Change Memo Doc

Health Resources and Services DEPARTMENT OF HEALTH & HUMAN SERVICES Administration Healthcare Systems Bureau Rockville, MD 20857

DATE: February 1, 2023

TO: Josh Brammer, OMB Desk Officer

FROM: Samantha Miller, Acting HRSA Information Collection Clearance Officer

______________________________________________________________________________

Request: The Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau (MCHB) Pediatric Mental Health Care Access (PMHCA) program requests approval for changes to the number of respondents/estimated annualized burden hours for the PMHCA data collection instruments including the Health Professional (HP) Survey, Practice-Level Survey, Program Implementation Survey, Program Implementation Semi-Structured Interview (SSI), Program Champion SSI, Program Champion Focus Group Discussion (FGD), Community Resources SSI, and Care Coordinator SSI (OMB 0906-0074; expiration date 12-31-2025).

Purpose: The purpose of this request is to incorporate the newly funded 2022 PMHCA awardees into the approved OMB package, which was submitted by HRSA for OMB review and approval prior to the 2022 PMHCA awardees’ receipt of funding. Collection of this information will provide more accurate data reporting on several key measures, allowing HRSA to better track and understand differences in program implementation and use, technical assistance and other program needs, and the impact of COVID-19 on cooperative agreement-funded programs across all cohorts (i.e., 2018, 2019, 2021, and 2022 PMHCA awardees and 2018 MDBRD awardees).

This memo explains the changes and supporting rationale.

Changes: Instruments:

The overall scope of change is respondent/burden-related; the requested change will incorporate the 2022 PMHCA awardees into the HRSA MCHB data collection. No content-related changes for the instruments are requested.

Time Sensitivity: The change must be completed in a timely manner to ensure that the data collection schedule will not experience significant delay. Approval of this change is requested by April 1, 2023, to prepare for the timely collection of data critical to HRSA.

Burden: The addition of five 2022 PMHCA cooperative agreement-funded programs does not substantially change the estimated number of respondents per instrument nor the overall burden. Table A includes the additional total estimated annualized burden hours requested for the five 2022 PMHCA awardees for each instrument. Table B includes the OMB-approved (OMB 0906-0074; expiration date 12-31-2025) burden hours included in the 30-day FRN (Vol. 87, No. 207, 10-27-22). With the addition of the five 2022 PMHCA awardees, the estimated total number of additional respondents for each instrument (and thus the requested additional burden hours), makes up less than one-third of the number of respondents accounted for in the original burden estimate.

Making these changes to incorporate the five 2022 PMHCA cooperative agreement-funded programs will allow HRSA to accurately capture data to determine the effects of the PMHCA and Maternal Depression and Related Behavioral Disorders (MDRBD) cooperative agreement-funded programs on HPs capacity to address patients’ behavioral health and access to behavioral health care.

PROPOSED NON-SUBSTANTIVE CHANGES:

Table A: Additional Burden Requested – 2022 PMHCA Awardees

Form Name	Number of Respondents	Number of Responses per Respondent1	Total Responses	Average Burden per Response (in hours)	Total Burden Hours
2022 PMHCA HP Survey	1,673	3	5,019	.25	1,254.75
2022 PMHCA Practice-Level Survey	615	3	1,845	.25	461.25
2022 PMHCA Program Implementation Survey	5	3	15	.33	4.95
2022 PMHCA Program Implementation SSI	5	1	5	1	5
2022 PMHCA Champion SSI	10	1	10	.5	5
2022 PMHCA Champion FGD	5	1	5	1	5
2022 PMHCA Community Resources SSI2	The 2021 and 2022 PMHCA cohorts will be combined for this instrument, thus no additional burden is requested. The case study will include selecting (1) up to 5 2021/2022 awardees who have identified up to 5 formal community partnerships and (2) up to 5 2021/2022 awardees who have identified up to 5 informal community partnerships, for a total N=50, which was approved in OMB 0906-0074.
2022 PMHCA Care Coordinator SSI	5	2	10	.5	5
Total	2,318		6,909		1,741

Table B: OMB-Approved Burden (OMB 0906-0074; expiration date 12-31-2025) – 2018/2019/2021 PMHCA and 2018 MDRBD Awardees

Form Name	Number of Respondents	Number of Responses per Respondent3	Total Responses	Average Burden per Response (in hours)	Total Burden Hours
2021 PMHCA HP Survey	8,029	3	24,087	.25	6,021.75
2021 PMHCA Practice-Level Survey	2,950	3	8,850	.25	2,212.50
2021 PMHCA Program Implementation Survey	24	3	72	.33	23.76
2021 PMHCA Program Implementation SSI	24	1	24	1	24
2021 PMHCA Champion SSI	48	1	48	.5	24
2021 PMHCA Champion FGD	24	1	24	1	24
2021 PMHCA Community Resources SSI4	50	1	50	.5	25
2021 PMHCA Care Coordinator SSI	24	2	48	.5	24
2018/2019 PMHCA and 2018 MDRBD Champion SSI	56	1	56	.5	28
2018/2019 PMHCA and 2018 MDRBD Champion FGD	28	1	28	1	28
2018/2019 PMHCA and 2018 MDRBD Community Resources SSI4	50	1	50	.5	25
2018/2019 PMHCA and 2018 MDRBD Care Coordinator SSI	28	1	28	.5	14
Total	11,335		33,365		8,474.01

1 The HP, practice-level, and program implementation surveys will be administered with enrolled/participating HPs, office managers/leadership of enrolled/participating practices, and project directors/principal investigators of the 2022 PMHCA cooperative-agreement funded programs three times during the project period (2023, 2024, and 2025) for a total of up to three responses per respondent. The 2022 PMHCA Program Implementation SSIs and the Champion SSIs and FGDs will be administered to 2022 PMHCA cooperative agreement-funded project directors/principal investigators and program champions once at the end of the data collection period. The 2022 PMHCA Care Coordinator SSI will be administered twice, once toward the beginning of the data collection period and once at the end of the data collection period. The number of responses per respondent varies for the Care Coordinator SSI between the 2018 and 2019 PMHCA and 2018 MDRBD cooperative-agreement funded programs and the 2021 and 2022 PMHCA cooperative-agreement funded programs because the 2018 and 2019 cooperative-agreement programs will end in 2023 whereas the 2021 and 2022 PMHCA cooperative agreement-funded programs will end in 2026.

2 The Community Resources SSI will be a case study with (1) up to 5 2021/2022 awardees who have identified up to 5 formal (i.e., there is a formal agreement, Memorandum of Understanding (MOU); Memorandum of Agreement (MOA); letter of support) community partnerships and (2) up to 5 2021/2022 awardees who have identified up to 5 informal (i.e., there is no formal agreement, MOU; MOA; letter of support) community partnerships; there will be up to 25 respondents for each group (i.e., formal, informal) for a total N=50 between the combined 2021 and 2022 PMHCA cohorts. The Community Resource SSIs will be administered for the 2018 and 2019 PMHCA and 2018 MDRBD cooperative-agreement funded programs at the end of the data collection period in Spring 2023 and for 2021 and 2022 PMHCA cooperative agreement-funded programs at the end of the data collection period in Fall 2025.

3 The HP, practice-level, and program implementation surveys will be administered with enrolled/participating HPs, office managers/leadership of enrolled/participating practices, and project directors/principal investigators of the 2021 PMHCA cooperative-agreement funded programs three times during the project period (2023, 2024, and 2025) for a total of up to three responses per respondent. The 2021 PMHCA Program Implementation SSIs and the Champion SSIs and FGDs will be administered to 2021 PMHCA cooperative agreement-funded project directors/principal investigators and program champions once at the end of the data collection period. The 2021 PMHCA Care Coordinator SSI will be administered twice, once at the beginning of the data collection period and once at the end of the data collection period. The number of responses per respondent varies for the Care Coordinator SSI between the 2018 and 2019 PMHCA and 2018 MDRBD cooperative-agreement funded programs and the 2021 PMHCA cooperative-agreement funded program because the 2018 and 2019 cooperative-agreement programs will end in 2023 whereas the 2021 PMHCA cooperative agreement-funded programs will end in 2026.

4 The Community Resources SSI will be a case study with (1) up to 5 awardees who have identified up to 5 formal (i.e., there is a formal agreement, Memorandum of Understanding (MOU); Memorandum of Agreement (MOA); letter of support) community partnerships and (2) up to 5 awardees who have identified up to 5 informal (i.e., there is no formal agreement, MOU; MOA; letter of support) community partnership; there will be up to 25 respondents for each group (i.e., formal, informal) for a total N=50. The Community Resource SSIs will be administered for the 2018 and 2019 PMHCA and 2018 MDRBD cooperative-agreement funded programs at the end of the data collection period in Spring 2023 and for 2021 PMHCA cooperative agreement-funded program at the end of the data collection period in Fall 2025.