[Federal Register Volume 81, Number 81 (Wednesday, April 27, 2016)]
[Notices]
[Pages 24822-24824]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-09772]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Public Comment Request

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.

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SUMMARY: In compliance with the requirement for opportunity for public 
comment on proposed data collection projects (Section 3506(c)(2)(A) of 
the Paperwork Reduction Act of 1995), the Health Resources and Services 
Administration (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 Information Collection Request must be received 
no later than June 27, 2016.

ADDRESSES: Submit your comments to [email protected] or mail the HRSA 
Information Collection Clearance Officer, Room 14N39, Parklawn 
Building, 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 [email protected] or call the HRSA 
Information Collection Clearance Officer at (301) 443-1984.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the

[[Page 24823]]

information request collection title for reference.
    Information Collection Request Title: Building Futures: Supporting 
Youth Living with HIV OMB No. 0915-xxxx New.
    Abstract: The Ryan White HIV/AIDS Program (RWHAP), administered by 
the HRSA HIV/AIDS Bureau (HRSA/HAB), provides HIV-related services in 
the United States for people living with HIV (PLWH) who do not have 
sufficient health care coverage or financial resources to pay for HIV-
related services. Fourteen percent of the approximately 512,000 RWHAP 
clients in 2014 were young adults between the ages of 13 and 30.\1\ 
HRSA/HAB has awarded a contract, Building Futures: Supporting Youth 
Living with HIV, to identify and document best-practices and challenges 
associated with providing HIV care to youth living with HIV. 
Information learned from high performing and low performing sites 
serving young people living with HIV (aged 13-24 years) will help 
identify effective strategies and barriers for helping this population 
reach viral suppression. The high performing and low performing sites 
will be chosen from RWHAP-funded providers based on health outcome data 
from the 2014 Ryan White HIV/AIDS Services Report. Information gathered 
at these visits will help inform technical assistance (TA) conducted at 
low performing sites, as well as additional TA products to be made 
available to other RWHAP providers to improve health outcomes for young 
people living with HIV.
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    \1\ Health Resources and Services Administration. Ryan White 
HIV/AIDS Program Annual Client-Level Data Report 2014. http://hab.hrsa.gov/data/servicesdelivered/2014RWHAPDataReport.pdf. 
Published December 2015. Accessed 1/29/2016.
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    Need and Proposed Use of the Information: Youth (defined for the 
purposes of this project as age 13 through 24) in the United States are 
disproportionately impacted by HIV. In 2014, 9,731 (22 percent) of the 
44,073 new HIV diagnoses in the U.S. were among youth between the ages 
of 13 and 24, with a large majority (81 percent) of these youth 
diagnoses among older youth aged 20-24.\2\ Young people living with HIV 
also experience disparities in outcomes along the HIV care 
continuum.\3\ Among RWHAP clients in 2014, older youth aged 20-24 had 
the lowest rates of retention in care and both 15-19 year olds and 20-
24 year olds had notably lower rates of viral load suppression as 
compared to other age groups. Additionally, certain subpopulations such 
as young men who have sex with men (MSM) of color, lesbian, gay, 
bisexual, transgender and questioning youth (LGBTQ), and young women of 
color bear a disproportionate share of the disease burden and have 
poorer outcomes in the areas of retention in care and viral 
suppression.4 5
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    \2\ Centers for Disease Control and Prevention, ``Diagnoses of 
HIV Infection in the United States and Dependent Areas, 2014,'' HIV 
Surveillance Supplemental Report; Vol 26, November 2015, http://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-us.pdf.
    \3\ ``HIV/AIDS Care Continuum,'' accessed January 26, 2016, 
https://www.aids.gov/federal-resources/policies/care-continuum/.
    \4\ Centers for Disease Control and Prevention, ``HIV Among 
Youth,'' HIV Among Youth, June 30, 2015, http://www.cdc.gov/hiv/group/age/youth/index.html.
    \5\ ``Youth and Young Adults in the Ryan White HIV/AIDS 
Program,'' September 2015, http://hab.hrsa.gov/data/reports/youthdatareport2015.pdf.
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    The Building Futures: Supporting Youth Living with HIV project aims 
to strengthen RWHAP engagement with young people aged 13-24 living with 
HIV to improve their health outcomes. Through this project, HRSA/HAB 
will systematically document strategies used by providers funded by the 
RWHAP to achieve high rates of youth retention in care and viral 
suppression. HRSA/HAB will also learn about gaps and challenges from 
providers that have demonstrated poorer outcomes in these areas.
    Specialized Site Visits will be conducted with 10 high performing 
providers to identify, understand, and document replicable evidence-
based best practices and models of care. Interviews will be conducted 
with program support and clinical staff, in addition to HIV-positive 
youth patients. HIV-positive youth leaders will be engaged as 
consultants to the site visit team to pretest instruments, review site 
visit conclusions with the project team, and offer a perspective of 
young people living with HIV on the data gathered from the high-
performing sites and implementation of changes to improve performance 
of lower performing sites.
    Performance Improvement Site Visits will be conducted with 16 lower 
performing providers to better understand the gaps and challenges to 
providing RWHAP care to youth, share best practices and lessons learned 
from high performing providers, and provide action-oriented TA to 
overcome barriers and optimize health outcomes. Youth consultants will 
co-lead a panel/advisory board of young people living with HIV and a 
planning session to better understand technical assistance 
implementation issues.
    Sampled providers will be selected based on viral load and 
retention in care rates and the diversity of client populations, as 
identified in 2014 Ryan White HIV/AIDS Services Report data.
    Likely Respondents: Clinics funded by the Ryan White HIV/AIDS 
Program.
    Burden Statement: Burden in this context means the time expended by 
persons to generate, maintain, retain, disclose, or provide the 
information requested. This 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 Information Collection Request are summarized in the table below.

                                     Total Estimated Annualized Burden Hours
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                                                                                      Average
                                     Number of       Number of         Total        burden per     Total burden
            Form name               respondents    responses per     responses       response          hours
                                                    respondent                        (hours)
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Online Questionnaire............              26               1              26             0.5              13
Onsite Observational Tool.......              26               1              26             0.5              13
Program Manager and Clinical                  20               1              20             1.5              30
 Director Interview Guide (High)
 *..............................
Program Manager and Clinical                  32               1              32             1.5              48
 Director Interview Guide (Low)
 **.............................

[[Page 24824]]

 
Program and Administrative Staff              50               1              50               1              50
 Interview Guide (High) *.......
Program and Administrative Staff              80               1              80               1              80
 Interview Guide (Low) **.......
Youth Focus Group...............             156               1             156               1             156
Youth Interview.................              26               1              26             0.5              13
Panel/advisory board of young                 80               1              80             1.5             120
 people living with HIV (Low) **
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    Total.......................             496  ..............             496  ..............             523
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* High indicates high performing sites.
** Low indicates low performing sites.

    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.

Jackie Painter,
Director, Division of Executive Secretariat.
[FR Doc. 2016-09772 Filed 4-26-16; 8:45 a.m.]
 BILLING CODE 4165-15-P