Agency Information Collection Activities: Proposed Collection: Public Comment Request, 43441-43442 [2015-17883]

Download as PDF tkelley on DSK3SPTVN1PROD with NOTICES Federal Register / Vol. 80, No. 140 / Wednesday, July 22, 2015 / Notices before the committee. Written submissions may be made to the contact person on or before September 4, 2015. Oral presentations from the public will be scheduled between approximately 9 a.m. and 10 a.m. on September 24, 2015. Those individuals interested in making formal oral presentations should notify the contact person and submit a brief statement of the general nature of the evidence or arguments they wish to present, the names and addresses of proposed participants, and an indication of the approximate time requested to make their presentation on or before August 24, 2015. Time allotted for each presentation may be limited. 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[FR Doc. 2015–17985 Filed 7–21–15; 8:45 am] BILLING CODE 4164–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Proposed Collection: Public Comment Request Health Resources and Services Administration, Department of Health and Human Services. ACTION: Notice. AGENCY: In compliance with the requirement for opportunity for public comment on proposed data collection projects (section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995), the Health Resources and Services Administration (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 Information Collection Request must be received no later than August 21, 2015. ADDRESSES: Submit your comments, including the Information Collection Request Title, to the desk officer for HRSA, either by email to OIRA_ submission@omb.eop.gov 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 paperwork@hrsa.gov or call (301) 594–4306. SUPPLEMENTARY INFORMATION: When submitting comments or requesting SUMMARY: PO 00000 Frm 00056 Fmt 4703 Sfmt 4703 43441 information, please include the information request collection title for reference. Information Collection Request Title: Providing Primary Care and Preventive Medical Services in Ryan White-funded Medical Care Settings: OMB No. 0915– XXXX—New. Abstract: Since Congress passed the Ryan White Comprehensive AIDS Resource Emergency (CARE) Act in 1990, the Ryan White HIV/AIDS Program (Ryan White Program) has funded the provision of care eligible to persons living with HIV (PLWH). Many Ryan White-funded clinics have long promoted the medical home model, which involves the provision of comprehensive and coordinated care services, including prevention and other non-medical care services to promote access and adherence to HIV/AIDS treatment. As PLWH live longer and normal lives with effective antiretroviral treatment, this model has become more complex. In recent years, clinics providing care to PLWH are also seeing their patients develop other common chronic diseases such as diabetes, heart disease, and hypertension associated with normal and aging populations. Guidelines 1 on primary care for PLWH have recently been released to help providers navigate the integration of primary and preventative care into HIV care. With already limited budgets, staffing and other resources, Ryan White-funded clinics may struggle to provide primary and preventative care services in-house or have insufficient referral systems. However, under the Affordable Care Act (ACA), most PLWH can obtain more affordable health insurance which can alleviate some burden on clinics and improve accessibility to primary and preventative care services. This study will examine how Ryan White-funded clinics are integrating the provision of primary and preventative care services to the overall HIV care model. Specifically, it will look at the protocols and strategies used by clinics to manage care for PLWH, specifically care coordination, referral systems, and patient-centered strategies to keep PLWH in care. 1 JA Aberg, JE Gallant, KG Ghanem, P Emmanuel, BS Zingman and MA Horberg. Primary Care Guidelines for the Management of Persons Infected with HIV: 2013 Update by the HIV Medicine Association of the Infectious Disease Society of America; CID 201_58 (January 1, 2014). New York State Department of Health AIDS Institute, Office of the Medical Director. Primary Care Approach to the HIV-Infected Patient; http:// www.hivguidelines.org/clinical-guidelines/adults/ primary-care-approach-to-the-hiv-infected-patient/ (Updated November 2014). E:\FR\FM\22JYN1.SGM 22JYN1 43442 Federal Register / Vol. 80, No. 140 / Wednesday, July 22, 2015 / Notices Need and Proposed Use of the Information: The proposed study will provide HRSA HIV/AIDS Bureau (HAB) and policymakers with a better understanding of how the RWHAP currently provides primary and preventative care to PLWH. The first online survey will be targeted to clinic directors from a sample of about 160 Ryan White-funded clinics and will collect data on care models used; primary care services, including preventive services; and coordination of care. Data collected from this survey will provide a general overview of the various HIV care models used as well as insight to possible facilitators and barriers to providing primary and preventative care services. More indepth data collection will be conducted with a smaller number of 30 clinics representing clinic type (publicly funded community health organization, other community-based organization, health department, and hospital or university-based) and size. There will be three data collection instruments used: (1) An online survey completed by three clinicians at each of the clinics and changes to the Ryan White Program in this new era when the well-being of PLWH demands a more complex and long-term HIV care model. Likely Respondents: Clinics funded by the Ryan White HIV/AIDS Program. 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 Information Collection Request are summarized in the table below. Total Estimated Annualized burden hours: (clinician survey); (2) a data extraction of select primary and preventative care services; and (3) a telephone interview with the medical director. The clinician survey will provide a more in-depth look at the clinic protocols and strategies and how they are being used and implemented by the clinicians. The data extraction will provide quantitative information on the provision of select primary and preventative care services within a certain time period. With these data, the study team can assess the accuracy of information provided in the online surveys on the provision of care as well as the frequency at which primary and preventative care screenings are provided. Lastly, the interviews with the medical director will allow the study team to follow-up on the results of the clinician survey and data extraction and collect qualitative data and more in-depth details on the provision of primary and preventative care services from a clinic wide perspective, specifically any facilitators and barriers. These data will provide HAB the background to make informed policies Number of respondents Form name Number of responses Total responses Average burden per response Total burden hours Clinic Director ....................................................................... Clinician ................................................................................ Data Extraction .................................................................... Medical Director ................................................................... 130 30 30 30 1 1 1 1 130 30 30 30 1 1 3 1 130 30 90 30 Total .............................................................................. 220 ........................ ........................ ........................ 280 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. Jackie Painter, Director, Division of the Executive Secretariat. [FR Doc. 2015–17883 Filed 7–21–15; 8:45 am] tkelley on DSK3SPTVN1PROD with NOTICES BILLING CODE 4165–15–P VerDate Sep<11>2014 19:59 Jul 21, 2015 Jkt 235001 DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Statement of Organization, Functions and Delegations of Authority This notice amends Part R of the Statement of Organization, Functions and Delegations of Authority of the Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) (60 FR 56605, as amended November 6, 1995; as last amended at 80 FR 37639–37640 dated July 1, 2015). This notice reflects organizational changes in the Health Resources and Services Administration (HRSA), HIV/ AIDS Bureau (RV). Specifically, this notice: (1) Establishes the Office of HIV/ AIDS Training and Capacity Development (RVT); (2) transfers the Division of HIV/AIDS Training and Capacity Development (RV7) function to the newly established Office of HIV/ PO 00000 Frm 00057 Fmt 4703 Sfmt 4703 AIDS Training and Capacity Development (RVT); (3) abolishes the Division of HIV/AIDS Training and Capacity Development (RV7); (4) establishes the Division of Domestic Programs (RVT1), and; (5) establishes the Division of Global Programs (RVT2). Chapter RV—HIV/AIDS Bureau Section RV–10, Organization Delete the organization for the HIV/ AIDS Bureau (RV) in its entirety and replace with the following: The HIVAIDS Bureau (RV) is headed by the Associate Administrator, who reports directly to the Administrator, Health Resources and Services Administration. The HIV/AIDS Bureau includes the following components: (1) Office of the Associate Administrator (RV); (2) Office of Operations and Management (RV2); (3) Division of Policy and Data (RVA); (4) Division of Metropolitan HIV/ AIDS Programs (RV5); E:\FR\FM\22JYN1.SGM 22JYN1

Agencies

[Federal Register Volume 80, Number 140 (Wednesday, July 22, 2015)]
[Notices]
[Pages 43441-43442]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-17883]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Public Comment Request

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

ACTION: Notice.

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

SUMMARY: In compliance with the requirement for opportunity for public 
comment on proposed data collection projects (section 3506(c)(2)(A) of 
the Paperwork Reduction Act of 1995), the Health Resources and Services 
Administration (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 Information Collection Request must be received 
no later than August 21, 2015.

ADDRESSES: Submit your comments, including the Information Collection 
Request Title, to the desk officer for HRSA, either by email to 
OIRA_submission@omb.eop.gov 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 paperwork@hrsa.gov or call (301) 594-
4306.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the information request collection title 
for reference.
    Information Collection Request Title: Providing Primary Care and 
Preventive Medical Services in Ryan White-funded Medical Care Settings: 
OMB No. 0915-XXXX--New.
    Abstract: Since Congress passed the Ryan White Comprehensive AIDS 
Resource Emergency (CARE) Act in 1990, the Ryan White HIV/AIDS Program 
(Ryan White Program) has funded the provision of care eligible to 
persons living with HIV (PLWH). Many Ryan White-funded clinics have 
long promoted the medical home model, which involves the provision of 
comprehensive and coordinated care services, including prevention and 
other non-medical care services to promote access and adherence to HIV/
AIDS treatment. As PLWH live longer and normal lives with effective 
antiretroviral treatment, this model has become more complex. In recent 
years, clinics providing care to PLWH are also seeing their patients 
develop other common chronic diseases such as diabetes, heart disease, 
and hypertension associated with normal and aging populations. 
Guidelines \1\ on primary care for PLWH have recently been released to 
help providers navigate the integration of primary and preventative 
care into HIV care. With already limited budgets, staffing and other 
resources, Ryan White-funded clinics may struggle to provide primary 
and preventative care services in-house or have insufficient referral 
systems. However, under the Affordable Care Act (ACA), most PLWH can 
obtain more affordable health insurance which can alleviate some burden 
on clinics and improve accessibility to primary and preventative care 
services.
---------------------------------------------------------------------------

    \1\ JA Aberg, JE Gallant, KG Ghanem, P Emmanuel, BS Zingman and 
MA Horberg. Primary Care Guidelines for the Management of Persons 
Infected with HIV: 2013 Update by the HIV Medicine Association of 
the Infectious Disease Society of America; CID 201_58 (January 1, 
2014).
    New York State Department of Health AIDS Institute, Office of 
the Medical Director. Primary Care Approach to the HIV-Infected 
Patient; http://www.hivguidelines.org/clinical-guidelines/adults/primary-care-approach-to-the-hiv-infected-patient/ (Updated November 
2014).
---------------------------------------------------------------------------

    This study will examine how Ryan White-funded clinics are 
integrating the provision of primary and preventative care services to 
the overall HIV care model. Specifically, it will look at the protocols 
and strategies used by clinics to manage care for PLWH, specifically 
care coordination, referral systems, and patient-centered strategies to 
keep PLWH in care.

[[Page 43442]]

    Need and Proposed Use of the Information: The proposed study will 
provide HRSA HIV/AIDS Bureau (HAB) and policymakers with a better 
understanding of how the RWHAP currently provides primary and 
preventative care to PLWH. The first online survey will be targeted to 
clinic directors from a sample of about 160 Ryan White-funded clinics 
and will collect data on care models used; primary care services, 
including preventive services; and coordination of care. Data collected 
from this survey will provide a general overview of the various HIV 
care models used as well as insight to possible facilitators and 
barriers to providing primary and preventative care services. More in-
depth data collection will be conducted with a smaller number of 30 
clinics representing clinic type (publicly funded community health 
organization, other community-based organization, health department, 
and hospital or university-based) and size. There will be three data 
collection instruments used: (1) An online survey completed by three 
clinicians at each of the clinics (clinician survey); (2) a data 
extraction of select primary and preventative care services; and (3) a 
telephone interview with the medical director. The clinician survey 
will provide a more in-depth look at the clinic protocols and 
strategies and how they are being used and implemented by the 
clinicians. The data extraction will provide quantitative information 
on the provision of select primary and preventative care services 
within a certain time period. With these data, the study team can 
assess the accuracy of information provided in the online surveys on 
the provision of care as well as the frequency at which primary and 
preventative care screenings are provided. Lastly, the interviews with 
the medical director will allow the study team to follow-up on the 
results of the clinician survey and data extraction and collect 
qualitative data and more in-depth details on the provision of primary 
and preventative care services from a clinic wide perspective, 
specifically any facilitators and barriers.
    These data will provide HAB the background to make informed 
policies and changes to the Ryan White Program in this new era when the 
well-being of PLWH demands a more complex and long-term HIV care model.
    Likely Respondents: Clinics funded by the Ryan White HIV/AIDS 
Program.
    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 Information Collection Request are summarized in the table below.
    Total Estimated Annualized burden hours:

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
            Form name                Number of       Number of         Total        burden per     Total  burden
                                    respondents      responses       responses       response          hours
----------------------------------------------------------------------------------------------------------------
Clinic Director.................             130               1             130               1             130
Clinician.......................              30               1              30               1              30
Data Extraction.................              30               1              30               3              90
Medical Director................              30               1              30               1              30
                                 -------------------------------------------------------------------------------
    Total.......................             220  ..............  ..............  ..............             280
----------------------------------------------------------------------------------------------------------------

    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.

Jackie Painter,
Director, Division of the Executive Secretariat.
[FR Doc. 2015-17883 Filed 7-21-15; 8:45 am]
BILLING CODE 4165-15-P