Notice2025-22443
Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: Health Resources and Services Administration Uniform Data System
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Published
December 10, 2025
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
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<title>Federal Register, Volume 90 Issue 235 (Wednesday, December 10, 2025)</title>
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[Federal Register Volume 90, Number 235 (Wednesday, December 10, 2025)]
[Notices]
[Pages 57205-57208]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-22443]
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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: 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 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.
[[Page 57206]]
DATES: Comments on this ICR should be received no later than February
9, 2026.
ADDRESSES: Submit your comments to <a href="/cdn-cgi/l/email-protection#bdcddccdd8cfcad2cfd6fdd5cfcedc93dad2cb"><span class="__cf_email__" data-cfemail="c9b9a8b9acbbbea6bba289a1bbbaa8e7aea6bf">[email protected]</span></a> or mail the HRSA
Information Collection Clearance Officer, Room 13N82, 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#186879687d6a6f776a7358706a6b79367f776e"><span class="__cf_email__" data-cfemail="8fffeeffeafdf8e0fde4cfe7fdfceea1e8e0f9">[email protected]</span></a> or call Samantha Miller,
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: Health Resources and Services
Administration (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. 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 funded health centers operate more than
16,200 service delivery sites that provide primary health care to more
than 32 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 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 non-institutional settings to demonstrate
methods for improving access to primary health care in medically
underserved communities. Nursing grantees implementing nursing practice
arrangements have historically used the same data collection system as
the Health Center Program.
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 support
program compliance, inform quality improvement initiatives, guide the
delivery of technical assistance, and shape federal health program
decisions. To keep this instrument relevant and responsive to the
Health Center Program's needs and Administration priorities, periodic
updates are essential. HRSA proposes to make the following updates for
the performance year 2026 UDS data collection:
Table 4: Selected Patient Characteristics
Removal
<bullet> Managed Care Utilization--UDS measures associated with
managed care member months, Capitated Member Months, Fee-for-Service
Member Months, and Total Member Months (Lines 13a-13c) will be removed
to reduce the reporting burden, given variations in payer structures
and payment arrangements across health centers.
Table 6A: Selected Diagnoses and Services Rendered
Removals
<bullet> Various Clinical Measures--Clinical measures associated
with various diagnoses and selected services rendered are being removed
from Table 6A to streamline reporting, reduce burden, and eliminate
potential redundancies where similar information is captured elsewhere
in the UDS. These updates align with the Administration and HRSA's
priorities to simplify data collection and focus reporting on measures
that provide the greatest programmatic value. The specific measures
proposed for removal are indicated below:
<bullet> Novel coronavirus (SARS-CoV-2) disease (Line 4c)
<bullet> Long COVID (Line 4d)
<bullet> Respiratory conditions related to COVID-19 (Line 6a)
<bullet> Abnormal breast cancer findings, female (Line 7)
<bullet> Abnormal cervical findings (Line 8)
<bullet> Contact dermatitis and other eczema (Line 12)
<bullet> Novel coronavirus (SARS-CoV-2) diagnostic test (Line 21c)
<bullet> Novel coronavirus (SARS-COV-2) antibody test (Line 21d)
<bullet> Mammogram (Line 22)
<bullet> Pap test (Line 23)
<bullet> Sealants (Line 30)
<bullet> Oral surgery (extractions and other surgical procedures) (Line
33)
<bullet> Rehabilitative services (Endo, Perio, Prostho, Ortho) (Line
34)
Additions
<bullet> Type I Diabetes--A new measure is being added as line 9a
to identify the number of patients with Type 1 Diabetes. This addition
will help address key data gaps and improve HRSA's understanding of the
distinct care and resource needs of patients with Type 1 Diabetes.
<bullet> Intellectual and Developmental Disabilities--A new measure
is being added as line 20g to capture the number of patients with
intellectual and developmental disabilities. Available data indicate
that this population may experience lower rates of access to preventive
and chronic care, including fewer screenings, lower dental care
utilization, and higher rates of undiagnosed or unmanaged conditions.
Capturing this information will improve understanding of the prevalence
of persons with intellectual and developmental disabilities in the
Health Center Program and support efforts to enhance health care access
and quality of care for individuals requiring complex coordinated
services.
<bullet> Autism Spectrum Disorder Screening--A new measure is being
added as line 26g to capture the number of patients screened for autism
spectrum disorder. This measure, in alignment with Administration
priorities, will help assess the extent to which health centers are
implementing recommended developmental screening practices and
connecting children and families to needed support services.
<bullet> Patient Support Services--Four new measures are being
added as lines 35-38 to capture the number of patients receiving case
management, eligibility assistance, transportation, and language
assistance services to better understand the range of non-clinical
services that facilitate access to care and contribute to improved
patient outcomes.
<bullet> Health-Related Needs--Four new measures are being added as
lines 39-42, transitioning from Appendix D to the UDS core tables, to
identify the number of patients who are screened for, and who receive,
services addressing health-related needs. These or similar measures are
now being elevated to the core reporting set to support standardized
data collection. Integrating these measures within the core tables will
enhance the ability to monitor how health centers identify and address
patients' access to and utilization of services.
[[Page 57207]]
Table 6B: Quality of Care Measures and Table 7: Health Outcomes
Updates
<bullet> Clinical Quality Measures--Tables 6B and 7 collect UDS
clinical quality measures, and where applicable, clinical quality
measures will be updated in alignment with specifications of the issued
performance year 2026 electronic clinical quality measures. These
specifications were released by the Centers for Medicare & Medicaid
Services on May 8, 2025, for use by eligible providers. Aligning
clinical performance measures across national programs promotes data
standardization, quality, and transparency, and decreases the reporting
burden for providers and organizations participating in multiple
federal programs.
Table 8A: Financial Costs
Removals
<bullet> Allocation of Facility and Non-Clinical Support Services--
Allocation of Facility and Non-Clinical Support Services, Column b, and
the requirement to report overhead costs on Table 8A will be removed.
<bullet> Enabling Services--Details for Cost of Enabling Services,
Lines 11a, 11b, 11c, 11d, 11e, 11f, and 11h will be removed. These
costs will be consolidated into a single line to reflect all Patient
Support Services costs (previously known as Enabling Services).
<bullet> Donations--Line 18, Value of Donated Facilities, Services,
and Supplies (specify __), will be removed.
These updates are being made to reduce the reporting burden,
aligning with the Administration and HRSA's priorities and Health
Center Program stakeholder feedback.
Table 9D: Patient Service Revenue
Removals
<bullet> Retroactive Settlements, Receipts, and Paybacks--measures
associated with Columns c1--c4 for classification of collections will
be removed:
<bullet> Collection of Reconciliation/Wraparound Current Year (c1)
<bullet> Collection of Reconciliation/Wraparound Previous Years (c2)
<bullet> Collection of Other Payments: Pay for Performance, Risk Pools,
etc. (c3)
<bullet> Penalty/Payback (c4)
<bullet> Payer Category--Managed care lines have been consolidated
as part of total payor revenue. Total Medicaid (Line 3), Total Medicare
(Line 6), Total Other Public (specify) (Line 9), and Total Private
(Line 12) will be reported, and the following lines will be removed as
a result:
<bullet> Medicaid Non-Managed Care (Line 1)
<bullet> Medicaid Managed Care (capitated) (Line 2a)
<bullet> Medicaid managed Care (fee-for-service) (Line 2b)
<bullet> Medicare Non-Managed Care (Line 4)
<bullet> Medicare Managed Care (capitated) (Line 5a)
<bullet> Medicare Managed Care (fee-for service) (Line 5b)
<bullet> Other Public, including Non-Medicaid Children's Health
Insurance Program (CHIP), Non-Managed Care (Line 7)
<bullet> Other Public, including Non-Medicaid CHIP, Managed Care
(capitated) (Line 8a)
<bullet> Other Public, including Non-Medicaid CHIP, Managed Care (fee-
for-service) (Line 8b)
<bullet> Private Non-Managed Care (Line 10)
<bullet> Private Managed Care (capitated) (Line 11a)
<bullet> Private Managed Care (fee-for-service) (Line 11b)
These updates are being made to reduce the reporting burden,
aligning with the Administration and HRSA's priorities and stakeholder
feedback.
Additions
<bullet> Net Patient Services Revenue--A new column will be added
for Net Patient Services Revenue (charges less adjustments) (Line 16,
Column g).
<bullet> Pharmacy Net Patient Service Revenue--A new line will be
added to reflect all Pharmacy Net Patient Service Revenue (Line 17,
Column g).
<bullet> Third-Party Incentive Revenue--A new line will be added
for Third-Party Incentive Revenue (Line 18, Column g).
These updates are being made to reduce reporting burden and to
better assess financials in alignment with generally accepted
accounting principles.
Table 9E: Other Revenue
Removals
<bullet> HRSA's Bureau of Primary Health Care (BPHC) Grants--Health
Center Program grant funding sources (formerly Lines 1a-1e) and other
BPHC funding detail lines (formerly Lines 1o-1q) will be removed.
Grants with active funding will be aggregated and reported on the Total
Health Center BPHC Grants line (Line 1), while those no longer
receiving funding will be excluded from reporting.
<bullet> Other Federal Grants--Other federal grant funding sources
(formerly Lines 2 and 3) will be removed.
These updates are being made to align with supplemental funding
being rolled into the base Health Center Program funding, as well as to
remove outdated supplemental funding lines and reduce the reporting
burden.
Appendix D: Health Center Information Technology (Health IT)
Capabilities and Appendix E: Other Data Elements
Removals
<bullet> Appendix D: Health IT Capabilities--Several questions
specific to Electronic Health Records implementation (Questions 1a,
1a2, 1a3, 1c, 1c1, and 10) will be removed from Appendix D.
<bullet> Appendix D: Health IT Capabilities--Health-related needs
screening questions (Questions 11, 11a, 12, 12a, and 12b) will be
removed from Appendix D.
<bullet> Appendix E: Other Data Elements--Appendix E will be
removed, and certain data elements will be combined with Appendix D.
Outreach and enrollment assists (formerly Appendix E, Question 3) will
be removed (aspects will be incorporated in the Table 6A Patient
Support Services addition).
These updates are being made to reduce the reporting burden,
aligning with the Administration and HRSA's priorities and stakeholder
feedback.
Additions
<bullet> Appendix D: Health IT Capabilities--Three questions on
Alternative Payment Models (APM) will be added to Appendix D (Questions
17-19), to include:
<bullet> What payor arrangements do you have for value-based
purchasing contracts?
<bullet> Please list the types of APMs your health center is
involved in.
<bullet> What percentage of your health center's revenue during the
year is tied to value-based payment contracts?
These additional data elements are being proposed to capture health
centers' participation in APMs to improve understanding of the evolving
payment landscape within the Health Center Program. As health centers
increasingly engage in payment arrangements that emphasize value, care
coordination, and outcomes rather than volume of services, collecting
information on APM participation will provide valuable insight into the
range and scope of these models.
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.
[[Page 57208]]
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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UDS--Universal Report......... Total: 1,605.... 1.00 1,605.00 185.08 297,053.40
H80s: 1,358.....
Look-Alikes: 171
Bureau of Health
Workforce: 76.
UDS Grant Report.............. Total: 419...... 1.22 511.18 20.80 10,632.54
Health Centers
will submit one
or more Grant
Reports in 2026.
1 Grant Report:
337.
2 Grant Reports:
71.
3 Grant Reports:
11.
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Total..................... 2,024.00........ .............. 2,116.18 .............. 307,685.94
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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. 2025-22443 Filed 12-9-25; 8:45 am]
BILLING CODE 4165-15-P
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