83 FR 22268 - Submission for OMB Review; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families

Federal Register Volume 83, Issue 93 (May 14, 2018)

Page Range		22268-22269
FR Document		2018-10178

Federal Register, Volume 83 Issue 93 (Monday, May 14, 2018)

[Federal Register Volume 83, Number 93 (Monday, May 14, 2018)]
[Notices]
[Pages 22268-22269]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-10178]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Submission for OMB Review; Comment Request

    Title: Implementation Grants to Develop a Model Intervention for 
Youth/Young Adults with Child Welfare Involvement at Risk of 
Homelessness: Phase II--Extension.
    OMB NO.: 0970-0445.
    Description: The Administration for Children and Families (ACF) at 
the U.S. Department of Health and Human Services (HHS) intends to 
collect data for an evaluation of the initiative, Implementation Grants 
to Develop a Model Intervention for Youth/Young Adults with Child 
Welfare Involvement at Risk of Homelessness: Phase II. This builds on 
the previously approved ``Planning Grants to Develop a Model 
Intervention for Youth/Young Adults with Child Welfare Involvement at 
Risk of Homelessness'' (Phase I). The Phase II data collection 
described in this Notice was approved by the Office of Management and 
Budget in July 2017. This request is for a time extension for data 
collection under OMB# 0970-0445. There are no changes to the previously 
approved information collection. Due to delays, data collection has not 
begun and will need to extend beyond the current expiration date of 
July 2018. Grantees are receiving an additional year to conduct their 
work. To capture data at a similar point in the development of their 
efforts, data collection will be delayed.
    Phase II is an initiative, funded by the Children's Bureau (CB) 
within ACF, that will support implementation grants for interventions 
designed to intervene with youth who have experienced time in foster 
care and are most likely to have a challenging transition into 
adulthood, including homelessness and unstable housing experiences. CB 
awarded six implementation grants (Phase II) in September 2015. During 
the implementation phase, organizations will conduct a range of 
activities to fine-tune their comprehensive service model, determine 
whether their model is being implemented as intended, and develop plans 
to evaluate the model

[[Page 22269]]

under a potential future funding opportunity (Phase III). During Phase 
II, ACF will engage a contractor to: Conduct a cross-site process 
evaluation. Data collected for the process evaluation will be used to 
assess grantees' organizational capacity to implement and evaluate the 
model interventions and to monitor each grantee's progress toward 
achieving the goals of the implementation period.
    Data for the process evaluation will be collected through: 
Interviews during site visits.
    Respondents: Grantee agency directors and staff; partner agency 
directors and staff. Partner agencies may vary by site, but are 
expected to include child welfare, mental health, and youth housing/
homelessness agencies.

                                             Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
                                                Total/annual      Number of     Average  burden
                 Instrument                      number of      responses  per     hours per       Total/annual
                                                respondents       respondent        response       burden hours
----------------------------------------------------------------------------------------------------------------
Grantee Site Visit-Semi-Structured Interview              60                1              1.5               90
 Topic Guide................................
                                             -------------------------------------------------------------------
    Estimated Total Annual Burden Hours.....  ...............  ...............  ...............              90
----------------------------------------------------------------------------------------------------------------

    Additional Information: Copies of the proposed collection may be 
obtained by writing to the Administration for Children and Families, 
Office of Planning, Research and Evaluation, 330 C Street, SW, 
Washington, DC 20201, Attn: OPRE Reports Clearance Officer. All 
requests should be identified by the title of the information 
collection. Email address: [email protected].
    OMB Comment: OMB is required to make a decision concerning the 
collection of information between 30 and 60 days after publication of 
this document in the Federal Register. Therefore, a comment is best 
assured of having its full effect if OMB receives it within 30 days of 
publication. Written comments and recommendations for the proposed 
information collection should be sent directly to the following: Office 
of Management and Budget, Paperwork Reduction Project, Email: 
[email protected], Attn: Desk Officer for the Administration, 
for Children and Families.

Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2018-10178 Filed 5-11-18; 8:45 am]
 BILLING CODE 4184-29-P

22268 Federal Register / Vol. 83, No. 93 / Monday, May 14, 2018 / Notices

1. Type of Information Collection Claims Denial Disclosure Under Dated: May 8, 2018.
Request: Revision of a currently MHPAEA William N. Parham, III,
approved collection; Title of Director, Paperwork Reduction Staff, Office
Information Collection: Medical MHPAEA section 512(b) specifically of Strategic Operations and Regulatory
Necessity and Claims Denial Disclosures amends the PHS Act to require plan Affairs.
under MHPAEA; Use: The Paul administrators or health insurance [FR Doc. 2018–10130 Filed 5–11–18; 8:45 am]
Wellstone and Pete Domenici Mental issuers to provide, upon request, the BILLING CODE 4120–01–P
Health Parity and Addiction Equity Act reason for any denial or reimbursement
of 2008 (MHPAEA) (Pub. L. 110–343) of payment for MH/SUD services to the
generally requires that group health participant or beneficiary involved in DEPARTMENT OF HEALTH AND
plans and group health insurance the case. The Interim Final Rules Under HUMAN SERVICES
issuers offering mental health or the Paul Wellstone and Pete Domenici
substance use disorder (MH/SUD) Mental Health Parity and Addiction Administration for Children and
benefits in addition to medical and Equity Act of 2008 (75 FR 5410, Families
surgical (med/surg) benefits ensure that February 2, 2010) and the Final Rules
Submission for OMB Review;
they do not apply any more restrictive under the Paul Wellstone and Pete
Comment Request
financial requirements (e.g., co-pays, Domenici Mental Health Parity and
deductibles) and/or treatment Addiction Equity Act of 2008 Title: Implementation Grants to
limitations (e.g., visit limits) to MH/SUD implement 45 CFR 146.136(d)(2), which Develop a Model Intervention for
benefits than those requirements and/or sets forth rules for providing reasons for Youth/Young Adults with Child Welfare
limitations applied to substantially all claims denial. CMS administers Involvement at Risk of Homelessness:
med/surg benefits. MHPAEA with respect to non-Federal Phase II—Extension.
The Patient Protection and Affordable governmental plans and health OMB NO.: 0970–0445.
Care Act, Public Law 111–148, was insurance issuers, and the regulation Description: The Administration for
enacted on March 23, 2010, and the provides a safe harbor such that non- Children and Families (ACF) at the U.S.
Health Care and Education Federal governmental plans (and issuers Department of Health and Human
Reconciliation Act of 2010, Public Law offering coverage in connection with Services (HHS) intends to collect data
111–152, was enacted on March 30, such plans) are deemed to comply with for an evaluation of the initiative,
2010. These statutes are collectively requirements of paragraph (d)(2) of 45 Implementation Grants to Develop a
known as the ‘‘Affordable Care Act.’’ CFR 146.136 if they provide the reason Model Intervention for Youth/Young
The Affordable Care Act extended for claims denial in a form and manner Adults with Child Welfare Involvement
MHPAEA to apply to the individual consistent with ERISA requirements at Risk of Homelessness: Phase II. This
health insurance market. Additionally, found in 29 CFR 2560.503–1. Section builds on the previously approved
the Department of Health and Human 146.136(d)(3) of the final rule clarifies ‘‘Planning Grants to Develop a Model
Services (HHS) final regulation that PHS Act section 2719 governing Intervention for Youth/Young Adults
regarding essential health benefits (EHB) internal claims and appeals and external with Child Welfare Involvement at Risk
requires health insurance issuers review as implemented by 45 CFR of Homelessness’’ (Phase I). The Phase
offering non-grandfathered health 147.136, covers MHPAEA claims II data collection described in this
insurance coverage in the individual denials and requires that, when a non- Notice was approved by the Office of
and small group markets, through an quantitative treatment limitation Management and Budget in July 2017.
Exchange or outside of an Exchange, to (NQTL) is the basis for a claims denial, This request is for a time extension for
comply with the requirements of the that a non-grandfathered plan or issuer data collection under OMB# 0970–0445.
MHPAEA regulations in order to satisfy must provide the processes, strategies, There are no changes to the previously
the requirement to cover EHB (45 CFR evidentiary standard, and other factors approved information collection. Due to
147.150 and 156.115). used in developing and applying the delays, data collection has not begun
NQTL with respect to med/surg benefits and will need to extend beyond the
Medical Necessity Disclosure Under
and MH/SUD benefits. current expiration date of July 2018.
MHPAEA
Grantees are receiving an additional
MHPAEA section 512(b) specifically Disclosure Request Form year to conduct their work. To capture
amends the Public Health Service (PHS) data at a similar point in the
Act to require plan administrators or Group health plan participants, development of their efforts, data
health insurance issuers to provide, beneficiaries, covered individuals in the collection will be delayed.
upon request, the criteria for medical individual market, or persons acting on Phase II is an initiative, funded by the
necessity determinations made with their behalf, may use this optional Children’s Bureau (CB) within ACF, that
respect to MH/SUD benefits to current model form to request information from will support implementation grants for
or potential participants, beneficiaries, plans regarding NQTLs that may affect interventions designed to intervene with
or contracting providers. The Interim patients’ MH/SUD benefits or that may youth who have experienced time in
Final Rules Under the Paul Wellstone have resulted in their coverage being foster care and are most likely to have
and Pete Domenici Mental Health Parity denied. Form Number: CMS–10307 a challenging transition into adulthood,
and Addiction Equity Act of 2008 (75 (OMB control number: 0938–1080); including homelessness and unstable
FR 5410, February 2, 2010) and the Frequency: On Occasion; Affected housing experiences. CB awarded six
Final Rules under the Paul Wellstone Public: State, Local, or Tribal implementation grants (Phase II) in
amozie on DSK3GDR082PROD with NOTICES

and Pete Domenici Mental Health Parity Governments, Private Sector, September 2015. During the
and Addiction Equity Act of 2008 set Individuals; Number of Respondents: implementation phase, organizations
forth rules for providing criteria for 267,538; Total Annual Responses: will conduct a range of activities to fine-
medical necessity determinations. CMS 1,081,929; Total Annual Hours: 43,327. tune their comprehensive service
administers MHPAEA with respect to (For policy questions regarding this model, determine whether their model
non-Federal governmental plans and collection contact Usree is being implemented as intended, and
health insurance issuers. Bandyopadhyay at 410–786–6650.) develop plans to evaluate the model

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Federal Register / Vol. 83, No. 93 / Monday, May 14, 2018 / Notices 22269

under a potential future funding and evaluate the model interventions Respondents: Grantee agency
opportunity (Phase III). During Phase II, and to monitor each grantee’s progress directors and staff; partner agency
ACF will engage a contractor to: toward achieving the goals of the directors and staff. Partner agencies may
Conduct a cross-site process evaluation. implementation period. vary by site, but are expected to include
Data collected for the process evaluation Data for the process evaluation will be child welfare, mental health, and youth
will be used to assess grantees’ collected through: Interviews during site housing/homelessness agencies.
organizational capacity to implement visits.

ANNUAL BURDEN ESTIMATES
Number of
Total/annual Average
responses Total/annual
Instrument number of burden hours
per burden hours
respondents per response
respondent

Grantee Site Visit-Semi-Structured Interview Topic Guide ............................. 60 1 1.5 90

Estimated Total Annual Burden Hours ..................................................... ........................ ........................ ........................ 90

Additional Information: Copies of the DEPARTMENT OF HEALTH AND during the first follow-up study (when
proposed collection may be obtained by HUMAN SERVICES the children from the MIHOPE sample
writing to the Administration for are of kindergarten age) will include the
Children and Families, Office of Administration for Children and following: (1) A one-hour survey with
Planning, Research and Evaluation, 330 Families the child’s primary caregiver (who will
C Street, SW, Washington, DC 20201, be the mother if she is available), (2)
[OMB NO.: 0970–0402] direct assessments of child
Attn: OPRE Reports Clearance Officer.
All requests should be identified by the Submission for OMB Review; development, (3) a semi-structured
title of the information collection. Email Comment Request interview with the caregiver, (4) surveys
address: OPREinfocollection@ with the child’s teacher, (5) a direct
acf.hhs.gov. Title: Mother and Infant Home assessment of the caregiver, and (6) 15
Visiting Program Evaluation (MIHOPE): minutes of videotaped interactions
OMB Comment: OMB is required to Long-Term Follow-Up. between the caregiver and child. In
make a decision concerning the Description: The Administration for addition to collecting these data, the
collection of information between 30 Children and Families (ACF), in MIHOPE–LT project will also maintain
and 60 days after publication of this partnership with the Health Resources up-to-date consent forms for the
document in the Federal Register. and Services Administration (HRSA), collection of administrative data. Future
Therefore, a comment is best assured of both of the U.S. Department of Health information collection requests and
having its full effect if OMB receives it and Human Services (HHS), is related Federal Register Notices will
within 30 days of publication. Written proposing a data collection activity as describe future data collection efforts for
comments and recommendations for the part of the Mother and Infant Home this project.
proposed information collection should Visiting Program Evaluation Long-Term Data collected during the kindergarten
be sent directly to the following: Office Follow-Up project (MIHOPE–LT). The follow-up study will be used to estimate
of Management and Budget, Paperwork purpose of MIHOPE–LT is to conduct the effects of MIECHV-funded programs
Reduction Project, Email: OIRA_ follow-up studies that assess the long- on seven domains: (1) Maternal health;
SUBMISSION@OMB.EOP.GOV, Attn: term impact of the Maternal, Infant, and (2) child health; (3) child development
Desk Officer for the Administration, for Early Childhood Home Visiting and school performance; (4) child
Children and Families. (MIECHV) Program. The design of maltreatment; (5) parenting; (6) crime or
MIHOPE–LT calls for multiple follow- domestic violence; and (7) family
Mary B. Jones, up points including when the economic self-sufficiency.
ACF/OPRE Certifying Officer. participating children are in Respondents: The respondents in this
[FR Doc. 2018–10178 Filed 5–11–18; 8:45 am] kindergarten, 3rd grade, early follow-up study will include 4,115
BILLING CODE 4184–29–P
adolescence, and late adolescence. This families who participated in MIHOPE
Federal Register Notice is specific to the and 4,115 teachers of the focal children
first follow-up study. Data collected from those families.

ANNUAL BURDEN ESTIMATES
Annual Number of Average
Total number Annual burden
Instrument number of responses per burden hours
of respondents hours
respondents respondent per response

Survey of caregivers ............................................................ 4115 1372 1 1 1372
amozie on DSK3GDR082PROD with NOTICES

Direct assessments of children ............................................ 4115 1372 1 1.5 2058
Semi-structured interview with caregivers ........................... 100 33 1 2 66
Survey of the focal children’s teachers ............................... 4115 1372 1 0.5 686
Direct assessments of caregivers ........................................ 4115 1372 1 0.25 343
Videotaped caregiver-child interactions ............................... 8230 2743 1 0.25 686

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Document Created: 2018-05-12 01:10:56
Document Modified: 2018-05-12 01:10:56

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
FR Citation		83 FR 22268

83 FR 22268 - Submission for OMB Review; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICESAdministration for Children and Families

Federal Register Volume 83, Issue 93 (May 14, 2018)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families