Attachment B_60 Day FRN_Form 4 Revision

Federal Register / Vol. 86, No. 127 / Wednesday, July 7, 2021 / Notices
Background
Section 332 of the Public Health
Service (PHS) Act, 42 U.S.C. 254e,
provides that the Secretary shall
designate HPSAs based on criteria
established by regulation. HPSAs are
defined in section 332 to include (1)
urban and rural geographic areas with
shortages of health professionals, (2)
population groups with such shortages,
and (3) facilities with such shortages.
Section 332 further requires that the
Secretary annually publish lists of the
designated geographic areas, population
groups, and facilities. The lists of
HPSAs are to be reviewed at least
annually and revised as necessary.
Final regulations (42 CFR part 5) were
published in 1980 that include the
criteria for designating HPSAs. Criteria
were defined for seven health
professional types: Primary medical
care, dental, psychiatric, vision care,
podiatric, pharmacy, and veterinary
care. The criteria for correctional facility
HPSAs were revised and published on
March 2, 1989 (54 FR 8735). The criteria
for psychiatric HPSAs were expanded to
mental health HPSAs on January 22,
1992 (57 FR 2473). Currently funded
PHS Act programs use only the primary
medical care, mental health, or dental
HPSA designations.
HPSA designation offers access to
potential federal assistance. Public or
private nonprofit entities are eligible to
apply for assignment of National Health
Service Corps (NHSC) personnel to
provide primary medical care, mental
health, or dental health services in or to
these HPSAs. NHSC health
professionals enter into service
agreements to serve in federally
designated HPSAs. Entities with clinical
training sites located in HPSAs are
eligible to receive priority for certain
residency training program grants
administered by HRSA’s BHW. Other
federal programs also utilize HPSA
designations. For example, under
authorities administered by the Centers
for Medicare and Medicaid Services,
certain qualified providers in
geographic area HPSAs are eligible for
increased levels of Medicare
reimbursement.

khammond on DSKJM1Z7X2PROD with NOTICES

Content and Format of Lists
The three lists of designated HPSAs
are available on the HRSA Data
Warehouse shortage area topic web page
and include a snapshot of all geographic
areas, population groups, and facilities
that were designated HPSAs as of April
30, 2021. This notice incorporates the
most recent annual reviews of
designated HPSAs and supersedes the
HPSA lists published in the Federal

VerDate Sep<11>2014

17:44 Jul 06, 2021

Jkt 253001

Register on June 15, 2020 (Federal
Register/Vol. 85, No. 115/Monday, June
15, 2020/Notices 36219).
In addition, all Indian Tribes that
meet the definition of such Tribes in the
Indian Health Care Improvement Act of
1976, 25 U.S.C. 1603, are automatically
designated as population groups with
primary medical care and dental health
professional shortages. Further, the
Health Care Safety Net Amendments of
2002 provides eligibility for automatic
facility HPSA designations for all
federally qualified health centers
(FQHCs) and rural health clinics that
offer services regardless of ability to
pay. Specifically, these entities include
FQHCs funded under section 330 of the
PHS Act, FQHC Look-Alikes, and Tribal
and urban Indian clinics operating
under the Indian Self-Determination
and Education Act of 1975 (25 U.S.C.
450) or the Indian Health Care
Improvement Act. Many, but not all, of
these entities are included on this
listing. Absence from this list does not
exclude them from HPSA designation;
facilities eligible for automatic
designation are included in the database
when they are identified.
Each list of designated HPSAs is
arranged by state. Within each state, the
list is presented by county. If only a
portion (or portions) of a county is (are)
designated, a county is part of a larger
designated service area, or a population
group residing in a county or a facility
located in the county has been
designated, the name of the service area,
population group, or facility involved is
listed under the county name. A county
that has a whole county geographic or
population group HPSA is indicated by
the phrase ‘‘County’’ following the
county name.
Development of the Designation and
Withdrawal Lists
Requests for designation or
withdrawal of a particular geographic
area, population group, or facility as a
HPSA are received continuously by
BHW. Under a Cooperative Agreement
between HRSA and the 54 state and
territorial Primary Care Offices (PCOs),
PCOs conduct needs assessments and
submit applications to HRSA to
designate areas as HPSAs. BHW refers
requests that come from other sources to
PCOs for review. In addition, interested
parties, including Governors, State
Primary Care Associations, and state
professional associations, are notified of
requests so that they may submit their
comments and recommendations.
BHW reviews each recommendation
for possible addition, continuation,
revision, or withdrawal. Following
review, BHW notifies the appropriate

PO 00000

Frm 00081

Fmt 4703

Sfmt 4703

35809

agency, individuals, and interested
organizations of each designation of a
HPSA, rejection of recommendation for
HPSA designation, revision of a HPSA
designation, and/or advance notice of
pending withdrawals from the HPSA
list. Designations (or revisions of
designations) are effective as of the date
on the notification from BHW and are
updated daily on the HRSA Data
Warehouse Find Shortage Area website.
The effective date of a withdrawal will
be the next publication of a notice
regarding the list of designated HPSAs
in the Federal Register.
Diana Espinosa,
Acting Administrator.
[FR Doc. 2021–14408 Filed 7–6–21; 8:45 am]
BILLING CODE 4165–15–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Proposed Collection: Public
Comment Request; Information
Collection Request Title: The Maternal,
Infant, and Early Childhood Home
Visiting Program Quarterly
Performance Report, OMB No. 0906–
0016, Revision
Health Resources and Service’s
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:

In compliance with the
requirement for opportunity for public
comment on proposed data collection
projects of the Paperwork Reduction Act
of 1995, HRSA announces 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,
below, or any other aspect of the ICR.
DATES: Comments on this ICR should be
received no later than September 7,
2021.
SUMMARY:

Submit your comments to
[email protected] or mail the HRSA
Information Collection Clearance
Officer, 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 [email protected]
or call Lisa Wright-Solomon, the HRSA
ADDRESSES:

E:\FR\FM\07JYN1.SGM

07JYN1

35810

Federal Register / Vol. 86, No. 127 / Wednesday, July 7, 2021 / Notices

Information Collection Clearance Officer
at (301) 443–1984.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title:
The Maternal, Infant, and Early
Childhood Home Visiting Program
Quarterly Performance Report, OMB No.
0906–0016, Revision
Abstract: This clearance request is for
continued approval of the Maternal,
Infant, and Early Childhood Home
Visiting (MIECHV) Program Quarterly
Performance Report. The MIECHV
Program, administered by HRSA in
partnership with the Administration for
Children and Families, supports
voluntary, evidence-based home visiting
services during pregnancy and to
parents with young children up to
kindergarten entry. States, certain nonprofit organizations, and tribal entities
are eligible to receive funding from the
MIECHV Program and have the
flexibility to tailor the program to serve
the specific needs of their communities.
HRSA is revising the data collection
forms for the MIECHV Program by
making the following changes:
• Form 4, reporting guidance: Revise
reporting instructions to reflect
updated reporting requirements

• Form 4, Definition of Key Terms:
Update definitions for Table A.1
• Form 4, Definition of Key Terms: Add
definitions for Table A.2
HRSA is also requesting approval to
expand the use of Form 4 in order to
collect quarterly performance data from
awardees who receive MIECHV funding
appropriated by section 9101 of the
American Rescue Plan Act (Pub. L. 117–
2).
Need and Proposed Use of the
Information: HRSA uses quarterly
performance information to demonstrate
program accountability and
continuously monitor and provide
oversight to MIECHV Program awardees.
The information is also used to provide
quality improvement guidance and
technical assistance to awardees and
help inform the development of early
childhood systems at the national, state,
and local level. HRSA is seeking to
revise reporting instructions and
definitions of key terms and to expand
the use of Form 4 in order to collect
distinct quarterly performance data
related to the use of the American
Rescue Plan Act funds. This notice is
subject to the appropriation of funds,
and is a contingency action taken to

ensure that, should funds become
available for this purpose, information
can be collected in a timely manner.
Likely Respondents: MIECHV Program
awardees that are states, territories, and,
where applicable, nonprofit
organizations receiving MIECHV
funding to provide home visiting
services within states.
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. The total annual burden
hours estimated for this ICR are
summarized in the table below.

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS
Average
burden
per response
(in hours)

Number
of respondents

Number of
responses per
respondent

Form 4: Section A—Quarterly Performance Report ............
Form 4: Section B Quarterly Benchmark Performance
Measures ..........................................................................

56

8

448

24

10,752

10

4

40

200

8,000

Total ..............................................................................

* 56

........................

488

........................

18,752

Form
name

Total
responses

Total burden
hours

khammond on DSKJM1Z7X2PROD with NOTICES

* The 10 responses for Section B are a sub-set of 56 total awardees funded through the MIECHV Program.

HRSA specifically requests comments
on (1) the necessity and utility of the
proposed information collection for the
proper performance of the agency’s
functions, (2) the accuracy of the
estimated burden, (3) ways to enhance
the quality, utility, and clarity of the
information to be collected, and (4) the
use of automated collection techniques
or other forms of information
technology to minimize the information
collection burden.

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

Maria G. Button,
Director, Executive Secretariat.

ACTION:

[FR Doc. 2021–14412 Filed 7–6–21; 8:45 am]

SUMMARY:

17:44 Jul 06, 2021

Extension of Designation of Scarce
Materials or Threatened Materials
Subject to COVID–19 Hoarding
Prevention Measures; Extension of
Effective Date With Modifications
Department of Health and
Human Services (HHS).

AGENCY:

Temporary notice; solicitation
of comments.

BILLING CODE 4165–15–P

VerDate Sep<11>2014

Office of the Secretary

Jkt 253001

The Department of Health and
Humans Services (HHS) provides notice
of the extension of the designation
issued on February 1, 2021, under
Executive Order 13910 (Executive
Order) and section 102 of the Defense
Production Act of 1950 (the Act), as

PO 00000

Frm 00082

Fmt 4703

Sfmt 4703

amended, designating health and
medical resources necessary to respond
to the spread of the virus associated
with Coronavirus Disease 2019 (COVID–
19) that are scarce or the supply of
which would be threatened by excessive
accumulation by people or entities not
needing the excess supplies. These
designated materials are subject to the
hoarding prevention measures
authorized under the Executive Order
and the Act.
DATES: This action took effect on July 1,
2021, and terminates on November 15,
2021. To be assured consideration,
comments on this extension and update
to the list of scarce or threatened
materials must be received at the
address provided below by August 6,
2021.
In commenting, please refer
to Paige Ezernack: 202–260–0365;

ADDRESSES:

E:\FR\FM\07JYN1.SGM

07JYN1