[Federal Register Volume 84, Number 232 (Tuesday, December 3, 2019)]
[Notices]
[Pages 66202-66203]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-26099]


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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: HRSA Ryan 
White HIV/AIDS Program AIDS Drug Assistance Program Data Report, OMB 
No. 0915-0345--Revision

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 of the Paperwork Reduction 
Act of 1995, 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 February 
3, 2020.

ADDRESSES: Submit your comments to [email protected] or mail the HRSA 
Information Collection Clearance Officer, Room 14N136B, 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 Lisa Wright-
Solomon, the HRSA 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, pursuant to Section 3506(c)(2)(A), the Paperwork 
Reduction Act of 1995.

[[Page 66203]]

    Information Collection Request Title: HRSA Ryan White HIV/AIDS 
Program (RWHAP) AIDS Drug Assistance Program Data Report, OMB No. 0915-
0345--Revision.
    Abstract: HRSA's Ryan White HIV/AIDS Program (RWHAP) AIDS Drug 
Assistance Program (ADAP) is authorized under Part B of the RWHAP 
legislation, codified in sections 2611 et seq. of the Public Health 
Service Act, which provides grants to U.S. states and territories. 
RWHAP ADAP is a state and territory-administered program that provides 
Food and Drug Administration approved medications to low-income people 
with HIV who have limited or no health coverage from private insurance, 
Medicaid, or Medicare. RWHAP ADAP funds may also be used to purchase 
health insurance for eligible clients and for services that enhance 
access, adherence, and monitoring of drug treatments.
    All 50 states, the District of Columbia, Puerto Rico, Guam, the 
U.S. Virgin Islands, and the five U.S. Pacific Territories or 
Associated Jurisdictions receive RWHAP Part B grant awards including 
funds for RWHAP ADAP. RWHAP Part B reporting requirements include the 
annual submission of an ADAP Data Report (ADR), including a Recipient 
Report and a Client Report. The Recipient Report is a collection of 
basic information about grant recipient characteristics and policies 
including program administration, purchasing mechanisms, funding, and 
expenditures. The Client Report is a collection of client-level records 
(one record for each client enrolled in the RWHAP ADAP), which includes 
the client's encrypted unique identifier, basic demographic data, 
enrollment information, services received and clinical data.
    HRSA is proposing several changes to the ADR Recipient and Client 
Reports to improve question clarity, delete obsolete data elements, 
combine related data elements, add new data elements, and improve 
response options to reflect program practices and support HRSA's 
analysis and understanding of program impact. Specifically, the 
Recipient Report includes the following proposed changes:
     Addition of two new ``Yes/No'' questions,
     addition of one new follow-up question that requests the 
number of new clients enrolled,
     clarification on two existing questions,
     revision to one existing question that requests program 
income and manufacturer rebates reinvested in ADAP, and
     deletion of six obsolete data elements.
    The Client Report includes the following proposed changes:
     Revision to reporting of RWHAP ADAP-funded medications to 
include all medications rather than a subset of medications;
     revision to one existing question that requests reporting 
of all RWHAP ADAP-funded medications using the National Drug Code from 
the Drug Identification Code (d-codes);
     revision to reporting of clinical data for clients to 
include all clients rather than a subset of clients; and
     deletion of three data elements that were combined with 
other existing data elements.
    Overall, HRSA does not anticipate these proposed revisions 
resulting in a change in the reporting burden. New and revised data 
elements require reporting of information that should already be 
collected by recipients to meet legislative or programmatic 
requirements for the proper oversight and administration of the 
program.
    Need and Proposed Use of the Information: RWHAP requires the 
submission of annual reports by the Secretary of HHS to the appropriate 
committees of Congress. HRSA uses the ADR to evaluate the national 
impact of the RWHAP ADAP by providing client-level data on individuals 
being served, services being delivered, and costs associated with these 
services. The client-level data is used to monitor health outcomes of 
people with HIV receiving care and treatment through the RWHAP ADAP, to 
monitor the use of RWHAP ADAP funds in addressing the HIV epidemic and 
its impact on vulnerable communities, and to track progress toward 
achieving the goals identified in the National HIV/AIDS Strategy.
    Likely Respondents: State ADAPs of RWHAP Part B 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 Hour
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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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Grantee Report..................              54               1              54               6             324
Client-level Report.............              54               1              54              81           4,374
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    Total.......................            * 54  ..............              54  ..............           4,698
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* The same respondents complete the Grantee Report and the Client-level Report.

    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. 2019-26099 Filed 12-2-19; 8:45 am]
 BILLING CODE 4165-15-P