[Federal Register Volume 87, Number 236 (Friday, December 9, 2022)]
[Notices]
[Pages 75637-75638]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-26779]


-----------------------------------------------------------------------

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; Ending the HIV Epidemic 
Initiative Triannual Report, OMB No. 0915-0051--Extension

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

ACTION: Notice.

-----------------------------------------------------------------------

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. OMB may act on HRSA's ICR only after the 
30-day comment period for this notice has closed.

DATES: Comments on this ICR should be received no later than January 9, 
2023.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under Review--Open for 
Public Comments'' or by using the search function.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email Samantha Miller, the HRSA 
Information Collection Clearance Officer at [email protected] or call 
(301) 594-4394.

SUPPLEMENTARY INFORMATION:
    Information Collection Request Title: Ending the HIV Epidemic (EHE) 
Initiative Triannual Report OMB No. 0915-0051--Extension.
    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 services to low-income people with HIV. Since 1990, the 
RWHAP has developed a comprehensive system of safety net 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. 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/ethnic 
minorities.\1\
---------------------------------------------------------------------------

    \1\ HRSA. Ryan White HIV/AIDS Program Data Report, 2020.
---------------------------------------------------------------------------

    The Federal Ending the HIV Epidemic in the U.S. (EHE) initiative 
focuses on reducing the number of new HIV infections in the United 
States by at least 90 percent by 2030, which would be fewer than 3,000 
per year.\2\ Authorized by section 311(c) and title XXVI of the Public 
Health Service Act, this 10-year initiative beginning in fiscal year 
(FY) 2020 focuses on 48 counties; Washington, DC; San Juan, Puerto 
Rico; and seven states that have a substantial rural HIV burden. EHE 
initiative efforts focus on the following four key strategies that 
together can end the HIV epidemic in the United States:
---------------------------------------------------------------------------

    \2\ HRSA. Ending the HIV Epidemic in the U.S. https://www.hrsa.gov/ending-hiv-epidemic. Accessed July 12, 2022.
---------------------------------------------------------------------------

    1. Diagnose all people with HIV as early as possible.
    2. Treat people with HIV rapidly and effectively to reach sustained 
viral suppression.
    3. Prevent new HIV transmissions by using proven interventions, 
including pre-exposure prophylaxis and syringe services programs.
    4. Respond quickly to potential HIV outbreaks to get needed 
prevention and treatment services to people who need them.
    The EHE initiative is a collaborative effort among key Department 
of Health and Human Services agencies, primarily HRSA, the Centers for 
Disease Control and Prevention, the National Institutes of Health, the 
Indian Health Service,

[[Page 75638]]

and the Substance Abuse and Mental Health Services Administration. 
Through HRSA's RWHAP and Health Center Program, the agency has a 
leading role in helping diagnose, treat, prevent, and respond to end 
the HIV epidemic in the United States.
    In June 2022, HRSA awarded nearly $115 million to RWHAP recipients 
to help implement the EHE initiative to support innovative strategies 
that help people with HIV access care, support, and treatment services 
to live longer, healthier lives. EHE initiative funding was awarded to 
39 metropolitan areas (RWHAP part A) and eight states (RWHAP part B) to 
implement strategies and interventions for the provision of core 
medical and supportive services to reduce new HIV infections.\3\
---------------------------------------------------------------------------

    \3\ FY 2022 EHE Awards. https://ryanwhite.hrsa.gov/about/parts-and-initiatives/fy-2022-ending-hiv-epidemic-awards. Accessed August 
19, 2022.
---------------------------------------------------------------------------

    In September 2022, HRSA published a Notice seeking public comment 
on this ICR in the Federal Register, 87 FR 59443-44 (September 30, 
2022). There were no public comments.
    Need and Proposed Use of the Information: To support Federal 
requirements to monitor and report on funds distributed through the EHE 
Initiative, HRSA created a reporting module, the EHE Triannual Report, 
an aggregate data report submitted three times a year by EHE recipients 
and providers of services. EHE-funded providers report aggregate 
information on the number of clients receiving specific services and 
the number of clients who were prescribed antiretroviral medications in 
the 4-month reporting period. This module will provide HRSA with 
frequent and timely data on EHE Initiative progress by providing 
information on the number of clients who are reached through the EHE 
Initiative. In addition, HRSA can calculate the number of clients who 
did not receive services in the previous year by subtracting the number 
of clients who received services in the previous year and the number of 
new clients from the total number of clients. This will provide 
valuable information on the scope of outreach to new clients and 
clients who have had a lapse in service, which could be an indication 
of reengagement in care. This module will support project officer 
monitoring and HRSA's understanding of service provision. Finally, the 
information collected in the EHE Triannual Report will complement the 
annual information collected through the RWHAP Services Report and 
other reporting mechanisms and support HRSA in its ability to monitor 
EHE initiative activities and assess progress toward meeting national 
goals for ending the HIV epidemic.
    Likely Respondents: RWHAP part A and part B recipients and 
subrecipients funded by the EHE initiative.
    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
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                     Number of       Number of         Total        burden per     Total  burden
            Form name               respondents    responses per     responses     response  (in       hours
                                                    respondent                        hours)
----------------------------------------------------------------------------------------------------------------
EHE Module......................              47               3             141               2             282
                                              47  ..............             141  ..............             282
----------------------------------------------------------------------------------------------------------------

    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. 2022-26779 Filed 12-8-22; 8:45 am]
BILLING CODE 4165-15-P