HIV Clinician Workforce Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2 Pre_and_post_test	Form and Instruction	New	Available
Form 1 HIV_Practice_Survey	Form and Instruction	New	Available
Form 1 Clinician survey	Form and Instruction	New	Available
Form 2 Pretest	Form and Instruction	New	Available
HIV Workforce Study - Attachment D-14 (Promotional Materials).docx	Supplementary Document	Uploaded 2012-05-31	Available
HIV Workforce Survey - Supporting Statement Part B - Revised (05-25-12).docx	Supporting Statement B	Uploaded 2012-05-31	Available
AttachmentF_Pretest_Memorandum.pdf	Supplementary Document	Uploaded 2011-12-20	Available
AttachmentE_Question_Sources.pdf	Supplementary Document	Uploaded 2011-12-20	Available
AttachmentD_Respondent Materials.pdf	Supplementary Document	Uploaded 2011-12-20	Available
HIV Workforce Survey - Supporting Statement Part A - Revised (05-25-12).docx	Supporting Statement A	Uploaded 2012-05-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
200546	HIV Practice Survey	Form and Instruction	New	Pre_and_post_test
200546	HIV Practice Survey	Form and Instruction	New	HIV_Practice_Survey
200546	HIV Practice Survey	Instruction	New
200545	HIV Clinician Survey	Form and Instruction	New	Clinician survey
200545	HIV Clinician Survey	Form and Instruction	New	Pretest
200545	HIV Clinician Survey	Instruction	New

ICR Details

OMB Control No: 0915-0349	ICR Reference No: 201112-0915-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: HIV Clinician Workforce Study
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/01/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/21/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2015	36 Months From Approved
Responses	3,850	0	0
Time Burden (Hours)	1,330	0	0
Cost Burden (Dollars)	106,063	0	0

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Abstract: The HIV/AIDS Bureau (HAB) within HRSA in the Department of Health and Human Services (HHS) is embarking on a 24-month quantitative HIV clinician workforce study to provide HRSA and other federal and state agencies with national and regional estimates of the number of primary care clinicians providing medical care to people living with HIV or AIDS in the United States, as well as projections of the magnitude of the shortage or surplus of HIV-related primary care clinicians through 2015. The study focuses on the supply and demand of health professionals who treat and manage care for patients living with HIV and AIDS. The primary purpose of the survey is to collect comprehensive information necessary for developing HIV-specific input parameters for the workforce forecasting model.

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Authorizing Statute(s): PL: Pub.L. 42 - 111 87 Name of Law: Public Health Service Act as amended by the Ryan White HIV/AIDS Treatment Extension Act 2009
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 30949	05/27/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 73652	11/29/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
HIV Clinician Survey	2, 1	Pretest ,   Clinician survey
HIV Practice Survey	1, 2	HIV_Practice_Survey ,   Pre_and_post_test

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,850	0	0	3,850	0	0
Annual Time Burden (Hours)	1,330	0	0	1,330	0	0
Annual Cost Burden (Dollars)	106,063	0	0	106,063	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection activity with an estimated burden of 1,330 hours.

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Annual Cost to Federal Government: $1,166,997

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/21/2011

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