IHS Area Offices and UIOs.
The IHCIA at 25 U.S.C. 1655, states that the IHS will annually
review and evaluate each UIO funded under the law. The IHCIA also
requires IHS to develop procedures for evaluating compliance with
awards made under the statute. Section 1655 states, in part:
(a) Contract Compliance and Performance
The Secretary, through the Service, shall develop procedures to
evaluate compliance with grant requirements under this subchapter and
compliance with, and performance of contracts entered into by [UIOs]
under this subchapter. Such procedures shall include provisions for
carrying out the requirements of this section.
(b) Annual On-Site Evaluation
The Secretary, through the Service, shall conduct an annual on-site
evaluation of each [UIO] which has entered into a contract or received
a grant under Section 1653 of this title for purposes of determining
the compliance of such organization with, and evaluating the
performance of such organization under, such contract or the terms of
such grant.
To meet statutory compliance, the IHS will conduct annual on-site
reviews of UIOs funded under the IHCIA to ensure grant and contract
compliance and the delivery of safe and high-quality health care.
This notice announces our intent to establish a new information
collection.
Title: Urban Indian Organization On-Site Review. Need and Use of
Information Collection: The Office of Urban Indian Health Programs
(OUIHP) at IHS Headquarters provides national oversight of the annual
on-site reviews. The IHS Urban Indian Organization On-Site Review is
conducted annually by the IHS Area Offices to evaluate IHS-funded Urban
Indian Organizations' compliance with Federal Acquisition Regulation
(FAR) contractual requirements and grant requirements established
through the IHCIA. The on-site review requirements are based on best-
practice standards for delivering safe and high quality health care.
Agency Form Number: none. Members of Affected Public: IHS-funded Urban
Indian Organizations. Status of the Proposed Information Collection:
new.
The table below provides: Types of data collection instruments,
Estimated number of respondents, Number of responses per respondent,
Average burden hour per response, and Total annual burden hours.
----------------------------------------------------------------------------------------------------------------
Estimated Average burden
Data collection instrument(s) number of Responses per hour per Total annual
respondents respondent response burden hours
----------------------------------------------------------------------------------------------------------------
UIOs............................................ 41 1 16 656
---------------------------------------------------------------
Total....................................... 41 1 16 656
----------------------------------------------------------------------------------------------------------------
There are no direct costs to respondents to report.
Requests for Comments: Your written comments and/or suggestions are
invited on one or more of the following points:
(a) whether the information collection activity is necessary to
carry out an agency function;
(b) whether the agency processes the information collected in a
useful and timely fashion;
(c) the accuracy of the public burden estimate (the estimated
amount of time needed for individual respondents to provide the
requested information);
(d) whether the methodology and assumptions used to determine the
estimates are logical;
(e) ways to enhance the quality, utility, and clarity of the
information being collected; and
(f) ways to minimize the public burden through the use of
automated, electronic, mechanical, or other technological collection
techniques or other forms of information technology
Elizabeth A. Fowler,
Acting Director, Indian Health Service.
[FR Doc. 2022-19493 Filed 9-8-22; 8:45 am]
BILLING CODE 4165-16-P
