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, 46855-46856 [2021-17834]

Download as PDF Federal Register / Vol. 86, No. 159 / Friday, August 20, 2021 / Notices Annual Responses: 7,988; Total Annual Hours: 3,994. (For policy questions regarding this collection contact Kathleen Todd at 410–786–3385). 3. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: ICF/IID Survey Report Form and Supporting Regulations; Use: The information collected with forms 3070G, CMS– 3070H and CMS–3070I is used by the surveyors from the State Survey Agencies (SAs) to determine the level of compliance with the ICF/IID Conditions of Participation (CoPs) necessary to participate in the Medicare/Medicaid program and to report any noncompliance with the ICF/IID CoPs to the Federal government. These forms summarize the survey team characteristics, facility characteristics, client population, and the special needs of clients. These forms are used in conjunction with the CMS regulation text and additional surveyor aids such as the CMS interpretive guidelines and probes. The CMS–3070G–I forms serves as coding worksheets, designed to facilitate data entry and retrieval into the Automated Survey Processing Environment Suite (ASPEN) in the State and at the CMS regional offices. Form Number: CMS–3070G–I (OMB control number: 0938–0062); Frequency: Reporting—Yearly; Affected Public: Business or other for-profits and Notfor-profit institutions; Number of Respondents: 5,758; Total Annual Responses: 5,758; Total Annual Hours: 17,274. (For policy questions regarding this collection contact Caroline Gallaher at 410–786–8705.) Dated: August 17, 2021. William N. Parham, III Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2021–17908 Filed 8–19–21; 8:45 am] khammond on DSKJM1Z7X2PROD with NOTICES BILLING CODE 4120–01–P VerDate Sep<11>2014 17:27 Aug 19, 2021 Jkt 253001 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 Health Resources and Services Administration (HRSA), Department of Health and Human Services. ACTION: Notice. AGENCY: 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. SUMMARY: Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/public/do/ PRAMain. 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 paperwork@hrsa.gov 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 ADDRESSES: PO 00000 Frm 00035 Fmt 4703 Sfmt 4703 46855 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.’’ E:\FR\FM\20AUN1.SGM 20AUN1 46856 Federal Register / Vol. 86, No. 159 / Friday, August 20, 2021 / Notices 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 Number of respondents Form name Waiver Request ................................................................... 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 DEPARTMENT OF HEALTH AND HUMAN SERVICES khammond on DSKJM1Z7X2PROD with NOTICES Health Resources and Services Administration Updated HRSA-Supported Women’s Preventive Services Guidelines: WellWomen Preventive Visits, Counseling for Sexually Transmitted Infections, and Breastfeeding Services and Supplies Health Resources and Services Administration (HRSA), Department of Health and Human Services (HHS). AGENCY: VerDate Sep<11>2014 17:27 Aug 19, 2021 Jkt 253001 ACTION: Number of responses per respondent 22 4 88 22 ........................ 22 ........................ 88 FOR FURTHER INFORMATION CONTACT: This notice seeks comments on an updated draft recommendation for Well-Woman Preventive Visits, Counseling for Sexually Transmitted Infections, and Breastfeeding Services and Supplies, as part of the HRSAsupported Women’s Preventive Services Guidelines. This updated draft recommendation has been developed through a national cooperative agreement, the Women’s Preventive Services Initiative (WPSI), by the American College of Obstetricians and Gynecologists (ACOG). Under the Public Health Service Act, as added by the Patient Protection and Affordable Care Act, non-grandfathered group health plans and non-grandfathered group and individual health insurance issuers must include coverage, without cost sharing, for certain preventive services under that section, including those provided for in the HRSA-supported Women’s Preventive Services Guidelines (Guidelines). DATES: Members of the public are invited to provide written comments no later than September 20, 2021. All comments received on or before this date will be reviewed and considered by the WPSI Multidisciplinary Steering Committee. Members of the public interested in providing comments on the draft recommendation statements can do so by accessing the initiative’s web page at https://www.womens preventivehealth.org/. ADDRESSES: Fmt 4703 Total burden hours 1 Notice. Frm 00036 Average burden per response (in hours) 22 SUMMARY: PO 00000 Total responses Sfmt 4703 Kimberly Sherman, HRSA, Maternal and Child Health Bureau, telephone (301) 443–8283, email: wellwomancare@ hrsa.gov. The HRSA-supported Women’s Preventive Services Guidelines were originally established in 2011 based on a study and recommendations by the Institute of Medicine, now known as the National Academy of Medicine, commissioned by HHS. Since then, there have been advancements in science and gaps identified in these guidelines, including a greater emphasis on practice-based clinical considerations. In March 2016, HRSA awarded a 5-year cooperative agreement to convene a coalition representing clinicians, academics, and consumer-focused health professional organizations to conduct a rigorous review of current scientific evidence and recommend updates to existing guidelines. The ACOG was awarded the cooperative agreement and formed the WPSI, which consists of an Advisory Panel and two expert committees; the Multidisciplinary Steering Committee (MSC) and the Dissemination and Implementation Steering Committee, to improve adult women’s health across the lifespan by engaging a coalition of health professional organizations to review evidence and recommend updates to the HRSA-supported Women’s Preventive Services Guidelines. HRSA would then decide whether or not to support, in whole or SUPPLEMENTARY INFORMATION: E:\FR\FM\20AUN1.SGM 20AUN1

Agencies

[Federal Register Volume 86, Number 159 (Friday, August 20, 2021)]
[Notices]
[Pages 46855-46856]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-17834]


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

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.

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

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 www.reginfo.gov/public/do/PRAMain. 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 [email protected] 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
----------------------------------------------------------------------------------------------------------------
                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total burden
                                    respondents     respondent       responses      (in hours)         hours
----------------------------------------------------------------------------------------------------------------
Waiver Request..................              22               1              22               4              88
                                 -------------------------------------------------------------------------------
                                              22  ..............              22  ..............              88
----------------------------------------------------------------------------------------------------------------

    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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