Maternal and Child Health Jurisdictional Survey Instrument for the Title V MCH Block Grant Program
Revision of a currently approved collection
No
Regular
Approved without change
03/12/2025
01/22/2025
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
03/31/2028
36 Months From Approved
04/30/2025
14,500
0
17,584
3,155
0
3,481
0
0
0
HRSA/MCHB needs the Title V MCH Block Grant Jurisdictional MCH Survey to create a mechanism for jurisdictions to collect, report, and monitor 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.
US Code:
5 USC 5 CFR 1320.5(d)(2)
Name of Law: Controlling Paperwork Burdens on the Public
US Code:
42 USC 701 et seq.
Name of Law: Maternal and Child Health Services Block Grant programs
The estimated annual burden in this revision package is 3,155 hours, a decrease from the previously estimated 3,481 hours in ICR 202404-0906-002. Although the total number of interviews has increased, the burden hours have declined due to two factors: (1) survey timings have been adjusted to reflect actual survey times from the three completed rounds of data collection, rather than prior estimates, and (2) eligibility assumptions and response rates have been updated based on actual results from the same three rounds of data collection experience.
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