81 FR 76364 - Agency Information Collection Activities: Proposed Collection: Public Comment Request; Ryan White HIV/AIDS Program Core Medical Services Waiver Application Requirements
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration Federal Register Volume 81, Issue 212 (November 2, 2016)
Health Resources and Services Administration
Federal Register Volume 81, Issue 212 (November 2, 2016)
| Page Range | 76364-76365 | |
| FR Document | 2016-26408 |
[Federal Register Volume 81, Number 212 (Wednesday, November 2, 2016)] [Notices] [Pages 76364-76365] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-26408] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Proposed Collection: Public Comment Request; Ryan White HIV/AIDS Program Core Medical Services Waiver Application Requirements AGENCY: Health Resources and Services Administration (HRSA), Department of Health and Human Services. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: In compliance with the requirement for opportunity for public comment on proposed data collection projects (Section 3506(c)(2)(A) 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 January 3, 2017. ADDRESSES: Submit your comments to [email protected] or mail the HRSA Information Collection Clearance Officer, Room 14N39, 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 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. Information Collection Request Title: Ryan White HIV/AIDS Program Core Medical Services Waiver Application Requirements. OMB No. 0915-0307--Extension. Abstract: Title XXVI of the Public Health Service (PHS) Act, as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009 (Ryan White HIV/AIDS Program), Part A section 2604(c), Part B section 2612(b), and Part C section 2651(c), requires that grantees expend 75 percent of Parts A, B, and C funds on core medical services, including antiretroviral drugs for individuals with HIV, identified and eligible under the legislation. For grantees under Parts A, B, and C to be exempted from the 75 percent core medical services requirement, they must request and receive a waiver from HRSA, as required in the Act. On October 25, 2013, HRSA published revised standards for core medical services waiver requests in the Federal Register (78 FR 63990). These revised standards allow grant recipients flexibility to adjust resource allocation based on the current situation in their local environment. These standards ensure that grant recipients receiving waivers demonstrate the availability of core medical services, including antiretroviral drugs, for persons with HIV served under Title XXVI of the PHS Act. The core medical services waiver uniform standard and waiver request process will apply to Ryan White HIV/AIDS Program Grant Awards under Parts A, B, and C of Title XXVI of the PHS Act. Core medical services waivers will be effective for a 1-year period that is consistent with the grant recipient award period. Grant recipients may submit a waiver request before the annual grant application, with the application, or up to 4 months after the grant recipient award has been made. Need and Proposed Use of the Information: HRSA uses the documentation submitted in core medical services waiver requests to determine if the applicant/grant recipient meets the statutory requirements for waiver eligibility including: (1) No waiting lists for AIDS Drug Assistance Program services; and (2) evidence of core medical services availability within the grant recipient's jurisdiction, state, or service area to all individuals with HIV identified and eligible under Title XXVI of the PHS Act. See sections 2604(c)(2), 2612(b)(2), and 2651(c)(2) of the PHS Act. [[Page 76365]] Likely Respondents: Ryan White HIV/AIDS Program Part A, B, and C grant 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 hours: ---------------------------------------------------------------------------------------------------------------- Number of Average burden Form name Number of responses per Total per response Total burden respondents respondent responses (in hours) hours ---------------------------------------------------------------------------------------------------------------- Waiver Request.................. 20 1 20 5.5 110 ------------------------------------------------------------------------------- Total....................... 20 1 20 5.5 110 ---------------------------------------------------------------------------------------------------------------- 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. Jason E. Bennett, Director, Division of the Executive Secretariat. [FR Doc. 2016-26408 Filed 11-1-16; 8:45 am] BILLING CODE 4165-15-P
![76364 Federal Register / Vol. 81, No. 212 / Wednesday, November 2, 2016 / Notices
Federal Office of Rural Health Policy and grantees use the data for needed to review instructions; to
(FORHP), OAT, has worked with its performance tracking and improvement. develop, acquire, install and utilize
grantees to develop performance Revisions include minor additions to technology and systems for the purpose
measures to be used to evaluate and the OAT Performance Improvement of collecting, validating and verifying
monitor the progress of the grantees. Measurement System (PIMS) to capture information, processing and
Grantee goals are as follows: To improve minimal data on access to care, maintaining information, and disclosing
access to needed services, reduce rural population demographics, insurance and providing information; to train
practitioner isolation, improve health status, quality improvement and clinical personnel and to be able to respond to
system productivity and efficiency, and measures. a collection of information; to search
improve patient outcomes. In each of Likely Respondents: Telehealth data sources; to complete and review
these categories, specific indicators Network Grantees. the collection of information; and to
were designed and are reported through Burden Statement: Burden in this
transmit or otherwise disclose the
a performance monitoring Web site. context means the time expended by
These measures cover the principal persons to generate, maintain, retain, information. The total annual burden
topic areas of interest to FORHP. The disclose or provide the information hours estimated for this ICR are
data are used for program improvement requested. This includes the time summarized in the table below.
TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS
Average
Number of Total
Number of Total burden per
Form name responses per burden
respondents responses response
respondent hours
(in hours)
PIMS .................................................................................... 200 2 400 7 2,800
Total .............................................................................. 200 ........................ 400 ........................ 2,800
Jason E. Bennett, Officer, Room 14N39, 5600 Fishers revised standards allow grant recipients
Director, Division of the Executive Secretariat. Lane, Rockville, MD 20857. flexibility to adjust resource allocation
[FR Doc. 2016–26402 Filed 11–1–16; 8:45 am] FOR FURTHER INFORMATION CONTACT: To based on the current situation in their
BILLING CODE 4165–15–P request more information on the local environment. These standards
proposed project or to obtain a copy of ensure that grant recipients receiving
the data collection plans and draft waivers demonstrate the availability of
DEPARTMENT OF HEALTH AND instruments, email paperwork@hrsa.gov core medical services, including
HUMAN SERVICES or call the HRSA Information Collection antiretroviral drugs, for persons with
Clearance Officer at (301) 443–1984. HIV served under Title XXVI of the PHS
Health Resources and Services
SUPPLEMENTARY INFORMATION: When Act. The core medical services waiver
Administration
submitting comments or requesting uniform standard and waiver request
Agency Information Collection information, please include the process will apply to Ryan White HIV/
Activities: Proposed Collection: Public information request collection title for AIDS Program Grant Awards under
Comment Request; Ryan White HIV/ reference. Parts A, B, and C of Title XXVI of the
AIDS Program Core Medical Services Information Collection Request Title: PHS Act. Core medical services waivers
Waiver Application Requirements Ryan White HIV/AIDS Program Core will be effective for a 1-year period that
Medical Services Waiver Application is consistent with the grant recipient
AGENCY: Health Resources and Services Requirements. award period. Grant recipients may
Administration (HRSA), Department of OMB No. 0915–0307—Extension. submit a waiver request before the
Health and Human Services. Abstract: Title XXVI of the Public annual grant application, with the
ACTION: Notice. Health Service (PHS) Act, as amended application, or up to 4 months after the
by the Ryan White HIV/AIDS Treatment grant recipient award has been made.
SUMMARY: In compliance with the Extension Act of 2009 (Ryan White HIV/
requirement for opportunity for public AIDS Program), Part A section 2604(c), Need and Proposed Use of the
comment on proposed data collection Part B section 2612(b), and Part C Information: HRSA uses the
projects (Section 3506(c)(2)(A) of the section 2651(c), requires that grantees documentation submitted in core
Paperwork Reduction Act of 1995), expend 75 percent of Parts A, B, and C medical services waiver requests to
HRSA announces plans to submit an funds on core medical services, determine if the applicant/grant
Information Collection Request (ICR), including antiretroviral drugs for recipient meets the statutory
described below, to the Office of individuals with HIV, identified and requirements for waiver eligibility
Management and Budget (OMB). Prior eligible under the legislation. For including: (1) No waiting lists for AIDS
to submitting the ICR to OMB, HRSA grantees under Parts A, B, and C to be Drug Assistance Program services; and
seeks comments from the public exempted from the 75 percent core
sradovich on DSK3GMQ082PROD with NOTICES
(2) evidence of core medical services
regarding the burden estimate, below, or medical services requirement, they must availability within the grant recipient’s
any other aspect of the ICR. request and receive a waiver from jurisdiction, state, or service area to all
DATES: Comments on this ICR should be HRSA, as required in the Act. individuals with HIV identified and
received no later than January 3, 2017. On October 25, 2013, HRSA eligible under Title XXVI of the PHS
ADDRESSES: Submit your comments to published revised standards for core Act. See sections 2604(c)(2), 2612(b)(2),
paperwork@hrsa.gov or mail the HRSA medical services waiver requests in the and 2651(c)(2) of the PHS Act.
Information Collection Clearance Federal Register (78 FR 63990). These
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![Federal Register / Vol. 81, No. 212 / Wednesday, November 2, 2016 / Notices 76365
Likely Respondents: Ryan White HIV/ develop, acquire, install and utilize data sources; to complete and review
AIDS Program Part A, B, and C grant technology and systems for the purpose the collection of information; and to
recipients. of collecting, validating and verifying transmit or otherwise disclose the
Burden Statement: Burden in this information, processing and information. The total annual burden
context means the time expended by maintaining information, and disclosing hours estimated for this ICR are
persons to generate, maintain, retain, and providing information; to train summarized in the table below.
disclose or provide the information personnel and to be able to respond to
requested. This includes the time Total Estimated Annualized burden
a collection of information; to search hours:
needed to review instructions; to
Average
Number of Total
Number of Total burden per
Form name responses per burden
respondents responses response
respondent hours
(in hours)
Waiver Request ................................................................... 20 1 20 5.5 110
Total .............................................................................. 20 1 20 5.5 110
HRSA specifically requests comments recognized Tribes. There are presently participation by California area Tribes
on (1) the necessity and utility of the 31 California Tribal health programs and Tribal and urban Indian
proposed information collection for the operating 57 ambulatory clinics under organizations in establishing the goals,
proper performance of the agency’s the authority of the Indian Self- objectives and development of policies
functions, (2) the accuracy of the Determination Act. The IHS funds ten of the CAIHS; (2) coordinating the
estimated burden, (3) ways to enhance California Area urban health programs CAIHS activities and resources
the quality, utility, and clarity of the that operate under the authority of the internally and externally with those of
information to be collected, and (4) the Indian Health Care Improvement Act. In other Federal, state, local and privately
use of automated collection techniques fiscal year 2014, California Tribal health funded health care programs to
or other forms of information programs had 119,362 registered users maximize quality health care services to
technology to minimize the information and 69,238 active users. Registered Tribal and urban Indians in the State of
collection burden. users are a cumulative total for all California; (3) ensuring compliance to
Jason E. Bennett, Indian patients ever seen at Tribal the IHS guidelines and administrative
facilities, and active users are those that procedures pertinent to Indian self-
Director, Division of the Executive Secretariat.
have accessed care during the past three determination contracting processes and
[FR Doc. 2016–26408 Filed 11–1–16; 8:45 am]
years. None of the Tribal facilities and Tribal self-governance compacting; (4)
BILLING CODE 4165–15–P
programs currently operating in assuring that Indian Tribes and Indian
California originated as facilities organizations are informed regarding
DEPARTMENT OF HEALTH AND previously operated by the IHS, as is the pertinent health policy and program
HUMAN SERVICES case in other IHS areas. Population sizes management issues and coordinates
and dispersion of Tribal groups in the meetings and other communications
Indian Health Service CAIHS makes it unlikely that a hospital- with Tribal delegations; (5) advocating
based service program will develop for the health needs and concerns of AI/
Organization and Functional within the area, similar to other IHS AN; (6) developing and demonstrating
Statement; Part GFG; California Area areas where the Federal government has methods and techniques for continuous
Office; Proposed Functional Statement built, staffed and maintained hospitals improvement of health services
and satellite clinics on Indian management and delivery by California
Part G, of the Statement of
reservations. Tribal programs will area Tribes and Tribal and urban Indian
Organization, Functions, and
continue to rely on private and public organizations; (7) ensuring that the
Delegations of Authority of the
hospitals to meet inpatient and principles of Equal Employment
Department of Health and Human
emergency needs. Some Tribal health Opportunity laws and the Civil Rights
Services (HHS), as amended most
recently at 63 FR 1486, January 9, 1998, program physicians have privileges at Act are applied in the management of
is hereby amended to reflect a local hospitals and follow their patients the human resources of the CAIHS; (8)
realignment of the California Area through the local hospital system. advising the Director, IHS, of issues and
Indian Health Service. Otherwise, the patients are referred to potential issues, relevant to the
The California Area Indian Health private physicians using Purchased California area, or to the IHS in general,
Service (CAIHS) provides the healthcare Referred Care (PRC) funding, as well as and recommending and participating in
delivery system to the State of other alternate resources. Most programs actions to prevent or correct problems;
California, the home of the largest have not developed laboratory, (9) providing leadership for the
population of American Indians/Alaska pharmacy or x-ray specialties, so these development of emergency
Natives (AI/AN) in the country. services are purchased from the private preparedness plans, policies, and
sector through PRC funding or other services, including the continuity of
sradovich on DSK3GMQ082PROD with NOTICES
According to the 2010 Census,
California’s Indian population was Tribal resources. The CAIHS is operations plans, deployment, public
333,346 in 2010. The 2010 Census also proposed to be organized as follows: health infrastructure, and emergency
indicated that there were 294,216 Office of the Area Director (GFGA) medical services for the CAIHS
additional people who stated that they responsibilities; and (10) advocating and
were American Indian and a Provides overall direction and coordinating support for Tribal
combination of one or more other races. leadership for the CAIHS by: (1) emergency medical services programs,
California is home to 107 Federally- Encouraging maximum consultation and including training and equipment.
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Document Created: 2016-11-02 01:41:05
Document Modified: 2016-11-02 01:41:05
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Comments on this ICR should be received no later than January 3, 2017. | |
| 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 the HRSA Information Collection Clearance Officer at (301) 443-1984. | |
| FR Citation | 81 FR 76364 |
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