[Federal Register Volume 84, Number 198 (Friday, October 11, 2019)]
[Notices]
[Pages 54906-54907]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-22274]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

[OMB No. 0915-0307--Extension]


Agency Information Collection Activities: Submission to OMB for 
Review and Approval; Public Comment Request; Ryan White HIV/AIDS 
Program Core Medical Services Waiver Application Requirements

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

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, 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 November 
12, 2019.

ADDRESSES: Submit your comments, including the Information Collection 
Request 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 Lisa Wright-Solomon, the 
HRSA Information Collection Clearance Officer at [email protected] or 
call (301) 443-1984.

[[Page 54907]]


SUPPLEMENTARY INFORMATION:
    Information Collection Request Title: Ryan White HIV/AIDS Program 
Core Medical Services Waiver Application Requirements, OMB No. 0915-
0307--Extension.
    Abstract: Title XXVI of the Public Health Service (PHS) Act, as 
amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009, 
also known as the Ryan White HIV/AIDS Program (RWHAP), requires that 
grant recipients expend funds on core medical services including 
antiretroviral drugs for individuals with HIV who are eligible under 
the statute. In addition, after reserving statutory permissible amounts 
for administrative and clinical quality management costs from the total 
award amount, at least 75 percent of the remainder is to be expended on 
core medical services.\1\ For a grant recipient under the RWHAP Parts 
A, B, or C to be exempted from this requirement, a waiver must be 
requested from HRSA for review and approval in accordance with statute.
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    \1\ Sections 2604(c)(1), 2612(b)(1), and 2651(c)(1) of the PHS 
Act.
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    On October 25, 2013, HRSA published revised standards for core 
medical services waiver requests in the Federal Register (78 FR 63990). 
These revised standards allow grant recipients flexibility to adjust 
resource allocation based on the current situation in their local 
environments. These standards ensure that grant recipients receiving 
waivers demonstrate the availability of core medical services, 
including antiretroviral drugs, for persons with HIV served under the 
HRSA RWHAP. The core medical services waiver request process applies to 
RWHAP grant applicants and recipients under Parts A, B, and C of Title 
XXVI of the PHS Act. Core medical services waivers are effective for a 
1-year period. Grant applicants may submit a waiver request before, or 
with the annual grant application, and grant recipients can submit up 
to four months after the grant award has been made.
    A 60-day notice was published in the Federal Register on August 15, 
2019, vol. 84, No. 158; pp. 41726-27. There were no public comments.
    Need and Proposed Use of the Information: HRSA uses the 
documentation submitted in core medical services waiver requests to 
determine if the grant applicant or recipient meets the statutory 
requirements for waiver eligibility including: (1) No waiting lists for 
AIDS Drug Assistance Program services; and (2) evidence of core medical 
services availability within the grant recipient's jurisdiction, state, 
or service area to all persons with HIV identified and eligible under 
Title XXVI of the PHS Act.\2\
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    \2\ Sections 2604(c)(2), 2612(b)(2), and 2651(c)(2) of the PHS 
Act.
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    Likely Respondents: Ryan White HIV/AIDS Program Parts A, B, and C 
grant applicants and recipients.
    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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                                                                                      Average
                                     Number of       Number of         Total        burden per     Total burden
            Form name               respondents    responses per     responses     response (in        hours
                                                    respondent                        hours)
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Waiver Request..................              20               1              20             5.5             110
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    Total.......................              20  ..............              20  ..............             110
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Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2019-22274 Filed 10-10-19; 8:45 am]
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