82_FR_3346 82 FR 3339 - Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Ryan White HIV/AIDS Program Outcomes and Expanded Insurance Coverage

82 FR 3339 - Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Ryan White HIV/AIDS Program Outcomes and Expanded Insurance Coverage

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

Federal Register Volume 82, Issue 7 (January 11, 2017)

Page Range3339-3340
FR Document2017-00322

In compliance with Section 3507(a)(1)(D) 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.

Federal Register, Volume 82 Issue 7 (Wednesday, January 11, 2017) 
[Federal Register Volume 82, Number 7 (Wednesday, January 11, 2017)]
[Notices]
[Pages 3339-3340]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-00322]


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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; Ryan White HIV/AIDS 
Program Outcomes and Expanded Insurance Coverage

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

ACTION: Notice.

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

SUMMARY: In compliance with Section 3507(a)(1)(D) 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.

DATES: Comments on this ICR should be received no later than February 
10, 2017.

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: Ryan White HIV/AIDS Program 
Outcomes and Expanded Insurance Coverage
    OMB No. 0906-xxxx--NEW
    Abstract: HRSA, HIV/AIDS Bureau (HRSA/HAB) implements the Ryan 
White HIV/AIDS Program (RWHAP). This program provides HIV-related 
services in the United States for those who do not have sufficient 
health care coverage or financial resources for coping with HIV 
disease. The recent expansion of health coverage impacted a significant 
portion of RWHAP's traditional clients (newly-eligible Medicaid 
recipient clients, qualified health plan (QHP) insured clients, and 
uninsured clients) who are now eligible to receive third party 
reimbursement care. These changes require RWHAP sites to fill the 
different gaps in care experienced by clients across the varying health 
care coverage options. The purpose of this evaluation study is to 
determine the effect that changing health care coverage has had on 
overall health outcomes, service utilization, and gaps in care of HIV-
positive individuals. This evaluation also seeks to understand how 
RWHAP provider sites meet the needs of clients under the variety of 
health care coverage options.
    Need and Proposed Use of the Information: The expansion of health 
coverage offers new options of obtaining health care services for many 
individuals with HIV. Due to these changes, additional information 
concerning overall client health outcomes, pharmaceutical and core 
medical processes and outcomes, and client access to and utilization of 
support services is needed. Data from this evaluation study will be 
used to provide HRSA/HAB with the necessary information to understand 
the changes in primary health care outcomes of RWHAP clients, pre- and 
post- implementation of recent insurance expansion and inform how the 
RWHAP can best serve clients.
    As a result of the 60-day Federal Register Notice, two comments 
were received. Both commenters strongly supported the proposed 
information collection and urged HRSA to include whether access and 
coverage to medical nutritional therapy and food bank/home delivered 
meals are impacted by the expanded insurance coverage. Medical 
nutrition therapy and food bank/home-delivered meals had already been 
included in the project design.
    Likely Respondents: RWHAP Administrators, RWHAP Care Providers, and 
RWHAP Clients.
    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)
----------------------------------------------------------------------------------------------------------------
Site Survey.....................             305               1             305             0.5           152.5

[[Page 3340]]

 
Medical Chart/Record Abstraction             *25               1              25               2              50
Focus Group (recruit                         *25               1              25               1              25
 participants)..................
Site Interview Guide............              50               1              50               2             100
Focus Groups Guide..............              60               1              60             1.5              90
                                 -------------------------------------------------------------------------------
    Total.......................            *440  ..............            *440  ..............           417.5
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* The same respondents will complete the medical chart/record abstraction and recruit participants for the focus
  group.


Jason E. Bennett,
Director, Division of the Executive Secretariat.
[FR Doc. 2017-00322 Filed 1-10-17; 8:45 am]
 BILLING CODE 4165-15-P

Federal Register / Vol. 82, No. 7 / Wednesday, January 11, 2017 / Notices 3339 TOTAL ESTIMATED ANNUALIZED BURDEN HOURS Average Number of Number of Total burden per Total burden Form name responses per respondents responses response hours respondent (in hours) Table 1: NAT: Enrollment, Traineeship Support, Graduate, Graduates Supported and Projected Data ....................... 100 1 100 3.4 340 Table 2—NAT: Graduate Data—Rural, Underserved, or Public Health .................................................................... 100 1 100 2.78 278 Total .............................................................................. * 100 ........................ 100 ........................ 618 * The same respondents are completing Table 1 and Table 2. Jason E. Bennett, HRSA Information Collection Clearance support services is needed. Data from Director, Division of the Executive Secretariat. Officer at paperwork@hrsa.gov or call this evaluation study will be used to [FR Doc. 2017–00337 Filed 1–10–17; 8:45 am] (301) 443–1984. provide HRSA/HAB with the necessary BILLING CODE 4165–15–P SUPPLEMENTARY INFORMATION: information to understand the changes Information Collection Request Title: in primary health care outcomes of Ryan White HIV/AIDS Program RWHAP clients, pre- and post- DEPARTMENT OF HEALTH AND Outcomes and Expanded Insurance implementation of recent insurance HUMAN SERVICES Coverage expansion and inform how the RWHAP OMB No. 0906–xxxx—NEW can best serve clients. Health Resources and Services Abstract: HRSA, HIV/AIDS Bureau As a result of the 60-day Federal Administration (HRSA/HAB) implements the Ryan Register Notice, two comments were White HIV/AIDS Program (RWHAP). received. Both commenters strongly Agency Information Collection This program provides HIV-related supported the proposed information Activities: Submission to OMB for services in the United States for those collection and urged HRSA to include Review and Approval; Public Comment who do not have sufficient health care whether access and coverage to medical Request; Ryan White HIV/AIDS coverage or financial resources for nutritional therapy and food bank/home Program Outcomes and Expanded coping with HIV disease. The recent delivered meals are impacted by the Insurance Coverage expansion of health coverage impacted expanded insurance coverage. Medical AGENCY: Health Resources and Services a significant portion of RWHAP’s nutrition therapy and food bank/home- Administration (HRSA), Department of traditional clients (newly-eligible delivered meals had already been Health and Human Services. Medicaid recipient clients, qualified included in the project design. health plan (QHP) insured clients, and ACTION: Notice. Likely Respondents: RWHAP uninsured clients) who are now eligible to receive third party reimbursement Administrators, RWHAP Care Providers, SUMMARY: In compliance with Section and RWHAP Clients. 3507(a)(1)(D) of the Paperwork care. These changes require RWHAP sites to fill the different gaps in care Burden Statement: Burden in this Reduction Act of 1995, HRSA has experienced by clients across the context means the time expended by submitted an Information Collection varying health care coverage options. persons to generate, maintain, retain, Request (ICR) to the Office of The purpose of this evaluation study is disclose, or provide the information Management and Budget (OMB) for to determine the effect that changing requested. This includes the time review and approval. Comments health care coverage has had on overall needed to review instructions; to submitted during the first public review health outcomes, service utilization, and develop, acquire, install and utilize of this ICR will be provided to OMB. gaps in care of HIV-positive individuals. technology and systems for the purpose OMB will accept further comments from This evaluation also seeks to understand of collecting, validating and verifying the public during the review and how RWHAP provider sites meet the information, processing and approval period. needs of clients under the variety of maintaining information, and disclosing DATES: Comments on this ICR should be and providing information; to train received no later than February 10, health care coverage options. Need and Proposed Use of the personnel and to be able to respond to 2017. a collection of information; to search Information: The expansion of health ADDRESSES: Submit your comments, coverage offers new options of obtaining data sources; to complete and review including the ICR Title, to the desk health care services for many the collection of information; and to officer for HRSA, either by email to individuals with HIV. Due to these transmit or otherwise disclose the OIRA_submission@omb.eop.gov or by changes, additional information information. The total annual burden fax to 202–395–5806. concerning overall client health hours estimated for this ICR are FOR FURTHER INFORMATION CONTACT: To outcomes, pharmaceutical and core summarized in the table below. request a copy of the clearance requests medical processes and outcomes, and Total Estimated Annualized Burden sradovich on DSK3GMQ082PROD with NOTICES submitted to OMB for review, email the client access to and utilization of Hours: Average Number of Number of Total burden per Total burden Form name responses per respondents responses response hours respondent (in hours) Site Survey ........................................................................... 305 1 305 0.5 152.5 VerDate Sep<11>2014 19:05 Jan 10, 2017 Jkt 241001 PO 00000 Frm 00060 Fmt 4703 Sfmt 4703 E:\FR\FM\11JAN1.SGM 11JAN1

3340 Federal Register / Vol. 82, No. 7 / Wednesday, January 11, 2017 / Notices Average Number of Number of Total burden per Total burden Form name responses per respondents responses response hours respondent (in hours) Medical Chart/Record Abstraction ....................................... *25 1 25 2 50 Focus Group (recruit participants) ....................................... *25 1 25 1 25 Site Interview Guide ............................................................. 50 1 50 2 100 Focus Groups Guide ............................................................ 60 1 60 1.5 90 Total .............................................................................. *440 ........................ *440 ........................ 417.5 * The same respondents will complete the medical chart/record abstraction and recruit participants for the focus group. Jason E. Bennett, available is approximately $9,325,000 to Agency by discipline, based on need or Director, Division of the Executive Secretariat. support approximately 373 competing vacancy. The IHS LRP’s ranking system [FR Doc. 2017–00322 Filed 1–10–17; 8:45 am] awards averaging $25,000 per award for gives high site scores to those sites that BILLING CODE 4165–15–P a one year extension. One year contract are most in need of specific health extensions will receive priority professions. Awards are given to the consideration in any award cycle. applications that match the highest DEPARTMENT OF HEALTH AND Applicants selected for participation in priorities until funds are no longer HUMAN SERVICES the FY 2017 program cycle will be available. expected to begin their service period Any individual who owes an Indian Health Service no later than September 30, 2017. obligation for health professional [CFDA Number: 93.164] service to the Federal Government, a III. Eligibility Information State, or other entity is not eligible for Loan Repayment Program for A. Eligible Applicants the LRP unless the obligation will be Repayment of Health Professions completely satisfied before they begin Pursuant to 25 U.S.C. 1616a(b), to be Educational Loan; Announcement service under this program. eligible to participate in the LRP, an Type—Initial 25 U.S.C. 1616a authorizes the IHS individual must: LRP and provides in pertinent part as Key Dates: January 15, 2017 first (1)(A) Be enrolled— follows: award cycle deadline date; August 15, (i) In a course of study or program in (a)(1) The Secretary, acting through 2017 last award cycle deadline date; an accredited institution, as determined the Service, shall establish a program to September 15, 2017 last award cycle by the Secretary, within any State and be known as the Indian Health Service deadline date for supplemental loan be scheduled to complete such course of Loan Repayment Program (hereinafter repayment program funds; September study in the same year such individual referred to as the Loan Repayment 30, 2017 entry on duty deadline date. applies to participate in such program; Program) in order to assure an adequate or supply of trained health professionals I. Funding Opportunity Description (ii) In an approved graduate training necessary to maintain accreditation of, The Indian Health Service (IHS) program in a health profession; or and provide health care services to estimated budget request for Fiscal Year (B) Have a degree in a health Indians through, Indian health (FY) 2017 includes $30,022,000 for the profession and a license to practice in programs. IHS Loan Repayment Program (LRP) for a State; and For the purposes of this program, the health professional educational loans (2)(A) Be eligible for, or hold an term ‘‘Indian health program’’ is defined (undergraduate and graduate) in return appointment as a commissioned officer in 25 U.S.C. 1616a(a)(2)(A), as follows: for full-time clinical service as defined in the Regular Corps of the Public (A) The term Indian health program in the IHS LRP policy at https:// Health Service (PHS); or means any health program or facility www.ihs.gov/loanrepayment/ (B) Be eligible for selection for service funded, in whole or in part, by the policiesandprocedures/ in Indian health in the Regular Corps of the PHS; or Service for the benefit of Indians and programs. (C) Meet the professional standards administered— This program announcement is for civil service employment in the IHS; (i) Directly by the Service; subject to the appropriation of funds. or (ii) By any Indian Tribe or Tribal or This notice is being published early to (D) Be employed in an Indian health Indian organization pursuant to a coincide with the recruitment activity of program without service obligation; and contract under— the IHS which competes with other (3) Submit to the Secretary an (I) The Indian Self-Determination Act, Government and private health application for a contract to the LRP. or management organizations to employ The Secretary must approve the contract (II) Section 23 of the Act of April 30, qualified health professionals. before the disbursement of loan 1908, (25 U.S.C. 47), popularly known This program is authorized by the repayments can be made to the as the Buy Indian Act; or Indian Health Care Improvement Act participant. Participants will be (iii) By an urban Indian organization (IHCIA) Section 108, codified at 25 required to fulfill their contract service pursuant to Title V of this Act. agreements through full-time clinical 25 U.S.C. 1616a, authorizes the IHS to sradovich on DSK3GMQ082PROD with NOTICES U.S.C. 1616a. practice at an Indian health program site determine specific health professions II. Award Information determined by the Secretary. Loan for which IHS LRP contracts will be The estimated amount available is repayment sites are characterized by awarded. Annually, the Director, approximately $18,400,000 to support physical, cultural, and professional Division of Health Professions Support, approximately 400 competing awards isolation, and have histories of frequent sends a letter to the Director, Office of averaging $46,000 per award for a two staff turnover. Indian health program Clinical and Preventive Services, IHS year contract. The estimated amount sites are annually prioritized within the Area Directors, Tribal health officials, VerDate Sep<11>2014 19:05 Jan 10, 2017 Jkt 241001 PO 00000 Frm 00061 Fmt 4703 Sfmt 4703 E:\FR\FM\11JAN1.SGM 11JAN1


Document Created: 2018-02-01 14:59:07
Document Modified: 2018-02-01 14:59:07
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 February 10, 2017.
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 Citation82 FR 3339 
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