Notice2025-11444
Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Health Resources and Services Administration Uniform Data System
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
June 23, 2025
Issuing agencies
Health and Human Services DepartmentHealth Resources and Services Administration
Abstract
In compliance with the Paperwork Reduction Act of 1995, HRSA 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. 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 90 Issue 118 (Monday, June 23, 2025)</title>
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[Federal Register Volume 90, Number 118 (Monday, June 23, 2025)]
[Notices]
[Pages 26592-26594]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-11444]
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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; Health Resources and
Services Administration Uniform Data System
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, HRSA
submitted an Information Collection Request (ICR) to the Office of
Management and Budget (OMB) for
[[Page 26593]]
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. 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 July 23,
2025.
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 Samantha Miller, the HRSA
Information Collection Clearance Officer, at <a href="/cdn-cgi/l/email-protection#433322332631342c3128032b3130226d242c35"><span class="__cf_email__" data-cfemail="b0c0d1c0d5c2c7dfc2dbf0d8c2c3d19ed7dfc6">[email protected]</span></a> or call
(301) 443-3983.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title: HRSA Uniform Data System
(UDS), OMB No. 0915-0193--Revision.
Abstract: The Health Center Program, administered by HRSA, is
authorized under section 330 of the Public Health Service (PHS) Act (42
U.S.C. Sec. 254b). Health centers are community-based and patient-
directed organizations that deliver affordable, accessible, quality,
and cost-effective primary health care services to patients regardless
of their ability to pay. Nearly 1,400 health centers operate
approximately 15,500 service delivery sites that provide primary health
care to more than 31 million people in every U.S. state, the District
of Columbia, Puerto Rico, the U.S. Virgin Islands, and the Pacific
Basin.
HRSA uses the UDS for required annual reporting of program-specific
data by Health Center Program awardees (those funded under section 330
of the PHS Act); Health Center Program look-alikes (entities meeting
requirements of, but not funded under, section 330 of the PHS Act); and
Nurse Education, Practice, Quality and Retention (NEPQR) and Advanced
Nursing Education (ANE) Program awardees (specifically those funded
under the practice priority areas of sections 831(b) and 811 of the PHS
Act). Some NEPQR and ANE Program awardees establish and expand nursing
practice arrangements in noninstitutional settings to demonstrate
methods to improve access to primary health care in areas with unmet
primary health care needs. Such grantees implementing nursing practice
arrangements have historically used the same data collection system as
the Health Center Program for their required annual reporting of
program-specific data.
A 60-day notice was published in the Federal Register on November
22, 2024 (89 FR 92692-94). There were 18 public comments. Below is a
summary of key themes raised in the comments and HRSA's response:
<bullet> Many stakeholders expressed strong support for the
proposed addition of UDS measures and collection, acknowledging their
potential to enhance care quality and patient outcomes;
<bullet> Stakeholders sought clarification on how to accurately
report on the proposed measures;
<bullet> Others leveraged the Federal Register notice comment
period as an opportunity to propose new measures in the UDS instrument;
<bullet> Some commenters expressed concerns about the potential
increase in reporting burden associated with the proposed changes,
particularly for health centers without designated Health
Informaticists; and
<bullet> Several commenters recommended expanding upon 2025 UDS
proposed measures in a future ICR to include mechanisms for assessing
the outcomes of proposed interventions.
HRSA directly responded to each stakeholder who submitted comments,
acknowledging the considerations raised and committed to the continued
evaluation and exploration of downstream implications for the proposed
2025 UDS changes. There will be opportunities for stakeholders to
propose new measures for consideration in future instruments. HRSA did
not make any changes to the ICR in response to comments received.
Need and Proposed Use of the Information: HRSA requires the
collection of information through UDS to monitor and evaluate the
performance of health centers under section 330 and select NEPQR and
ANE recipients under sections 831(b) and 811. These data aid in program
compliance, guide quality improvement initiatives, and inform federal
health policy decisions. HRSA also leverages UDS data to assess the
impact of health centers and NEPQR and ANE recipients on patient health
outcomes and to allocate funding and resources effectively across the
Health Center Program. To keep this instrument relevant and responsive
to the Health Center Program's needs and the evolving primary
healthcare and clinical measurement landscape, periodic updates are
essential. Updates for the performance year 2025 UDS data collection
include:
Table 3B (Demographic Characteristics) Updates
<bullet> Removal of Patients by Sexual Orientation and Gender
Identity: Data elements related to sexual orientation and gender
identity will be removed to align with Administration priorities.
Table 6A (Selected Diagnoses and Services Rendered) Additions
<bullet> Tobacco Use Cessation Pharmacotherapies: A new measure is
being added to line 26c2 to identify the number of visits where
patients received tobacco cessation pharmacotherapies as an
intervention and the number of patients who received this pharmacologic
treatment. While the Preventive Care and Screening: Tobacco Use:
Screening and Cessation Intervention electronic-specified clinical
quality measure (CMS138v12) (Table 6B, Line 14a) that is currently
reported in the UDS assesses for cessation, the way the measure is
specified for reporting by its measure steward does not allow the
disaggregation for the percentage of patients receiving counseling or
recommendation to cessation pharmacotherapies. Adding a unique UDS line
for reporting tobacco use cessation pharmacotherapies will promote
greater understanding of the breadth of tobacco cessation interventions
provided at health centers, specifically allowing HRSA to see
differences in tobacco use cessation approaches.
<bullet> Medications for Opioid Use Disorder (MOUD): A new measure
for MOUD services will be reported on line 26c3 for the number of
visits where MOUD was administered and the number of patients who
received this medication-based intervention. This new measure will
complement and enhance the existing MOUD-related measures currently
reported in Appendix E: Other Data Elements (e.g., number of providers
who treat opioid use disorder with MOUD). The inclusion of this measure
is critical for enhancing efforts to address the ongoing opioid
epidemic. Additional examination of the use of MOUD in health centers
is necessary to better understand existing services and identify
potential healthcare gaps.
<bullet> Alzheimer's Disease and Related Dementias (ADRD)
Screening: A new measure is being added to line 26f to capture the
number of visits where patients received ADRD screenings and
[[Page 26594]]
the number of patients who received the screenings. This measure will
encompass assessments representing standardized tools used for the
evaluation of cognition and mental status of older adults. The addition
of this measure to capture screening of ADRD will be valuable in
understanding the level of need and resources required to continue to
support the growing aging population served by the Health Center
Program and will foster early detection of ADRD.
Table 6B (Quality of Care Measures) Addition
<bullet> Initiation and Engagement of Substance Use Disorder
Treatment: A new measure with two distinct rates is being added to
Lines 23a and b to capture the initiation and engagement of substance
use disorder treatment, in alignment with electronic-specified clinical
quality measure CMS137v13. This measure will report on the percentage
of patients 13 years and older with a new substance use disorder
episode who received treatment, including (a) those who initiated
treatment within 14 days and (b) those who engaged in ongoing treatment
within 34 days of the initiation. By incorporating this measure, HRSA
strengthens its alignment with national performance standards and gains
greater insight into health centers' effectiveness in initiating and
engaging patients in substance use disorder treatment.
Table 6B (Quality of Care Measures) and Table 7 (Health Outcomes)
Updates
<bullet> Tables 6B and 7 collect UDS clinical quality measures,\1\
and where applicable, clinical quality measures will be updated in
alignment with specifications of the issued performance year 2025
electronic-specified clinical quality measures. These specifications
were released by the Centers for Medicare & Medicaid Services on May 2,
2024, for use by eligible providers.\2\ Clinical performance measure
alignment across national programs promotes data standardization,
quality, and transparency, and decreases reporting burden for providers
and organizations participating in multiple federal programs.
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\1\ <a href="https://www.cms.gov/medicare/quality/measures">https://www.cms.gov/medicare/quality/measures</a>.
\2\ <a href="https://ecqi.healthit.gov/now-available-updated-ecqm-specifications-and-implementation-resources-2025-performance/reporting-period">https://ecqi.healthit.gov/now-available-updated-ecqm-specifications-and-implementation-resources-2025-performance/reporting-period</a>.
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Likely Respondents: Respondents will include Health Center Program
award recipients and Health Center Program look-alikes carrying out
programs under section 330 of the PHS Act and NEPQR and ANE award
recipients funded under the practice priority areas of section 831(b)
and 811 of the PHS Act.
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 Number of
Form name respondents responses per Total Average burden per Total burden
* respondent responses response (in hours) hours
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Universal Report............... 1,538.00 1.00 1,538.00 238................ 366,044.00
Grant Report................... 420.00 1.22 512.40 22................. 11,272.80
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Total...................... 1,958.00 ............... 2,050.40 ................... 377,316.80
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* The estimated number of respondents for the Universal Report consists of 1,363 Health Center Program awardees,
133 Health Center Look-alikes, and 42 NEPQR and ANE respondents. The estimated number of respondents for the
``Grant Report'' is based on the number of reports submitted by health centers in 2024: 339 (1 report), 70 (2
reports), 11 (3 reports).
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2025-11444 Filed 6-20-25; 8:45 am]
BILLING CODE 4165-15-P
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