Maternal and Child Health Jurisdictional Survey Instrument for the Title V MCH Block Grant Program
No material or nonsubstantive change to a currently approved collection
No
Regular
Approved without change
02/08/2021
02/02/2021
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
04/30/2022
04/30/2022
04/30/2022
7,303
0
5,955
2,014
0
1,605
0
0
0
HRSA/MCHB needs the Title V MCH Block Grant Jurisdictional MCH Survey to create a mechanism for jurisdictions to begin collecting, reporting and monitoring key MCH indicators over time. This data collection will enable the eight jurisdictions (i.e., American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, Palau, Puerto Rico, and U.S. Virgin Islands) 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. Having these data will allow for better annual reporting by the Federal program office in reporting to Congress on the jurisdictionsâ Title V program accomplishments.
The instruments are survey screeners that the public will not see, therefore, no public burden statement or OMB #s/Exp. Dates are indicated on the documents.
Burden increase is due to an increase in the sampling/respondent amounts, as per the Jan 2021 Non-Substantive Change Memo.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
MCH Jurisdictional Survey Instrument for the Title V MCH Block Grant Program