Notice2021-17834
Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: Updates to Uniform Standard for Waiver of the Ryan White HIV/AIDS Program Core Medical Services Expenditure Requirement, OMB No. 0906-XXXX-NEW
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
August 20, 2021
Issuing agencies
Health and Human Services DepartmentHealth Resources and Services Administration
Abstract
In compliance with of the Paperwork Reduction Act of 1995, this notice announces that the Information Collection Request (ICR) is being forwarded by HRSA to the Office of Management and Budget (OMB) for review and approval. 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.
Full Text
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<title>Federal Register, Volume 86 Issue 159 (Friday, August 20, 2021)</title>
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[Federal Register Volume 86, Number 159 (Friday, August 20, 2021)]
[Notices]
[Pages 46855-46856]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-17834]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection:
Public Comment Request; Information Collection Request Title: Updates
to Uniform Standard for Waiver of the Ryan White HIV/AIDS Program Core
Medical Services Expenditure Requirement, OMB No. 0906-XXXX-NEW
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
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SUMMARY: In compliance with of the Paperwork Reduction Act of 1995,
this notice announces that the Information Collection Request (ICR) is
being forwarded by HRSA to the Office of Management and Budget (OMB)
for review and approval. 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 September
20, 2021.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. 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 Lisa Wright-Solomon, the
HRSA Information Collection Clearance Officer at <a href="/cdn-cgi/l/email-protection#512130213423263e233a11392322307f363e27"><span class="__cf_email__" data-cfemail="245445544156534b564f644c5657450a434b52">[email protected]</span></a> or
call (301) 443-1984.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the information request collection title
for reference.
Information Collection Request Title: Updates to Uniform Standard
for Waiver of the Ryan White HIV/AIDS Program Core Medical Services
Expenditure Requirement, OMB No. 0906-XXXX-NEW.
Abstract: In accordance with sections 2604(c), 2612(b), and 2651(c)
of the Public Health Service Act, Ryan White HIV/AIDS Program (RWHAP)
recipients are required to spend not less than 75 percent of grant
funds on core medical services for individuals with HIV identified and
eligible under the statute, after reserving statutory permissible
amounts for administrative and clinical quality management costs. The
RWHAP statute also grants the Secretary authority to waive this
requirement for RWHAP Parts A, B, or C recipients if a number of
requirements are met and a waiver request is submitted to HRSA for
approval. RWHAP Part A, B, and C core medical services waiver
requests--if approved--are effective for a 1-year budget period, and
apply to funds awarded under the Minority AIDS Initiative.
Currently, for a core medical services waiver request to be
approved, (1) core medical services must be available and accessible to
all individuals identified and eligible for the RWHAP in the
recipient's service area within 30 days, without regard to payer
source; (2) there cannot be any AIDS Drug Assistance Program waiting
lists in the recipient's service area; and (3) a public process to
obtain input on the waiver request from impacted communities, including
clients and RWHAP-funded core medical services providers, on the
availability of core medical services and the decision to request the
waiver must have occurred. The public process may be a part of the same
one used to seek input on community needs as part of the annual
priority setting and resource allocation, comprehensive planning,
statewide coordinated statement of need, public planning, and/or needs
assessment processes.
HRSA is proposing to simplify the waiver request process for RWHAP
Parts A, B, and C recipients by revising Policy Number 13-07: Uniform
Standard for Waiver of Core Medical Services Requirement for Grantees
Under Part, A, B, and C. The proposed changes would reduce the
administrative burden for recipients by lessening the documentation
they must submit to HRSA when requesting a waiver. Under the proposed
policy, recipients would be required to submit a one-page ``HRSA RWHAP
Core Medical Services Waiver Request Attestation Form'' to HRSA in lieu
of the multiple documents, including but not limited to a narrative of
up to 10 pages currently required to submit a waiver request. Waiver
request submission deadlines would also be revised. When finalized, the
policy would replace HAB Policy Number 13-07 effective October 1, 2021,
and would be named ``Waiver of the Ryan White HIV/AIDS Program Core
Medical Services Expenditure Requirement.''
[[Page 46856]]
A 60-day notice published in the Federal Register on April 20,
2021, vol. 86, No. 74, pp. 20499-20500. No public comments were
received in response to the ICR.
Need and Proposed Use of the Information: HRSA uses the
documentation submitted in core medical services waiver requests to
determine if the grant applicant or recipient meets the statutory
requirements for waiver eligibility outlined in Sections 2604(c),
2612(b), and 2651(c) of the Public Health Service Act.
Likely Respondents: HRSA expects responses from RWHAP Parts A, B,
and C grant applicants and recipients. The number of grant recipients
requesting waivers has fluctuated annually and has ranged from 15 to 22
per year since the waiver process was implemented in FY 2007.
Given the changes in the health care environment, HRSA anticipates
receiving possibly up to 22 applications in a given year.
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
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Number of Average burden
Form name Number of responses per Total per response Total burden
respondents respondent responses (in hours) hours
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Waiver Request.................. 22 1 22 4 88
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22 .............. 22 .............. 88
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HRSA notes that this proposed process represents a decrease in
burden when compared to the current policy outlined in PN 13-07 due in
part to the elimination of the requirement to prepare and submit a
narrative and multiple documents. 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. 2021-17834 Filed 8-19-21; 8:45 am]
BILLING CODE 4165-15-P
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