[Federal Register Volume 65, Number 83 (Friday, April 28, 2000)]
[Notices]
[Pages 24972-24973]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-10632]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Periodically, the Health Resources and Services Administration 
(HRSA) publishes abstracts of information collection requests under 
review by the Office of Management and Budget, in compliance with the 
Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request a 
copy of the clearance requests submitted to OMB for review, call the 
HRSA Reports Clearance Office on (301) 443-1129.
    The following request has been submitted to the Office of 
Management and Budget for review under the Paperwork Reduction Act of 
1995:
    Proposed Project: The Ryan White CARE Act Client Demonstration 
Project Reporting System: NEW The Client Demonstration Project was 
established in 1994 to collect information from several Title I and 
Title II grantees and their subcontracted service providers about their 
individual clients. Demographic information, service utilization, and 
health indicators of all clients receiving services at providers funded 
by the Ryan White Comprehensive AIDS Resources

[[Page 24973]]

Emergency (CARE) Act are collected twice each year. A unique identifier 
is used to protect the anonymity of the clients, and as a further 
safeguard, this unique identifier is encrypted before it is sent to 
HRSA.
    HRSA initiated the CDP to demonstrate (1) the feasibility of 
collecting client level demographic and service data on HIV/AIDS 
infected/affected clients across a network of service providers and (2) 
the usefulness of these data for planning and evaluation purposes at 
both the local and national levels. Through this system, HRSA sought to 
overcome the limitations of the Annual Administrative Report (AAR), the 
national reporting system for the Ryan White CARE Act. The AAR collects 
data aggregated at the grantee level and has duplicated counts of 
clients. The number of clients reported in the AAR overestimates the 
true number of clients. In addition, AAR data are not tied to any 
clinical or service outcome information at the client level. The 
feasibility of collecting client data has been demonstrated. The 
usefulness of these data for planning and evaluation purposes at both 
the local and national level has become increasingly evident. A number 
of client level analyses that were not possible with the AAR have been 
undertaken.
    In addition to meeting the goal of accountability to Congress, 
clients, advocacy groups, and the general public, the CDP supports 
critical efforts by HRSA, state and local grantees, and providers to 
assess the health outcomes and the service utilization patterns of the 
individuals at these sites who are infected or affected by HIV/AIDS and 
receive care at a provider funded by the Ryan White CARE Act.
    Outcome specific and treatment measures are collected in the data 
system. These data elements seek to document whether current standards 
of care as established by the Public Health Service are being adhered 
to at these Ryan White CARE Act facilities. The core set of data 
elements are largely unchanged from the AAR. Minor changes in the 
demographic data elements have been made as a result of meetings and 
input from the current grantees and their providers.
    The estimated response burden is as follows:

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                                     Number of     Responses per       Total                       Total burden
     Medical records source         respondents     respondent       responses      Burden hour        hours
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Providers with  260 Clients.....             160              83          13,280              .5           6,640
Providers with >/= 260 Clients..              42             929          39,018              .5          19,509
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        Total...................             202                      52,298                              26,149
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    Written comments and recommendations concerning the proposed 
information collection should be sent within 30 days of this notice to: 
Wendy A. Taylor, Human Resources and Housing Branch, Office of 
Management and Budget, New Executive Office Building, Room 10235, 
Washington, DC, 20503.

    Dated: April 24, 2000.
Jane Harrison,
Director, Division of Policy Review and Coordination.
[FR Doc. 00-10632 Filed 4-27-00; 8:45 am]
BILLING CODE 4160-15-P