1_MCHB_0915-0172_OMB NonSubstantive Change Request

DATE: May 19, 2025

TO: Dan Cline, Office of Management and Budget Desk Officer

FROM: Samantha Miller, Health Resources and Services Administration Information Collection Clearance Officer

______________________________________________________________________________

Request: The Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau requests approval for non-substantive changes to the Title V Maternal and Child Health Services Block Grant to States Program: Guidance and Forms for the Title V Application Annual Report (OMB #0915-0172, expires December 31, 2026). 

Purpose: HRSA is requesting a change request to revise language to align with Executive Orders (E.O.) 14168, Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government; E.O. 14151, Ending Radical and Wasteful Government DEI Programs and Preferencing; and E.O. 14187, Protecting Children From Chemical and Surgical Mutilation. This memorandum explains the changes and supporting rationale.

Changes: This request updates the Title V Maternal and Child Health Services Block Grant to States Program: Guidance and Forms for the Title V Application Annual Report to be in accordance with E.O.s 14168, 14151, and 14187. Other minor changes were made to the document to adjust out-of-date references, correct editorial errors, and account for a recent change to the Title V statute. This request involves the following:

• Removed/reframed reporting guidance to comply with Executive Order 14151 (Pages iii, iv, 2, 3, 4, 6, 9, 10, 11, 17, 18, 19, 20, 21, 22, 27, 29, 30, 31, 34, 35, 36, 39, 40, 83, 86)

• Removed/reframed reporting guidance to comply with Executive Order 14168 (Page: 81)

• Removed/reframed reporting guidance to comply with Executive Order 14187 (Page: 9)

• Updated references to reflect change made to the Title V statute regarding stillbirth (Section 501(a)(1)(B)) (Page: 1)

• Updated language to improve alignment with Title V statute, Section 501(a)(1)(A) (Page 27)

• Made editorial changes to improve the document, including updates to federal program office contact information and available technical assistance resources, corrections to out-of-date references and sources, and other revisions for improved clarity (Pages: Title Page, iv, 6, 7, 8, 9, 10, 13, 14, 20, 21, 24, 31, 38, 39, 40, 83, 86).

• Note that page numbering in the Table of Contents and cited page numbers in the text of the document have also been adjusted. 

Time Sensitivity: Annual submission of an application is required by law to entitle a state to receive Maternal and Child Health (MCH) Block Grant funds (Section 505 of Title V of the Social Security Act). An Annual Report on the expenditure of the previous year’s funds is also required by Section 506 of Title V.  Section 505(a) further requires a state to conduct a statewide needs assessment every 5 years.   

Every year on April 1, the electronic data entry system (Title V Information System) is opened for state and jurisdictional MCH Block Grantees to begin preparing an application for the coming fiscal year (FY) and an annual report for the previous FY. Designed to be compatible with the narrative and data requirements that are outlined in the Application/Annual Report Guidance, release of the data entry system to the states is contingent on the approval of the non-substantive changes outlined in this memorandum. Once the changes are approved and incorporated in the guidance document, additional quality assurance testing will be required before the data entry system can be released.

States submit their MCH Block Grant applications/annual reports within the data entry system on or before July 15 of each year. Given this due date, delayed release of the Title V data entry system beyond the first week of April will impact the amount of time that states have to complete the FY 2026 application/FY 2024 annual report.  HRSA requests approval within the standard 10-day period to avoid any delay to data collection under 0915-0172.        

Burden: It is anticipated that the revisions included herein will maintain the same reporting burden for State Title V programs.

PROPOSED CLARIFICATIONS AND NON-SUBSTANTIVE CHANGES:

All proposed changes are outlined in detail in Attachment 1A_Table of Proposed Changes, and page numbers in the table and this memo correspond with the tracked changes in Attachment 1B_ Title V Maternal and Child Health Services Block Grant to States Program_Guidance and Forms for the Title V Application/Annual Report.

Attachments:

1A. Table of Proposed Changes

1B. Title V MCH Block Grant to States Program_Guidance and Forms for the Title V

Application Annual Report