[Federal Register Volume 89, Number 9 (Friday, January 12, 2024)]
[Notices]
[Pages 2228-2229]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-00534]


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

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; CAREWare Customer 
Satisfaction and Usage Survey, OMB No. 0906-xxxx-New

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 February 
12, 2024.

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 Joella Roland, the HRSA 
Information Collection Clearance Officer at [email protected] or call 
(301) 443-3983.

SUPPLEMENTARY INFORMATION: 
    Information Collection Request Title: CAREWare Customer 
Satisfaction and Usage Survey, OMB No. 0906-xxxx-New.
    Abstract: HRSA developed CAREWare, a software application first 
released in 2000, to help meet the data collection and reporting needs 
of Ryan White HIV/AIDS Program (RWHAP) grant recipients. The secure 
software is a free, electronic health and social support services 
information system for RWHAP grant recipients and their subrecipients 
to assist in the data requirement submissions that inform the 
development of the Ryan White HIV/AIDS Program Service Report, the AIDS 
Drug Assistance Program Data Report, the Ending the HIV Epidemic 
Initiative Triannual Report, and the voluntary Clinical Quality 
Measures Performance Measures module. Over time, the software has 
evolved into a comprehensive health information system and is now the 
source of more than half of all the RWHAP client-level data received 
from recipients and subrecipients of RWHAP grant funding. CAREWare 
software manages HIV clinical and support service data from more than 
360,000 client records in 48 states; Washington, DC; Puerto Rico; and 
the U.S. Virgin Islands.
    The CAREWare software application contains customizable modules for 
tracking demographic information, services, medications, laboratory 
test results, immunization history, diagnoses (updated with 
International Classification of Diseases, Tenth Revision codes), 
referrals to outside agencies, and an appointment scheduler. There is a 
custom report generator and a performance measures module that supports 
quality of care initiatives at the provider level. The software also 
has several ways to import data from third-party sources, including 
commercial labs and other electronic health records (using both Health 
Level Seven and simple Comma Separated Value-formatted files), HIV 
surveillance systems, and for RWHAP Part B AIDS Drug Assistance 
Programs, pharmacy benefit programs. The software and user support 
materials can be accessed here: https://hab.hrsa.gov/program-grants-management/careware. Finally, CAREWare supports users through an 
experienced helpdesk with ongoing software maintenance issues and 
enhancements to the user interface.
    HRSA is proposing a customer satisfaction survey to gather feedback 
from CAREWare users regarding their experiences and satisfaction with 
the software platform and to obtain suggestions for improvement.
    A 60-day Federal Register Notice (FRN) was published in the Federal 
Register on October 20, 2023 (Volume 88, No. 202, pages 72493-94). 
There was one out-of-scope public comment received in response to the 
FRN.
    Need and Proposed Use of the Information: HRSA aims to understand 
CAREWare users' needs and concerns by collecting information on current 
software features and inquiring about opportunities to improve the user 
experience and product features. The survey will address the software's 
functionality and how well it meets the data collection, reporting, and 
quality

[[Page 2229]]

management needs of the CAREWare user. The feedback will enable HRSA to 
assess, benchmark, and improve customer satisfaction with RWHAP grant 
recipients.
    Likely Respondents: RWHAP recipients and providers who use CAREWare 
to produce data files for the Ryan White HIV/AIDS Program Service 
Report, the AIDS Drug Assistance Program Data Report, the Ending the 
HIV Epidemic Initiative Triannual Report, and the voluntary Clinical 
Quality Measures Performance Measures module.
    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.
    A pilot with seven RWHAP grant recipients concluded on November 20, 
2023, one month after the 60-day FRN publication date of October 20, 
2023. The pilot resulted in a lesser burden estimate than initially 
reported in the 60-day FRN.

                                    Total Estimated Annualized Burden--Hours
----------------------------------------------------------------------------------------------------------------
                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total burden
                                    respondents     respondent       responses      (in hours)         hours
----------------------------------------------------------------------------------------------------------------
CAREWare User Survey............           1,160               1           1,160            0.88           1,021
                                 -------------------------------------------------------------------------------
    Total.......................           1,160               1           1,160            0.88           1,021
----------------------------------------------------------------------------------------------------------------

    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. 2024-00534 Filed 1-11-24; 8:45 am]
BILLING CODE 4165-15-P