[Federal Register Volume 81, Number 162 (Monday, August 22, 2016)]
[Notices]
[Pages 56663-56664]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-19931]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission to OMB for 
Review and Approval; Public Comment Request

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.

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SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995, the Health Resources and Services Administration 
(HRSA) has submitted an Information Collection Request (ICR) to the 
Office of Management and Budget (OMB) for review and approval. Comments 
submitted during the first public review of this ICR will be provided 
to OMB. OMB will accept further comments from the public during the 
review and approval period.

DATES: Comments on this ICR should be received no later than September 
21, 2016.

ADDRESSES: Submit your comments, including the ICR Title, to the desk 
officer for HRSA, either by email to [email protected] or by 
fax to 202-395-5806.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email the HRSA Information 
Collection Clearance Officer at [email protected] or call (301) 443-
1984.

SUPPLEMENTARY INFORMATION:
    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. In 2014, 5.8 percent of the approximately 512,000 
RWHAP clients served were young adults between the ages of 13-24.\1\ 
HRSA/HAB 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 RWHAP sites serving youth living with HIV 
(aged 13-24 years) will help identify effective strategies and barriers 
for helping this population reach viral load suppression. The sites 
will be chosen from RWHAP-funded providers based on data from the 2014 
Ryan White HIV/AIDS Services Report. Information gathered at these 
visits will help inform best practices and the development of technical 
assistance (TA) to conduct at sites looking to improve their outcomes 
along the HIV care continuum. It will also inform additional TA 
products that will be made available to other RWHAP providers to 
improve health outcomes for young PLWH.
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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 PLWH 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 load 
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 RWHAP providers 
with youth patients with strong outcomes in the areas of patient 
retention and viral suppression 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 youth living with HIV on the data gathered from sites. 
TA, including implementation of changes to improve performance among 
youth-serving RWHAP providers, will be developed from information 
gathered through the site visits.
    Performance Improvement Site Visits will be conducted with 16 
additional RWHAP providers to better understand the gaps and challenges 
to providing RWHAP care to youth, share best practices and lessons 
learned from other providers, and provide action-oriented TA to 
overcome barriers and improve outcomes along the HIV care continuum. 
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 suppression 
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

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hours estimated for this ICR are summarized in the table below.
    Total Estimated Annualized Burden--523.

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                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total burden
                                    respondents     respondent       responses        (hours)          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
 (Specialized)..................
Program Manager and Clinical                  32               1              32             1.5              48
 Director Interview Guide
 (Performance Improvement)......
Program and Administrative Staff              50               1              50               1              50
 Interview Guide (Specialized)..
Program and Administrative Staff              80               1              80               1              80
 Interview Guide (Performance
 Improvement)...................
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
 (Performance Improvement ).....
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    Total.......................             496  ..............             496  ..............             523
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Jason E. Bennett,
Director, Division of the Executive Secretariat.
[FR Doc. 2016-19931 Filed 8-19-16; 8:45 am]
 BILLING CODE 4165-15-P