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Federal Register / Vol. 86, No. 192 / Thursday, October 7, 2021 / Rules and Regulations is of a type that does not individually or cumulatively have a significant effect on the human environment. Therefore, neither an environmental assessment nor an environmental impact statement is required.
V. Paperwork Reduction Act This final rule contains information collection requirements ICRs that are subject to review by the Office of Management and Budget OMB under the Paperwork Reduction Act of 1995.
No public comments were provided on the proposed information collections for 59.4, 59.5, and 59.7 proposed in the NPRM. OMB filed comment on this NPRM and assigned OMB Control Number 09700211. As previously stated in the preamble, the final rule is revoking the 2019 final rule in its entirety. As a result, the final rule does not include information data collection required under 59.5a12 to provide documentation or assurance to HHS of a plan to comply with state notifications laws, and it does not include the
requirement under 59.5a13 to report information to HHS on subrecipients. However, additional information collection was identified related to 59.4, 59.5, and 59.7. The final rule is revising the information collections to reflect the additional estimated burden for the Title X grant requirements under 59.4, 59.5, and 59.7. A description of these provisions is given in the following paragraphs with an estimate of the annual burden, summarized in Table 1.
59.4 requires Title X grant applicants to describe how the proposed project would satisfy the regulatory requirements for the Title X program in their applications, including the specific project requirements under 59.5 and the grant review criteria specified under 59.7. We estimate that the time necessary for each Title X applicant to include this information in their grant applications would be 70 hours. All other reporting burden associated with grant applications is already approved via existing Grants.gov common forms.

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Burden of Response: The Department is committed to leveraging existing grant, contract, annual reporting, and other Departmental forms where possible, rather than creating additional, separate forms for recipients to sign.
The burden for describing the Title X
grant requirements is the cost for each applicant to include this information in their grant applications. The labor cost would consist of a medical and health service manager spending an average of 70 hours writing and incorporating the Title X program information in their grant applications. The Department estimates the number of applicants at 136, based on the number of eligible applicants who applied to the Title X
national grant competition before the 2019 final rule was in effect. The mean hourly wage not including benefits and overhead is $55.37 per hour for the medical and health service manager.27
The labor cost per application is $3,875.90. $55.37 70 hours, and the total labor cost is $527,122.40
$3,875.90 136 applications.

TABLE 1ESTIMATED BURDEN FOR DESCRIBING THE TITLE X GRANT REQUIREMENTS IN THE GRANT APPLICATION
FOLLOWING PUBLICATION OF THE FINAL RULE
OMB control No.

Regulation burden
Hourly rate $

Burden per response hours
Total annual burden hours
Labor cost of application $

Title X Grant Requirements

09700211

136

55.37

70

9,520

527,122.40

Total cost

527,122.40

59.4

List of Subjects in 42 CFR Part 59
Family planning, Grant programshealth, Health professions, Abortion, Birth control, Title X.
Xavier Becerra, Secretary, Department of Health and Human Services.

42 CFR Part 59
PART 59GRANTS FOR FAMILY
PLANNING
For the reasons set out in the preamble, subpart A of part 59 of title 42, Code of Federal Regulations, is revised to read as follows:

lotter on DSK11XQN23PROD with RULES3

Applicant responses
How does one apply for a family planning services grant?
59.5 What requirements must be met by a family planning project?
59.6 What procedures apply to assure the suitability of informational and educational material print and electronic?
59.7 What criteria will the Department of Health and Human Services use to decide which family planning services projects to fund and in what amount?
59.8 How is a grant awarded?
59.9 For what purposes may grant funds be used?
59.10 Confidentiality.
59.11 Additional conditions.
Authority: 42 U.S.C. 300a-4.

Subpart AProject Grants for Family Planning Services
Subpart AProject Grants for Family Planning Services
Sec.
59.1

59.1 To what programs do these regulations apply?

To what programs do these regulations apply?
59.2 Definitions.
59.3 Who is eligible to apply for a family planning services grant?

The regulations of this subpart are applicable to the award of grants under section 1001 of the Public Health
Service Act 42 U.S.C. 300 to assist in the establishment and operation of voluntary family planning projects.
These projects shall consist of the educational, comprehensive medical, and social services necessary to aid individuals to determine freely the number and spacing of their children.
59.2

Definitions.

As used in this subpart:
Act means the Public Health Service Act, as amended.
Adolescent-friendly health services are services that are accessible, acceptable, equitable, appropriate and effective for adolescents.
Clinical services provider includes physicians, physician assistants, nurse practitioners, certified nurse midwives, and registered nurses with an expanded scope of practice who are trained and permitted by state-specific regulations to perform all aspects of the user male and female physical assessments recommended for contraceptive, related
27 2019 labor costs for medical and health service managers, https www.bls.gov/oes/2019/may/
oes119111.htm.

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