81_FR_56825 81 FR 56663 - Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request

81 FR 56663 - Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

Federal Register Volume 81, Issue 162 (August 22, 2016)

Page Range56663-56664
FR Document2016-19931

In compliance with Section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the Health Resources and Services Administration (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.

Federal Register, Volume 81 Issue 162 (Monday, August 22, 2016) 
[Federal Register Volume 81, Number 162 (Monday, August 22, 2016)]
[Notices]
[Pages 56663-56664]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-19931]



[[Page 56663]]

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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

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.

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SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995, the Health Resources and Services Administration 
(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 September 
21, 2016.

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

SUPPLEMENTARY INFORMATION:
    Information Collection Request Title: Building Futures: Supporting 
Youth Living with HIV.
    OMB No.: 0915-xxxx-New.
    Abstract: The Ryan White HIV/AIDS Program (RWHAP), administered by 
the HRSA HIV/AIDS Bureau (HRSA/HAB), provides HIV-related services in 
the United States for people living with HIV (PLWH) who do not have 
sufficient health care coverage or financial resources to pay for HIV-
related services. In 2014, 5.8 percent of the approximately 512,000 
RWHAP clients served were young adults between the ages of 13-24.\1\ 
HRSA/HAB awarded a contract, Building Futures: Supporting Youth Living 
with HIV, to identify and document best-practices and challenges 
associated with providing HIV care to youth living with HIV. 
Information learned from RWHAP sites serving youth living with HIV 
(aged 13-24 years) will help identify effective strategies and barriers 
for helping this population reach viral load suppression. The sites 
will be chosen from RWHAP-funded providers based on data from the 2014 
Ryan White HIV/AIDS Services Report. Information gathered at these 
visits will help inform best practices and the development of technical 
assistance (TA) to conduct at sites looking to improve their outcomes 
along the HIV care continuum. It will also inform additional TA 
products that will be made available to other RWHAP providers to 
improve health outcomes for young PLWH.
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    \1\ Health Resources and Services Administration. Ryan White 
HIV/AIDS Program Annual Client-Level Data Report 2014. http://hab.hrsa.gov/data/servicesdelivered/2014RWHAPDataReport.pdf. 
Published December 2015. Accessed 1/29/2016.
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    Need and Proposed Use of the Information: Youth (defined for the 
purposes of this project as age 13 through 24) in the United States are 
disproportionately impacted by HIV. In 2014, 9,731 (22 percent) of the 
44,073 new HIV diagnoses in the U.S. were among youth between the ages 
of 13 and 24, with a large majority (81 percent) of these youth 
diagnoses among older youth aged 20-24.\2\ Young PLWH also experience 
disparities in outcomes along the HIV care continuum.\3\ Among RWHAP 
clients in 2014, older youth aged 20-24 had the lowest rates of 
retention in care and both 15-19 year olds and 20-24 year olds had 
notably lower rates of viral load suppression as compared to other age 
groups. Additionally, certain subpopulations such as young men who have 
sex with men (MSM) of color, lesbian, gay, bisexual, transgender and 
questioning youth (LGBTQ), and young women of color bear a 
disproportionate share of the disease burden and have poorer outcomes 
in the areas of retention in care and viral suppression.4 5
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    \2\ Centers for Disease Control and Prevention, ``Diagnoses of 
HIV Infection in the United States and Dependent Areas, 2014,'' HIV 
Surveillance Supplemental Report; Vol 26, November 2015, http://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-us.pdf.
    \3\ ``HIV/AIDS Care Continuum,'' accessed January 26, 2016, 
https://www.aids.gov/federal-resources/policies/care-continuum/.
    \4\ Centers for Disease Control and Prevention, ``HIV Among 
Youth,'' HIV Among Youth, June 30, 2015, http://www.cdc.gov/hiv/group/age/youth/index.html.
    \5\ ``Youth and Young Adults in the Ryan White HIV/AIDS 
Program,'' September 2015, http://hab.hrsa.gov/data/reports/youthdatareport2015.pdf.
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    The Building Futures: Supporting Youth Living with HIV project aims 
to strengthen RWHAP engagement with young people aged 13-24 living with 
HIV to improve their health outcomes. Through this project, HRSA/HAB 
will systematically document strategies used by providers funded by the 
RWHAP to achieve high rates of youth retention in care and viral load 
suppression. HRSA/HAB will also learn about gaps and challenges from 
providers that have demonstrated poorer outcomes in these areas.
    Specialized Site Visits will be conducted with 10 RWHAP providers 
with youth patients with strong outcomes in the areas of patient 
retention and viral suppression to identify, understand, and document 
replicable evidence-based best practices and models of care. Interviews 
will be conducted with program support and clinical staff, in addition 
to HIV-positive youth patients. HIV-positive youth leaders will be 
engaged as consultants to the site visit team to pretest instruments, 
review site visit conclusions with the project team, and offer a 
perspective of youth living with HIV on the data gathered from sites. 
TA, including implementation of changes to improve performance among 
youth-serving RWHAP providers, will be developed from information 
gathered through the site visits.
    Performance Improvement Site Visits will be conducted with 16 
additional RWHAP providers to better understand the gaps and challenges 
to providing RWHAP care to youth, share best practices and lessons 
learned from other providers, and provide action-oriented TA to 
overcome barriers and improve outcomes along the HIV care continuum. 
Youth consultants will co-lead a panel/advisory board of young people 
living with HIV and a planning session to better understand technical 
assistance implementation issues.
    Sampled providers will be selected based on viral load suppression 
and retention in care rates and the diversity of client populations, as 
identified in 2014 Ryan White HIV/AIDS Services Report data.
    Likely Respondents: Clinics funded by the Ryan White HIV/AIDS 
Program.
    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

[[Page 56664]]

hours estimated for this ICR are summarized in the table below.
    Total Estimated Annualized Burden--523.

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                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total burden
                                    respondents     respondent       responses        (hours)          hours
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Online questionnaire............              26               1              26             0.5              13
Onsite Observational Tool.......              26               1              26             0.5              13
Program Manager and Clinical                  20               1              20             1.5              30
 Director Interview Guide
 (Specialized)..................
Program Manager and Clinical                  32               1              32             1.5              48
 Director Interview Guide
 (Performance Improvement)......
Program and Administrative Staff              50               1              50               1              50
 Interview Guide (Specialized)..
Program and Administrative Staff              80               1              80               1              80
 Interview Guide (Performance
 Improvement)...................
Youth Focus Group...............             156               1             156               1             156
Youth Interview.................              26               1              26             0.5              13
Panel/advisory board of young                 80               1              80             1.5             120
 people living with HIV
 (Performance Improvement ).....
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    Total.......................             496  ..............             496  ..............             523
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Jason E. Bennett,
Director, Division of the Executive Secretariat.
[FR Doc. 2016-19931 Filed 8-19-16; 8:45 am]
 BILLING CODE 4165-15-P

Federal Register / Vol. 81, No. 162 / Monday, August 22, 2016 / Notices 56663 DEPARTMENT OF HEALTH AND youth living with HIV. Information by providers funded by the RWHAP to HUMAN SERVICES learned from RWHAP sites serving achieve high rates of youth retention in youth living with HIV (aged 13–24 care and viral load suppression. HRSA/ Health Resources and Services years) will help identify effective HAB will also learn about gaps and Administration strategies and barriers for helping this challenges from providers that have population reach viral load suppression. demonstrated poorer outcomes in these Agency Information Collection The sites will be chosen from RWHAP- areas. Activities: Submission to OMB for funded providers based on data from the Specialized Site Visits will be Review and Approval; Public Comment 2014 Ryan White HIV/AIDS Services conducted with 10 RWHAP providers Request Report. Information gathered at these with youth patients with strong AGENCY: Health Resources and Services visits will help inform best practices outcomes in the areas of patient and the development of technical retention and viral suppression to Administration, HHS. assistance (TA) to conduct at sites identify, understand, and document ACTION: Notice. replicable evidence-based best practices looking to improve their outcomes along SUMMARY: In compliance with Section the HIV care continuum. It will also and models of care. Interviews will be 3507(a)(1)(D) of the Paperwork inform additional TA products that will conducted with program support and Reduction Act of 1995, the Health be made available to other RWHAP clinical staff, in addition to HIV-positive Resources and Services Administration providers to improve health outcomes youth patients. HIV-positive youth (HRSA) has submitted an Information for young PLWH. leaders will be engaged as consultants to Collection Request (ICR) to the Office of Need and Proposed Use of the the site visit team to pretest Management and Budget (OMB) for Information: Youth (defined for the instruments, review site visit review and approval. Comments purposes of this project as age 13 conclusions with the project team, and through 24) in the United States are offer a perspective of youth living with submitted during the first public review disproportionately impacted by HIV. In HIV on the data gathered from sites. TA, of this ICR will be provided to OMB. 2014, 9,731 (22 percent) of the 44,073 including implementation of changes to OMB will accept further comments from new HIV diagnoses in the U.S. were improve performance among youth- the public during the review and among youth between the ages of 13 and serving RWHAP providers, will be approval period. 24, with a large majority (81 percent) of developed from information gathered DATES: Comments on this ICR should be these youth diagnoses among older through the site visits. received no later than September 21, youth aged 20–24.2 Young PLWH also Performance Improvement Site Visits 2016. experience disparities in outcomes will be conducted with 16 additional ADDRESSES: Submit your comments, along the HIV care continuum.3 Among RWHAP providers to better understand including the ICR Title, to the desk RWHAP clients in 2014, older youth the gaps and challenges to providing officer for HRSA, either by email to aged 20–24 had the lowest rates of RWHAP care to youth, share best OIRA_submission@omb.eop.gov or by retention in care and both 15–19 year practices and lessons learned from other fax to 202–395–5806. olds and 20–24 year olds had notably providers, and provide action-oriented FOR FURTHER INFORMATION CONTACT: To lower rates of viral load suppression as TA to overcome barriers and improve request a copy of the clearance requests compared to other age groups. outcomes along the HIV care submitted to OMB for review, email the Additionally, certain subpopulations continuum. Youth consultants will co- HRSA Information Collection Clearance such as young men who have sex with lead a panel/advisory board of young Officer at paperwork@hrsa.gov or call men (MSM) of color, lesbian, gay, people living with HIV and a planning bisexual, transgender and questioning session to better understand technical (301) 443–1984. youth (LGBTQ), and young women of assistance implementation issues. SUPPLEMENTARY INFORMATION: Sampled providers will be selected color bear a disproportionate share of Information Collection Request Title: the disease burden and have poorer based on viral load suppression and Building Futures: Supporting Youth outcomes in the areas of retention in retention in care rates and the diversity Living with HIV. care and viral suppression.4 5 of client populations, as identified in OMB No.: 0915–xxxx–New. The Building Futures: Supporting 2014 Ryan White HIV/AIDS Services Abstract: The Ryan White HIV/AIDS Youth Living with HIV project aims to Report data. Program (RWHAP), administered by the strengthen RWHAP engagement with Likely Respondents: Clinics funded by HRSA HIV/AIDS Bureau (HRSA/HAB), young people aged 13–24 living with the Ryan White HIV/AIDS Program. provides HIV-related services in the HIV to improve their health outcomes. Burden Statement: Burden in this United States for people living with HIV Through this project, HRSA/HAB will context means the time expended by (PLWH) who do not have sufficient systematically document strategies used persons to generate, maintain, retain, health care coverage or financial disclose or provide the information resources to pay for HIV-related 2 Centers for Disease Control and Prevention, requested. This includes the time services. In 2014, 5.8 percent of the ‘‘Diagnoses of HIV Infection in the United States needed to review instructions; to approximately 512,000 RWHAP clients and Dependent Areas, 2014,’’ HIV Surveillance Supplemental Report; Vol 26, November 2015, develop, acquire, install and utilize served were young adults between the http://www.cdc.gov/hiv/pdf/library/reports/ technology and systems for the purpose ages of 13–24.1 HRSA/HAB awarded a surveillance/cdc-hiv-surveillance-report-us.pdf. of collecting, validating and verifying contract, Building Futures: Supporting 3 ‘‘HIV/AIDS Care Continuum,’’ accessed January information, processing and asabaliauskas on DSK3SPTVN1PROD with NOTICES Youth Living with HIV, to identify and 26, 2016, https://www.aids.gov/federal-resources/ maintaining information, and disclosing policies/care-continuum/. document best-practices and challenges 4 Centers for Disease Control and Prevention, and providing information; to train associated with providing HIV care to ‘‘HIV Among Youth,’’ HIV Among Youth, June 30, personnel and to be able to respond to 2015, http://www.cdc.gov/hiv/group/age/youth/ a collection of information; to search 1 Health Resources and Services Administration. index.html. data sources; to complete and review Ryan White HIV/AIDS Program Annual Client- 5 ‘‘Youth and Young Adults in the Ryan White Level Data Report 2014. http://hab.hrsa.gov/data/ HIV/AIDS Program,’’ September 2015, http:// the collection of information; and to servicesdelivered/2014RWHAPDataReport.pdf. hab.hrsa.gov/data/reports/ transmit or otherwise disclose the Published December 2015. Accessed 1/29/2016. youthdatareport2015.pdf. information. The total annual burden VerDate Sep<11>2014 17:13 Aug 19, 2016 Jkt 238001 PO 00000 Frm 00087 Fmt 4703 Sfmt 4703 E:\FR\FM\22AUN1.SGM 22AUN1

56664 Federal Register / Vol. 81, No. 162 / Monday, August 22, 2016 / Notices hours estimated for this ICR are Total Estimated Annualized Burden— summarized in the table below. 523. Average Number of Number of Total burden per Total burden Form name responses per respondents responses response hours respondent (hours) Online questionnaire ............................................................ 26 1 26 0.5 13 Onsite Observational Tool ................................................... 26 1 26 0.5 13 Program Manager and Clinical Director Interview Guide (Specialized) ..................................................................... 20 1 20 1.5 30 Program Manager and Clinical Director Interview Guide (Performance Improvement) ............................................ 32 1 32 1.5 48 Program and Administrative Staff Interview Guide (Spe- cialized) ............................................................................ 50 1 50 1 50 Program and Administrative Staff Interview Guide (Per- formance Improvement) ................................................... 80 1 80 1 80 Youth Focus Group .............................................................. 156 1 156 1 156 Youth Interview .................................................................... 26 1 26 0.5 13 Panel/advisory board of young people living with HIV (Per- formance Improvement ) .................................................. 80 1 80 1.5 120 Total .............................................................................. 496 ........................ 496 ........................ 523 Jason E. Bennett, FOR FURTHER INFORMATION CONTACT: To their efforts to provide technical Director, Division of the Executive Secretariat. request a copy of the clearance requests assistance to clients within their states. [FR Doc. 2016–19931 Filed 8–19–16; 8:45 am] submitted to OMB for review, email the SORH grantees submit a Technical BILLING CODE 4165–15–P HRSA Information Collection Clearance Assistance Report that includes: (1) The Officer at paperwork@hrsa.gov or call total number of technical assistance (301) 443–1984. encounters provided directly by the DEPARTMENT OF HEALTH AND SUPPLEMENTARY INFORMATION: When grantee; and (2) the total number of HUMAN SERVICES submitting comments or requesting unduplicated clients that received direct information, please include the ICR title technical assistance from the grantee. Health Resources and Services for reference. The Technical Assistance Report is Administration Information Collection Request Title: submitted via the HRSA Electronic Agency Information Collection Data Collection Tool for State Offices of Handbook no later than 30 days after the Activities: Submission to OMB for Rural Health Grant Program end of each 12-month budget period. Review and Approval; Public Comment A 60-day Federal Register Notice was Request; Data Collection Tool for State OMB No. 0915–0322—Extension published in the Federal Register on Offices of Rural Health Grant Program Abstract: The mission of the Federal June 22, 2016 (81 FR 40704). There were Office of Rural Health Policy (FORHP) no public comments. AGENCY: Health Resources and Services is to sustain and improve access to Administration, HHS. quality care services for rural Likely Respondents: Fifty State ACTION: Notice. communities. In its authorizing Offices of Rural Health. language (Section 711 of the Social Burden Statement: Burden in this SUMMARY: In compliance with Section Security Act [42 U.S.C. 912]), Congress context means the time expended by 3507(a)(1)(D) of the Paperwork charged FORHP with administering persons to generate, maintain, retain, Reduction Act of 1995, the Health grants, cooperative agreements, and disclose or provide the information Resources and Services Administration contracts to provide technical assistance requested. This includes the time (HRSA) has submitted an Information and other activities as necessary to Collection Request (ICR) to the Office of needed to review instructions; to support activities related to improving develop, acquire, install and utilize Management and Budget (OMB) for health care in rural areas. In accordance review and approval. Comments technology and systems for the purpose with the Public Health Service Act, of collecting, validating and verifying submitted during the first public review Section 338J (42 U.S.C. 254r), HRSA of this ICR will be provided to OMB. information, processing and proposes to continue the State Offices of maintaining information, and disclosing OMB will accept further comments from Rural Health (SORH) Grant Program— the public during the review and and providing information; to train Funding Opportunity Announcement approval period. personnel and to be able to respond to (FOA) and Forms for the Application. a collection of information; to search asabaliauskas on DSK3SPTVN1PROD with NOTICES DATES: Comments on this ICR should be The FOA is used by 50 states in received no later than September 21, preparing applications for grants under data sources; to complete and review 2016. the SORH Grant Program of the Public the collection of information; and to Health Service Act, and in preparing the transmit or otherwise disclose the ADDRESSES: Submit your comments, information. The total annual burden including the ICR Title, to the desk required report. Need and Proposed Use of the hours estimated for this ICR are officer for HRSA, either by email to summarized in the table below. OIRA_submission@omb.eop.gov or by Information: FORHP seeks to continue fax to 202–395–5806. gathering information from grantees on VerDate Sep<11>2014 17:13 Aug 19, 2016 Jkt 238001 PO 00000 Frm 00088 Fmt 4703 Sfmt 4703 E:\FR\FM\22AUN1.SGM 22AUN1


Document Created: 2018-02-09 11:38:25
Document Modified: 2018-02-09 11:38:25
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesComments on this ICR should be received no later than September 21, 2016.
ContactTo request a copy of the clearance requests submitted to OMB for review, email the HRSA Information Collection Clearance Officer at [email protected] or call (301) 443- 1984.
FR Citation81 FR 56663 
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