82_FR_26920 82 FR 26810 - Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: Title V Maternal and Child Health Services Block Grant to States Program: Guidance and Forms for the Title V Application/Annual Report OMB No. 0915-0172-Revision

82 FR 26810 - Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: Title V Maternal and Child Health Services Block Grant to States Program: Guidance and Forms for the Title V Application/Annual Report OMB No. 0915-0172-Revision

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

Federal Register Volume 82, Issue 110 (June 9, 2017)

Page Range26810-26811
FR Document2017-12003

In compliance with the requirement for opportunity for public comment on proposed data collection projects, 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.

Federal Register, Volume 82 Issue 110 (Friday, June 9, 2017)
[Federal Register Volume 82, Number 110 (Friday, June 9, 2017)]
[Notices]
[Pages 26810-26811]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-12003]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Public Comment Request; Information Collection Request Title: Title V 
Maternal and Child Health Services Block Grant to States Program: 
Guidance and Forms for the Title V Application/Annual Report OMB No. 
0915-0172--Revision

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In compliance with the requirement for opportunity for public 
comment on proposed data collection projects, 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 must be received no later than August 8, 
2017.

ADDRESSES: Submit your comments to paperwork@hrsa.gov or mail the HRSA 
Information Collection Clearance Officer, Room 14N39, 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 paperwork@hrsa.gov or call the HRSA 
Information Collection Clearance Officer at (301) 443-1984.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the information request collection title 
for reference, in compliance with Section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995.
    Information Collection Request Title: Title V Maternal and Child 
Health Services Block Grant to States Program: Guidance and Forms for 
the Title V Application/Annual Report, OMB No. 0915-0172--Revision
    Abstract: HRSA is updating the Title V Maternal and Child Health 
Services Block Grant to States Program: Guidance and Forms for the 
Title V Application/Annual Report. This guidance is used annually by 
the 50 states and 9 jurisdictions (hereafter state) in applying for 
Block Grants under Title V of the Social Security Act and in preparing 
the required annual report. The updates proposed by HRSA's Maternal and 
Child Health Bureau (MCHB) for this edition of the guidance are 
intended to reinforce the role of the state in developing a Title V 
Maternal and Child Health (MCH) Action Plan that addresses its priority 
needs. These proposed updates further refine the reporting structure 
and vision that was outlined in the previous edition. As such, they are 
intended to enable a state to articulate its Title V program activities 
and leadership efforts for serving the MCH population. The proposed 
updates to the guidance are informed by comments received from state 
Title V MCH program leaders, national MCH leaders, and other MCH 
stakeholders.
    Specific updates to this edition of the Title V Maternal and Child 
Health Services Block Grant to States Program: Guidance and Forms for 
the Title V Application/Annual Report include the following:
    (1) The performance measure framework has been maintained, but a 
state has added flexibility to determine the best combination of 
National Performance Measures (NPMs) and State Performance Measures 
(SPMs) for addressing its identified MCH priority needs. States will 
address each priority need by either a NPM or SPM.
    (2) The required minimum number of NPMs to be selected by a state 
has been reduced from eight to five. States will select at least one 
NPM in each of the five population health domains, specifically: (1) 
Women/Maternal Health; (2) Perinatal/Infant Health; (3) Child Health; 
(4) Children with Special Health Care Needs (CSHCN); and (5) Adolescent 
Health.
    (3) A sixth and optional domain, Cross-cutting and Systems 
Building, has been added to replace the Cross-cutting/Life Course 
domain. The three NPMs that were formerly included in the Cross-
cutting/Life Course domain (i.e., NPM #13A/B, NPM #14 A/B and NPM #15) 
have been incorporated into the relevant population health domain(s). 
No NPMs are included in the Cross-cutting and Systems Building domain; 
however, a state may choose to include a SPM in this domain if relevant 
to its priority needs.
    (4) The focus on evidence-based or evidence-informed strategies and 
measures (ESMs) continues, with an enhanced definition of ``evidence-
base'' provided. Clarifying instructions and state examples of ESMs 
have been added.
    (5) Expectations around state Title V reporting on family/consumer 
partnership have been clarified. These expectations include enhanced 
discussion of specific program activities, the impact they have on all 
sectors of the MCH population, and their demonstrated value in 
improving MCH outcomes.
    (6) The narrative reporting requirements around services for CSHCN 
have been strengthened to allow each state to identify and define the 
components of its system of services. States are also encouraged to 
reflect on the impact of these services within the context of the 
identified priority needs and the measures selected for the State 
Action Plan.
    (7) Further anticipated reductions to state burden have been 
incorporated through more streamlined narrative reporting, particularly 
between the State Overview, Needs Assessment, and State Action Plan 
sections; clearer descriptions of expected content in each of the 
narrative sections; and refined instructions for completing the data 
reporting forms. Notable among these updates is the restructuring of 
the State Action Plan narrative discussion to allow a Title V program 
greater flexibility in describing its public health framework (e.g., 
life course model), leadership and partnership roles, cross-cutting 
strategies, and the leveraging of resources.
    The full extent of the anticipated burden reduction will be 
realized over time as states become more familiar with the updated 
instructions and reporting requirements. The burden estimates presented 
in the table below are based on previous burden estimates and 
consultation with a few states.
    Need and Proposed Use of the Information: Each year, states are 
required to submit an application/annual report for Federal funds for 
their Title V MCH Services Block Grant to States Program to HRSA's MCHB 
(Section 505(a) of Title V of the Social Security Act). In addition, 
each state is required to conduct a comprehensive needs assessment 
every 5 years. The information and instructions for the preparation and 
submission of this application/annual report are contained in the Title 
V Maternal and Child Health Services Block Grant to States Program: 
Guidance and Forms for the Title V Application/Annual Report.
    Likely Respondents: Per section 505(a) of Title V of the Social 
Security Act, the MCH Block Grant application/annual

[[Page 26811]]

report must be developed by, or in consultation with, the state MCH 
Health agency.
    Burden Statement: Burden in this context means the time expended by 
persons to generate, maintain, retain, disclose, or provide the 
information requested. This estimate 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.
    In fiscal year (FY) 2019 and FY 2020, states will submit an 
application/annual report without the 5-year needs assessment summary 
for a total annual estimated burden of 7,080 hours. In FY 2021, states 
will submit an application/annual report with the 5-year needs 
assessment summary for a total estimated burden of 11,151 hours. As a 
result of the proposed revisions, average annual burden is projected to 
be reduced by approximately 700 hours.
    Total Estimated Annualized Burden Hours:

----------------------------------------------------------------------------------------------------------------
                                                     Number of                      Burden per
            Form name                Number of     responses per       Total       response  (in   Total burden
                                    respondents     respondent       responses        hours)           hours
----------------------------------------------------------------------------------------------------------------
Application and Annual Report                 59               1              59             120           7,080
 without 5-Year Needs Assessment
 Summary........................
Application and Annual Report                 59               1              59             189          11,151
 with 5-Year Needs Assessment
 Summary........................
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
    Average Total Annual Burden.              59  ..............              59  ..............         * 8,437
----------------------------------------------------------------------------------------------------------------
* Reflects the average of one Application/Annual Report with Needs Assessment Summary and two Application/Annual
  Reports without Needs Assessment Summary

    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.

Jason E. Bennett,
Director, Division of the Executive Secretariat.
[FR Doc. 2017-12003 Filed 6-8-17; 8:45 am]
 BILLING CODE 4165-15-P



                                                  26810                            Federal Register / Vol. 82, No. 110 / Friday, June 9, 2017 / Notices

                                                    Dated: June 5, 2017.                                  Block Grant to States Program:                         enhanced definition of ‘‘evidence-base’’
                                                  Anna K. Abram,                                          Guidance and Forms for the Title V                     provided. Clarifying instructions and
                                                  Deputy Commissioner for Policy, Planning,               Application/Annual Report. This                        state examples of ESMs have been
                                                  Legislation, and Analysis.                              guidance is used annually by the 50                    added.
                                                  [FR Doc. 2017–12007 Filed 6–8–17; 8:45 am]              states and 9 jurisdictions (hereafter                     (5) Expectations around state Title V
                                                  BILLING CODE 4164–01–P                                  state) in applying for Block Grants                    reporting on family/consumer
                                                                                                          under Title V of the Social Security Act               partnership have been clarified. These
                                                                                                          and in preparing the required annual                   expectations include enhanced
                                                  DEPARTMENT OF HEALTH AND                                report. The updates proposed by                        discussion of specific program
                                                  HUMAN SERVICES                                          HRSA’s Maternal and Child Health                       activities, the impact they have on all
                                                                                                          Bureau (MCHB) for this edition of the                  sectors of the MCH population, and
                                                  Health Resources and Services                           guidance are intended to reinforce the                 their demonstrated value in improving
                                                  Administration                                          role of the state in developing a Title V              MCH outcomes.
                                                                                                          Maternal and Child Health (MCH)                           (6) The narrative reporting
                                                  Agency Information Collection                           Action Plan that addresses its priority                requirements around services for
                                                  Activities: Proposed Collection: Public                 needs. These proposed updates further                  CSHCN have been strengthened to allow
                                                  Comment Request; Information                            refine the reporting structure and vision              each state to identify and define the
                                                  Collection Request Title: Title V                       that was outlined in the previous                      components of its system of services.
                                                  Maternal and Child Health Services                      edition. As such, they are intended to                 States are also encouraged to reflect on
                                                  Block Grant to States Program:                          enable a state to articulate its Title V               the impact of these services within the
                                                  Guidance and Forms for the Title V                      program activities and leadership efforts              context of the identified priority needs
                                                  Application/Annual Report OMB No.                       for serving the MCH population. The                    and the measures selected for the State
                                                  0915–0172—Revision                                      proposed updates to the guidance are                   Action Plan.
                                                                                                          informed by comments received from                        (7) Further anticipated reductions to
                                                  AGENCY: Health Resources and Services                                                                          state burden have been incorporated
                                                  Administration (HRSA), Department of                    state Title V MCH program leaders,
                                                                                                          national MCH leaders, and other MCH                    through more streamlined narrative
                                                  Health and Human Services.                                                                                     reporting, particularly between the State
                                                                                                          stakeholders.
                                                  ACTION: Notice.                                                                                                Overview, Needs Assessment, and State
                                                                                                             Specific updates to this edition of the
                                                  SUMMARY:    In compliance with the                      Title V Maternal and Child Health                      Action Plan sections; clearer
                                                  requirement for opportunity for public                  Services Block Grant to States Program:                descriptions of expected content in each
                                                  comment on proposed data collection                     Guidance and Forms for the Title V                     of the narrative sections; and refined
                                                  projects, HRSA announces plans to                       Application/Annual Report include the                  instructions for completing the data
                                                  submit an Information Collection                        following:                                             reporting forms. Notable among these
                                                  Request (ICR), described below, to the                     (1) The performance measure                         updates is the restructuring of the State
                                                  Office of Management and Budget                         framework has been maintained, but a                   Action Plan narrative discussion to
                                                  (OMB). Prior to submitting the ICR to                   state has added flexibility to determine               allow a Title V program greater
                                                  OMB, HRSA seeks comments from the                       the best combination of National                       flexibility in describing its public health
                                                  public regarding the burden estimate,                   Performance Measures (NPMs) and State                  framework (e.g., life course model),
                                                  below, or any other aspect of the ICR.                  Performance Measures (SPMs) for                        leadership and partnership roles, cross-
                                                                                                          addressing its identified MCH priority                 cutting strategies, and the leveraging of
                                                  DATES: Comments on this ICR must be
                                                                                                          needs. States will address each priority               resources.
                                                  received no later than August 8, 2017.                  need by either a NPM or SPM.                              The full extent of the anticipated
                                                  ADDRESSES: Submit your comments to                         (2) The required minimum number of                  burden reduction will be realized over
                                                  paperwork@hrsa.gov or mail the HRSA                     NPMs to be selected by a state has been                time as states become more familiar
                                                  Information Collection Clearance                        reduced from eight to five. States will                with the updated instructions and
                                                  Officer, Room 14N39, 5600 Fishers                       select at least one NPM in each of the                 reporting requirements. The burden
                                                  Lane, Rockville, MD 20857.                              five population health domains,                        estimates presented in the table below
                                                  FOR FURTHER INFORMATION CONTACT: To                     specifically: (1) Women/Maternal                       are based on previous burden estimates
                                                  request more information on the                         Health; (2) Perinatal/Infant Health; (3)               and consultation with a few states.
                                                  proposed project or to obtain a copy of                 Child Health; (4) Children with Special                   Need and Proposed Use of the
                                                  the data collection plans and draft                     Health Care Needs (CSHCN); and (5)                     Information: Each year, states are
                                                  instruments, email paperwork@hrsa.gov                   Adolescent Health.                                     required to submit an application/
                                                  or call the HRSA Information Collection                    (3) A sixth and optional domain,                    annual report for Federal funds for their
                                                  Clearance Officer at (301) 443–1984.                    Cross-cutting and Systems Building, has                Title V MCH Services Block Grant to
                                                  SUPPLEMENTARY INFORMATION: When                         been added to replace the Cross-cutting/               States Program to HRSA’s MCHB
                                                  submitting comments or requesting                       Life Course domain. The three NPMs                     (Section 505(a) of Title V of the Social
                                                  information, please include the                         that were formerly included in the                     Security Act). In addition, each state is
                                                  information request collection title for                Cross-cutting/Life Course domain (i.e.,                required to conduct a comprehensive
                                                  reference, in compliance with Section                   NPM #13A/B, NPM #14 A/B and NPM                        needs assessment every 5 years. The
                                                  3506(c)(2)(A) of the Paperwork                          #15) have been incorporated into the                   information and instructions for the
                                                  Reduction Act of 1995.                                  relevant population health domain(s).                  preparation and submission of this
                                                    Information Collection Request Title:                 No NPMs are included in the Cross-                     application/annual report are contained
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                                                  Title V Maternal and Child Health                       cutting and Systems Building domain;                   in the Title V Maternal and Child
                                                  Services Block Grant to States Program:                 however, a state may choose to include                 Health Services Block Grant to States
                                                  Guidance and Forms for the Title V                      a SPM in this domain if relevant to its                Program: Guidance and Forms for the
                                                  Application/Annual Report, OMB No.                      priority needs.                                        Title V Application/Annual Report.
                                                  0915–0172—Revision                                         (4) The focus on evidence-based or                     Likely Respondents: Per section 505(a)
                                                    Abstract: HRSA is updating the Title                  evidence-informed strategies and                       of Title V of the Social Security Act, the
                                                  V Maternal and Child Health Services                    measures (ESMs) continues, with an                     MCH Block Grant application/annual


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                                                                                          Federal Register / Vol. 82, No. 110 / Friday, June 9, 2017 / Notices                                                                    26811

                                                  report must be developed by, or in                                 maintaining information, and disclosing                      assessment summary for a total annual
                                                  consultation with, the state MCH Health                            and providing information; to train                          estimated burden of 7,080 hours. In FY
                                                  agency.                                                            personnel and to be able to respond to                       2021, states will submit an application/
                                                    Burden Statement: Burden in this                                 a collection of information; to search                       annual report with the 5-year needs
                                                  context means the time expended by                                 data sources; to complete and review                         assessment summary for a total
                                                  persons to generate, maintain, retain,                             the collection of information; and to                        estimated burden of 11,151 hours. As a
                                                  disclose, or provide the information                               transmit or otherwise disclose the                           result of the proposed revisions, average
                                                  requested. This estimate includes the                              information. The total annual burden                         annual burden is projected to be
                                                  time needed to review instructions; to                             hours estimated for this ICR are                             reduced by approximately 700 hours.
                                                  develop, acquire, install, and utilize                             summarized in the table below.
                                                  technology and systems for the purpose                                In fiscal year (FY) 2019 and FY 2020,                       Total Estimated Annualized Burden
                                                  of collecting, validating and verifying                            states will submit an application/annual                     Hours:
                                                  information, processing and                                        report without the 5-year needs

                                                                                                                                                         Number of                                  Burden per
                                                                                                                                      Number of                                      Total                                   Total burden
                                                                                  Form name                                                            responses per                                 response
                                                                                                                                     respondents                                  responses                                     hours
                                                                                                                                                         respondent                                  (in hours)

                                                  Application and Annual Report without 5-Year Needs As-
                                                    sessment Summary ..........................................................                   59                         1              59                     120              7,080
                                                  Application and Annual Report with 5-Year Needs Assess-
                                                    ment Summary .................................................................                59                         1              59                     189             11,151

                                                        Average Total Annual Burden ......................................                        59   ........................             59    ........................         * 8,437
                                                    * Reflects the average of one Application/Annual Report with Needs Assessment Summary and two Application/Annual Reports without Needs
                                                  Assessment Summary


                                                    HRSA specifically requests comments                              Correction                                                   amended (5 U.S.C. App.), notice is
                                                  on (1) the necessity and utility of the                                                                                         hereby given of the following meeting.
                                                                                                                       In the Federal Register of May 1,
                                                  proposed information collection for the                                                                                           The meeting will be closed to the
                                                                                                                     2017, in FR Doc. 2017–08775, the
                                                  proper performance of the agency’s                                                                                              public in accordance with the
                                                                                                                     following corrections are made:
                                                  functions, (2) the accuracy of the                                                                                              provisions set forth in sections
                                                  estimated burden, (3) ways to enhance                                On page 20353, in the first column,
                                                                                                                     under the heading Key Dates, the correct                     552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
                                                  the quality, utility, and clarity of the                                                                                        as amended. The grant applications and
                                                  information to be collected, and (4) the                           Application Deadline Date should read
                                                                                                                     as: ‘‘Application Deadline Date: June 30,                    the discussions could disclose
                                                  use of automated collection techniques                                                                                          confidential trade secrets or commercial
                                                  or other forms of information                                      2017.’’
                                                                                                                       On page 20353, in the first column,                        property such as patentable material,
                                                  technology to minimize the information                                                                                          and personal information concerning
                                                  collection burden.                                                 under the heading Key Dates, the correct
                                                                                                                     Review Date should read as: ‘‘Review                         individuals associated with the grant
                                                  Jason E. Bennett,                                                  Date: July 24–28, 2017.’’                                    applications, the disclosure of which
                                                  Director, Division of the Executive Secretariat.                                                                                would constitute a clearly unwarranted
                                                                                                                       On page 20353, in the first column,
                                                                                                                                                                                  invasion of personal privacy.
                                                  [FR Doc. 2017–12003 Filed 6–8–17; 8:45 am]                         under the heading Key Dates, the correct
                                                  BILLING CODE 4165–15–P                                             Signed Tribal Resolutions Due Date                             Name of Committee: National Institute on
                                                                                                                     should read as: ‘‘Signed Tribal                              Aging Special Emphasis Panel; Health Care
                                                                                                                     Resolutions Due Date: June 30, 2017.’’                       and Behavioral Economics.
                                                  DEPARTMENT OF HEALTH AND                                             On page 20353, in the first column,                          Date: June 30, 2017.
                                                  HUMAN SERVICES                                                     under the heading Key Dates, the correct                       Time: 11:30 a.m. to 1:30 p.m.
                                                                                                                     Proof of Non-Profit Status Due Date                            Agenda: To review and evaluate grant
                                                  Indian Health Service                                                                                                           applications.
                                                                                                                     should read as: ‘‘Proof of Non-Profit
                                                                                                                     Status Due Date: June 30, 2017.’’                              Place: National Institute on Aging,
                                                  Tribal Management Grant Program;                                                                                                Gateway Building, Suite 2W200, 7201
                                                  Extension of Due Dates                                               Dated: June 2, 2017.                                       Wisconsin Ave., Bethesda, MD 20892
                                                                                                                     Chris Buchanan,                                              (Telephone Conference Call).
                                                  AGENCY:     Indian Health Service, HHS.
                                                                                                                     RADM, Assistant Surgeon General, USPHS,                        Contact Person: Isis S. Mikhail, MD, MPH,
                                                  ACTION:     Notice; extension of due dates.
                                                                                                                     Acting Director, Indian Health Service.                      DRPH, National Institute on Aging, Gateway
                                                  SUMMARY:    The Indian Health Service                              [FR Doc. 2017–12010 Filed 6–8–17; 8:45 am]                   Building, 7201 Wisconsin Avenue, Suite
                                                  published a document in the Federal                                BILLING CODE 4165–16–P                                       2C212, Bethesda, MD 20892, 301–402–7704,
                                                  Register (FR) on May 1, 2017, for the                                                                                           MIKHAILI@MAIL.NIH.GOV.
                                                  Fiscal Year 2017 Tribal Management                                                                                              (Catalogue of Federal Domestic Assistance
                                                  Grant Program. Several Key Dates have                              DEPARTMENT OF HEALTH AND                                     Program Nos. 93.866, Aging Research,
                                                  been modified.                                                     HUMAN SERVICES                                               National Institutes of Health, HHS)
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                                                  FOR FURTHER INFORMATION CONTACT:                                                                                                  Dated: June 5, 2017.
                                                                                                                     National Institutes of Health
                                                  Roselyn Tso, Acting Director, Office of
                                                                                                                                                                                  David Clary,
                                                  Direct Service and Contracting Tribes,                             National Institute on Aging; Notice of
                                                  Indian Health Service, 5600 Fishers                                                                                             Program Analyst, Office of Federal Advisory
                                                                                                                     Closed Meeting                                               Committee Policy.
                                                  Lane, Mail Stop 08E17, Rockville, MD
                                                                                                                                                                                  [FR Doc. 2017–11945 Filed 6–8–17; 8:45 am]
                                                  20857, telephone: (301) 443–1104. (This                              Pursuant to section 10(d) of the
                                                  is not a toll-free number.)                                        Federal Advisory Committee Act, as                           BILLING CODE 4140–01–P




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Document Created: 2017-06-09 01:11:54
Document Modified: 2017-06-09 01:11:54
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesComments on this ICR must be received no later than August 8, 2017.
ContactTo 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 the HRSA Information Collection Clearance Officer at (301) 443-1984.
FR Citation82 FR 26810 

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