Notice2024-03952
Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: Ryan White HIV/AIDS Program Core Medical Services Waiver Form, OMB No. 0906-0065-Revision
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
February 27, 2024
Issuing agencies
Health and Human Services DepartmentHealth Resources and Services Administration
Abstract
In compliance with the requirement for opportunity for public comment on proposed data collection projects 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.
Full Text
<html>
<head>
<title>Federal Register, Volume 89 Issue 39 (Tuesday, February 27, 2024)</title>
</head>
<body><pre>
[Federal Register Volume 89, Number 39 (Tuesday, February 27, 2024)]
[Notices]
[Pages 14507-14508]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-03952]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection:
Public Comment Request; Information Collection Request Title: Ryan
White HIV/AIDS Program Core Medical Services Waiver Form, OMB No. 0906-
0065--Revision
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 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 April 29,
2024.
ADDRESSES: Submit your comments to <a href="/cdn-cgi/l/email-protection#dbabbaabbea9acb4a9b09bb3a9a8baf5bcb4ad"><span class="__cf_email__" data-cfemail="f28293829780859d8099b29a808193dc959d84">[email protected]</span></a> or mail the HRSA
Information Collection Clearance Officer, Room 14N39, 5600 Fishers
Lane, Rockville, Maryland 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 <a href="/cdn-cgi/l/email-protection#9feffeeffaede8f0edf4dff7edecfeb1f8f0e9"><span class="__cf_email__" data-cfemail="2a5a4b5a4f585d4558416a4258594b044d455c">[email protected]</span></a> or call Joella Roland, the
HRSA Information Collection Clearance Officer, at (301) 443-3983.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the ICR title for reference.
Information Collection Request Title: Ryan White HIV/AIDS Program
Core Medical Services Waiver Form, OMB No. 0915-0065--Revision
Abstract: In accordance with sections 2604(c), 2612(b), and 2651(c)
of the Public Health Service Act, recipients are required to spend not
less than 75 percent of funds on core medical services for individuals
with HIV identified and eligible under the statute, after reserving
permissible amounts for administrative and clinical quality management
(CQM) costs. The statute also grants the Secretary of Health and Human
Services authority to waive this requirement for a Ryan White HIV/AIDS
Program (RWHAP) Part A, B, or C recipient if certain requirements are
met, and a waiver request is submitted to HRSA for approval.
As currently implemented by HRSA, 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. This access must be without regard to payer source, and without
the need to spend at least 75 percent of funds remaining from the
recipient's RWHAP award after statutorily permissible amounts for
administrative and CQM costs are reserved; (2) the recipient must
ensure there are no AIDS Drug Assistance Program (ADAP) waiting lists
in their service area; and (3) a public process to obtain input on the
waiver request must have occurred. This process must seek input 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. The public process may be a part of
the same one used by recipients 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. RWHAP Parts A, B, and C
core medical services waiver requests must include funds awarded under
the Minority AIDS Initiative. Core medical services waivers are
effective for a 1-year period.
The process for RWHAP Parts A, B, and C grant recipients to request
a waiver of the minimum expenditure amount requirements for core
medical services is outlined in Policy Notice 21-01, Waiver of the Ryan
White HIV/AIDS Program Core Medical Services Expenditure Requirement.
HRSA proposes to modify the one-page form to include the proposed
percentages of HIV service dollars allocated to core medical and
support services. Under the proposed changes, a field will be added to
the form to capture the proposed percentages. This information will
inform HRSA whether recipients are able to meet the statutory
requirements in sections 2604(c), 2612(b), and 2651(c) of the Public
Health Service Act and will clarify what proposed portion of funds will
be allocated to core medical and support services. Minor changes will
also be made to the form to increase readability.
Summary of Proposed Changes: Sections 2604(c), 2612(b), and 2651(c)
of the Public Health Service Act requires recipients to spend not less
than 75 percent of funds on core medical services after reserving
statutorily
[[Page 14508]]
permissible amounts for administrative and CQM costs. However, on the
prior version of the form, the portion of HIV service dollars to be
allocated to core medical and support services was sometimes unclear.
The suggested change adds a requirement to include the proposed
percentages of HIV service dollars allocated to core medical and
support services on the form. The table on the prior form is expanded
to allow for the insertion of the proposed percentages for core medical
and support services. Instructions at the top of the new form are
updated to indicate where to insert the proposed percentages. Language
within the table is also updated to increase readability.
The proposed changes do not modify the underlying requirements
necessary to obtain a waiver: all core medical services are available
and accessible within 30 days in the jurisdiction or service area;
ensuring that the state ADAP has no waiting lists; and that the
recipient has used a public process to determine the need for a waiver.
Recipients may still need to provide supportive evidence to HRSA upon
request.
Need and Proposed Use of the Information: HRSA uses the
documentation submitted in core medical services waiver requests to
determine if the RWHAP Parts A, B, and C grant applicant or recipient
meets the statutory requirements for waiver eligibility including: (1)
no waiting lists for ADAP services; and (2) evidence of core medical
services availability within the grant recipient's jurisdiction, state,
or service area to all persons with HIV identified and eligible under
Title XXVI of the Public Health Service Act.\1\
---------------------------------------------------------------------------
\1\ Sections 2604(c)(2), 2612(b)(2), and 2651(c)(2) of the PHS
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 ranged up to 23 per year
since its implementation in fiscal year 2007. In light of recent
trends, HRSA anticipates receiving possibly up to 23 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:
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of Total burden per Total
Form name respondents responses per responses response (in burden
respondent hours) hours
----------------------------------------------------------------------------------------------------------------
RWHAP................................. 23 1 23 0.49 11.27
Core Medical Services Waiver Request
Attestation Form.....................
-------------------------------------------------------------------------
Total............................. 23 1 23 0.49 11.27
----------------------------------------------------------------------------------------------------------------
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. 2024-03952 Filed 2-26-24; 8:45 am]
BILLING CODE 4165-15-P
</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>Indexed from Federal Register on February 27, 2024.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.