Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Information Collection Request Title: Healthy Start Evaluation and Quality Improvement, OMB No. 0915-0338-Revision
| Citation | 84 FR 60095 |
| Record Number | 2019-24278 |
| Published date | 07 November 2019 |
| Section | Notices |
| Court | Health Resources And Services Administration |
Federal Register, Volume 84 Issue 216 (Thursday, November 7, 2019)
[Federal Register Volume 84, Number 216 (Thursday, November 7, 2019)]
[Notices]
[Pages 60095-60096]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-24278]
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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; Information Collection
Request Title: Healthy Start Evaluation and Quality Improvement, OMB
No. 0915-0338--Revision
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
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SUMMARY: In compliance with 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. Comments submitted
during the first public review of this ICR will be provided to OMB. OMB
will accept further comments from the public during the review and
approval period.
DATES: Comments on this ICR should be received no later than December
9, 2019.
ADDRESSES: Submit your comments, including the ICR Title, to the desk
officer for HRSA, either by email to [email protected] 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 Wright-Solomon, the
HRSA Information Collection Clearance Officer at [email protected] or
call (301) 443-1984.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title: Healthy Start Evaluation and
Quality Improvement. OMB No. 0915-0338--Revision.
Abstract: The National Healthy Start Program, funded through HRSA's
Maternal and Child Health Bureau (MCHB), has the goal of reducing
racial and ethnic disparities in infant mortality and other adverse
perinatal outcomes. The program began as a demonstration project with
15 grantees in 1991 and since then has expanded to 101 grantees serving
communities in 34 states, Washington, DC, and Puerto
[[Page 60096]]
Rico. Healthy Start grantees serve communities with high rates of poor
perinatal outcomes, including infant mortality at least 1.5 times the
U.S. national average. These communities are often low-income and in
geographically, racially, ethnically, and linguistically diverse areas.
Healthy Start offers services during the perinatal period (before,
during, and after pregnancy) and the program works with women, infants,
and families through the first 18 months after birth. The Healthy Start
program uses four approaches to reduce infant mortality through
individual services and community support to women, infants, and
families: (1) Improve women's health, (2) improve family health and
wellness, (3) promote systems change, and (4) assure impact and
effectiveness. Over the past few years, MCHB has sought to implement a
uniform set of data elements for monitoring and conducting an
evaluation to assess grantees' progress towards these program
approaches. Under the current OMB approval, the data collection
instruments for this evaluation include the following: The National
Healthy Start Program Survey; Community Action Network Survey; Healthy
Start Site Visit Protocol; Healthy Start Participant Focus Group
Protocol; and six client-level screening tools: (1) Demographic Intake
Form, (2) Pregnancy Status/History, (3) Preconception, (4) Prenatal,
(5) Postpartum, and (6) Interconception/Parenting.
In this proposed revision, MCHB plans to retain the client-level
tools, and to eliminate the National Healthy Start Program Survey,
Community Action Network Survey, Healthy Start Site Visit Protocol, and
Healthy Start Participant Focus Group Protocol instruments. These
instruments have been removed to streamline this data collection
activity for the evaluation. For the six client-level tools, MCHB plans
to consolidate these into three forms: (1) Background, (2) Prenatal,
and (3) Parent/Child. These tools have been revised based on the public
comments received during the 60-day comment period. The purpose of
these changes is to consolidate items that are duplicated across the
forms. In addition to consolidating questions across tools, many
individual items have been eliminated or in some cases reworded in
order to focus the evaluation more clearly on individual and
programmatic progress on performance measures. This will shorten the
revised instruments, center them more clearly on program improvement,
and decrease the number of personal/sensitive questions.
In addition to the elimination, consolidation, and rewording of
several items, questions designed to increase efficiency and accuracy
in reporting have been added. Specifically, many of the grantees'
annual reporting requirements require calculations based on infants'
birth dates, estimated due dates, dates enrolled in the Healthy Start
program, trimester in which certain health-related activities occurred,
and so on. These revised tools include the information necessary to
make these calculations so that annual aggregate reporting will be
based on individual client-level data. This will increase
accountability, efficiency, and accuracy in terms of the clients served
as well as reduce overall burden on the grantees by streamlining
reporting systems.
A 60-day notice was published in the Federal Register on January
31, 2019, vol. 84, no. 21, pp. 753-754. There were 16 public comments.
Need and Proposed Use of the Information: The purpose of the
revised data collection instruments will be to assess grantee and
client-level progress towards meeting Healthy Start program performance
measures. The data will be used to conduct ongoing performance
monitoring of the program; thus, meeting program needs for
accountability, programmatic decision-making, and ongoing quality
assurance.
Likely Respondents: Respondents include pregnant women and non-
pregnant women of reproductive age who are served by the Healthy Start
program as well as any of their spouses/partners or other caregivers
who are participating in receiving Healthy Start services.
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. Compared to the versions submitted for the
60-day approval process in January, estimated burden hours have
increased somewhat as a result of implementing the feedback provided in
public comments during the 60-day comment period. The total annual
burden hours estimated for this ICR are summarized in the table below.
Total Estimated Annualized Burden Hours
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Number of Average burden
Form name Number of responses per Total per response Total burden
respondents respondent responses (in hours) hours
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Background...................... * 55,550 1 55,550 .50 27,775
Prenatal........................ * 30,300 1 30,300 .17 5,151
Parent/Child.................... * 30,300 1 30,300 .42 12,726
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
Total....................... 116,150 .............. 116,150 .............. 45,652
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* All participants (55,550) complete the Background form, and a subset of these same individuals (30,300) also
complete the Prenatal or Parent/Child forms, for a total of 116,150 responses.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2019-24278 Filed 11-6-19; 8:45 am]
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