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Federal Register / Vol. 86, No. 171 / Wednesday, September 8, 2021 / Notices
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plans to submit an Information Collection Request ICR, described below, to the Office of Management and Budget OMB. Prior to submitting the ICR to OMB, HRSA seeks comments from the public regarding the burden estimate, or any other aspect of the ICR
related to the Maternal and Child Health MCH Jurisdictional Survey that is to be administered in the U.S. territories and jurisdictions excluding the District of Columbia for purposes of collecting information related to the well-being of all mothers, children, and their families.
DATES: Comments on this Information Collection Request must be received no later than November 8, 2021.
ADDRESSES: Submit your comments to paperwork@hrsa.gov or by mail to the HRSA Information Collection Clearance Officer, Room 14N136B, 5600 Fishers Lane, Rockville, MD 20857.
FOR FURTHER INFORMATION CONTACT: To request more information on the proposed project or to obtain a copy of the data collection plans and draft instruments, email paperwork@hrsa.gov or call the HRSA Information Collection Clearance Officer at 301 4431984.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting information, please include the information request collection title for reference.
Information Collection Request Title:
MCH Jurisdictional Survey Instrument for the Title V MCH Block Grant Program, OMB No. 09060042, Extension.
Abstract: The purpose of the Title V
MCH Block Grant is to improve the health of the nations 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 three-tiered national performance measure framework, which includes National Outcome Measures, National Performance Measures, and EvidenceBased and Informed Strategy Measures, State Title V programs report annually on their performance relative to the selected national performance and outcome measures. Such reporting
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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 Sections 505a and 506a 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, HRSAs Maternal and Child Health Bureau 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 National Performance Measures and National Outcome Measures 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 i.e., 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 HRSAs Maternal and Child Health Bureau, 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 jurisdictionsAmerican 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 enables 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.

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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 Childrens 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 is used to measure progress on national performance and outcome measures under the Title V
MCH Block Grant Program. This survey instrument is critical to collect information on factors related to the well-being of all mothers, children, and their families in the jurisdictional Title V programs, 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 017 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. Included is 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.

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