Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access and Screening and Treatment for Maternal Mental Health and Substance Use Disorders Programs Project

ICR 202505-0906-005

OMB: 0906-0105

Federal Form Document

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Justification for No Material/Nonsubstantive Change
2025-05-30
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IC Document Collections
IC ID
Document
Title
Status
271506 Modified
271505 Modified
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ICR Details
0906-0105 202505-0906-005
Received in OIRA 202410-0906-001
HHS/HRSA
Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access and Screening and Treatment for Maternal Mental Health and Substance Use Disorders Programs Project
No material or nonsubstantive change to a currently approved collection   No
Regular 06/02/2025
  Requested Previously Approved
12/31/2027 12/31/2027
29,880 29,880
10,026 10,026
0 0
This information collection will be used to evaluate the Pediatric Mental Health Care Access (PMHCA) Program and the Screening and Treatment for Maternal Mental Health and Substance Use Disorders (MMHSUD) Program. The evaluation will be used to study the efforts of PMHCA and MMHSUD programs to achieve key outcomes (e.g., increase in access to behavioral health services; HPs trained; identification of community-based resources, including counselors or family service providers) and to measure whether and to what extent awardee programs are associated with changes in these outcomes. The evaluation will examine changes over time within and/or across PMHCA and MMHSUD programs, regarding PMHCA- and MMHSUD-enrolled/participating HPs’ and practices’ (1) capacity to address patients’ behavioral health and access to behavioral health care, through screening, assessment, treatment, and referral for behavioral health conditions, and (2) use of program services (i.e., consultation, care coordination, training).
PL: Pub.L. 114 - 255 10002 Name of Law: 21st Century Cures Act
   PL: Pub.L. 117 - 2 2712 Name of Law: American Rescue Plan Act
   PL: Pub.L. 117 - 159 11005 Name of Law: Bipartisan Safer Communities Act
   US Code: 42 USC 247b-13a Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  89 FR 46143 05/28/2024
89 FR 81920 10/09/2024
Yes
8
IC Title Form No. Form Name
Behavioral Health Consultation Provider Semi-Structured Interview (SSI) 1I, 1A, 1I, 1A Attachment 1I - Behavioral Health Consultation Provider SSI PMHCA ,   Attachment 1A - Behavioral Health Consultation Provider SSI MMHSUD ,   1A_MCHB_0906-0105_MMHSUD BH Consultation Provider SSI_Redline ,   1I_MCHB_0906-0105_PMHCA BH Consultation Provider SSI_Redline
Care Coordinator Semi-Structured Interview (SSI) 1J, 1B, 1B, 1J Attachment 1J - Care Coordinator SSI PMHCA ,   Attachment 1B - Care Coordinator SSI MMHSUD ,   1B_MCHB_0906-0105_MMHSUD Care Coordinator SSI_Redline ,   1J_MCHB_0906-0105_PMHCA Care Coordinator SSI_Redline
Champion Semi-Structured Interview 1K, 1C, 1C, 1K Attachment 1K - Champion SSI PMHCA ,   Attachment 1C - Champion SSI MMHSUD ,   1C_MCHB_0906-0105_MMHSUD Champion SSI_Redline ,   1K_MCHB_0906-0105_PMHCA Champion SSI_Redline.docx
Community-based and Other Resources Semi-Structured Interview (SSI) 1L, 1D, 1D, 1L Attachment 1L - Community-Based and Other Resources SSI PMHCA ,   Attachment 1D - Community-Based and Other Resources SSI MMHSUD ,   1D_MCHB_0906-0105_MMHSUD Community Resources SSI_Redline ,   1L_MCHB_0906-0105_PMHCA Community Resources SSI_Redline
Health Professional Survey 1E, 1M, 1M, 1E Attachment 1M - Health Professional Survey PMHCA ,   Attachment 1E - Health Professional Survey MMHSUD ,   1E_MCHB_0906-0105_MMHSUD Health Professional Survey_Redline ,   1M_MCHB_0906-0105_MCHB_PMHCA Health Professional Survey_Redline
Practice-Level Survey 1F, 1N, 1N, 1F Attachment 1N - Practice Level Survey PMHCA ,   Attachment 1F - Practice Level Survey MMHSUD ,   1F_MCHB_0906-0105_MMHSUD Practice Level Survey_Redline ,   1N_MCHB_0906-0105_MCHB_PMHCA Practice Level Survey_Redline
Program Implementation Semi-Structured Interview (SSI) 1O, 1G, 1G, 1O Attachment 1O - Program Implementation SSI PMHCA ,   Attachment 1G - Program Implementation SSI MMHSUD ,   1G_MCHB_0906-0105_MMHSUD Program Implementation SSI_Redline ,   1O_MCHB_0906-0105_MCHB_PMHCA Program Implementation SSI_Redline
Program Implementation Survey 1H, 1P, 1P, 1H Attachment 1P - Program Implementation Survey PMHCA ,   Attachment 1H - Program Implementation Survey MMHSUD ,   1H_MCHB_0906-0105_MMHSUD Program Implementation Survey_Redline ,   1P_MCHB_0906-0105_PMHCA Program Implementation Survey_Redline
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 29,880 29,880 0 0 0 0
Annual Time Burden (Hours) 10,026 10,026 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$804,666
No
    Yes
    No
No
No
No
No
Laura Cooper 301 443-2126 [email protected]
  No
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.
06/02/2025
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