[Federal Register Volume 84, Number 222 (Monday, November 18, 2019)]
[Notices]
[Pages 63664-63665]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-24910]


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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; 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 of 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 December 
18, 2019.

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 Lisa Wright-Solomon, the 
HRSA Information Collection Clearance Officer at [email protected] or 
call (301) 443-1984.

SUPPLEMENTARY INFORMATION: 
    Information Collection Request Title: Chart Abstraction of Ryan 
White HIV/AIDS Program Recipient 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 by service providers and allow 
HRSA to assess the extent to which care provided by RWHAP service 
providers meets the HHS and USPSTF guidelines.
    A 60-day notice was published in the Federal Register on May 10, 
2019, vol. 84, No. 91; pp. 20638-20639. There were no public comments.

[[Page 63665]]

    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 by RWHAP service providers is meeting the HHS and USPSTF 
guidelines. This proposed new information collection request 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 by RWHAP service providers 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.
    The burden estimate increased by 25 hours (0.5 hour increase for 
each medical record data abstraction) to a total of 225 hours (previous 
estimate was 200 hours as published in the 60-day notice on May 10, 
2019 in Vol. 84, No. 91, pages 20638-20639). The burden estimate 
increased as the result of a pilot of the data collection forms.

                                    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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Provider Site screening                      100               1             100             0.5              50
 interview......................
Provider Pre-Site Visit                       50               1              50             1.0              50
 Interview......................
Medical Record Data Abstraction.              50               1              50             2.5             125
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
    Total.......................             200  ..............             200  ..............             225
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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.

Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2019-24910 Filed 11-15-19; 8:45 am]
 BILLING CODE 4165-15-P