[Federal Register Volume 84, Number 91 (Friday, May 10, 2019)]
[Notices]
[Pages 20638-20639]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-09666]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Public Comment Request; Information Collection Request Title: Chart 
Abstraction of Ryan White HIV/AIDS Program Recipient Data, OMB No. 
0906-xxxx-New

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services (HHS).

ACTION: Notice.

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SUMMARY: In compliance with the requirement for opportunity for public 
comment on proposed data collection projects, 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 ICR should be received no later than July 9, 
2019.

ADDRESSES: Submit your comments to [email protected] or mail the HRSA 
Information Collection Clearance Officer, Room 14N39, 5600 Fishers 
Lane, Rockville, Maryland 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 Lisa Wright-
Solomon, the HRSA

[[Page 20639]]

Information Collection Clearance Officer, at (301) 443-1984.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the information request collection title 
for reference.
    Information Collection Request Title: Chart Abstraction of Ryan 
White HIV/AIDS Program Data, OMB No. 0906-xxxx-New.
    Abstract: HRSA's Ryan White HIV/AIDS Program (RWHAP) funds and 
coordinates with cities, states, and local clinics/community-based 
organizations to deliver efficient and effective HIV care, treatment, 
and support to low-income people with HIV. Nearly two-thirds of clients 
(patients) live at or below 100 percent of the Federal poverty level 
and approximately three-quarters of RWHAP clients are racial and ethnic 
minorities. Since 1990, the RWHAP has developed a comprehensive system 
of HIV service providers who deliver high quality direct health care 
and support services to over half a million people with HIV--more than 
50 percent of all people with diagnosed HIV in the United States.
    HRSA is required to assess the quality of care provided by RWHAP 
grant recipients. HHS guidelines (e.g., Guidelines for the Use of 
Antiretroviral Agents in Adults and Adolescents Living with HIV; 
Guidelines for the Prevention and Treatment of Opportunistic Infections 
in HIV- Infected Adults and Adolescents; and Sexually Transmitted 
Diseases Treatment Guidelines, 2015) and U.S. Preventative Services 
Task Force (USPSTF) guidelines serve as the basis for assessing the 
quality of care within the RWHAP. The purpose of the Chart Abstraction 
of RWHAP Data study is to assess the extent to which the care provided 
with funding from the RWHAP is meeting the HHS and USPSTF guidelines. 
The study will collect data from RWHAP service providers via a provider 
screening phone interview, a provider pre-site visit interview, and 
medical records data abstraction. The data will reflect the full range 
of HIV outpatient ambulatory health services, primary care, and 
screening and treatment for hepatitis, sexually transmitted infections 
(STIs), and opioid use disorder provided through the RWHAP and allow 
HRSA to assess the extent to which care provided with funding through 
the RWHAP meets the HHS and USPSTF guidelines.
    Need and Proposed Use of the Information: National RWHAP client-
level data is collected through the RWHAP Client Level Data Reporting 
System. The RWHAP Client Level Data Reporting System dataset (OMB 
control number 0915-0323) is HRSA's primary source of annual, client-
level data collected from its nearly 2,000 funded grant recipients/
service providers and the data have been used to assess the numbers and 
types of clients receiving services and limited HIV outcomes. However, 
the RWHAP Client Level Data Reporting System dataset does not include 
relevant data in order to fully assess the extent to which the care 
provided with funding from the RWHAP is meeting the HHS and USPSTF 
guidelines. This proposed new ICR will provide the full range of HIV 
outpatient ambulatory health services, primary care, and screening and 
treatment for hepatitis, STIs, and opioid use disorder data and allow 
HRSA to assess the extent to which care provided with funding through 
the RWHAP meets the HHS and USPSTF guidelines.
    Likely Respondents: HRSA RWHAP Part A, Part B, Part C, and Part D 
service providers funded to deliver outpatient ambulatory health 
services to eligible clients.
    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 ICR are summarized in the table below.

                                    Total Estimated Annualized Burden--Hours
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                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total burden
                                    respondents     respondent       responses      (in hours)         hours
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Provider Site screening                      100               1             100              .5              50
 interview......................
Provider Pre-Site Visit                       50               1              50               1              50
 Interview......................
Medical Record Data Abstraction.              50               1              50               2             100
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    Total.......................             200  ..............             200  ..............             200
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    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.

Amy P. McNulty,
Acting Director, Division of the Executive Secretariat.
[FR Doc. 2019-09666 Filed 5-9-19; 8:45 am]
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