HRSA HAB Client-Level Data Reporting System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 HRSA Client-Level Data Reporting System: Client Report	Form	Modified	Available
Form 1 HRSA Client-Level Data Reporting System: Service Provider Report	Form	Modified	Available
Form 1 HRSA Client-Level Data Reporting System: Grantee Report	Form	Modified	Available
Supporting Statement.doc	Supporting Statement A	Uploaded 2014-05-28	Available
0 RSR_Instructions.doc	Supplementary Document	Uploaded 2014-04-09	Available
0 RWHAP Legislation.pdf	Supplementary Document	Uploaded 2014-04-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
187336	HRSA Client-Level Data Reporting System: Client Report	Form	Modified	HRSA Client-Level Data Reporting System: Client Report
187335	HAB Client Report Without Data Systems	Instruction	Removed
187334	HRSA Client-Level Data Reporting System: Service Provider Report	Form	Modified	HRSA Client-Level Data Reporting System: Service Provider Report
187332	HRSA Client-Level Data Reporting System: Grantee Report	Form	Modified	HRSA Client-Level Data Reporting System: Grantee Report

ICR Details

OMB Control No: 0915-0323	ICR Reference No: 201403-0915-001
Status: Historical Active	Previous ICR Reference No: 201101-0915-002
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: HRSA HAB Client-Level Data Reporting System
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/03/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/10/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2017	36 Months From Approved	06/30/2014
Responses	3,700	0	4,525
Time Burden (Hours)	122,550	0	17,975
Cost Burden (Dollars)	0	0	0

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Abstract: The Ryan White HIV/AIDS Program's client-level data reporting system was created in 2009 by HRSA. It is designed to collect information from grantees and their subcontracted service providers. The Ryan White HIV/AIDS Program provides funded entities with a flexibility to respond effectively to the changing HIV epidemic, with an emphasis on providing life-saving and life-extending services for people living with HIV across this country.

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Authorizing Statute(s): PL: Pub.L. 109 - 415 101-703 Name of Law: Ryan White HIV/AIDS Treatment Modernization Act of 2006
   PL: Pub.L. 111 - 87 2610-2623-2655-2671-2693 Name of Law: Ryan White HIV/AIDS Treatment Extension Act of 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:
	79 FR 401	01/03/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 18920	04/04/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
HAB Client Report Without Data Systems
HRSA Client-Level Data Reporting System: Client Report	1	HRSA Client-Level Data Reporting System: Client Report
HRSA Client-Level Data Reporting System: Grantee Report	1	HRSA Client-Level Data Reporting System: Grantee Report
HRSA Client-Level Data Reporting System: Service Provider Report	1	HRSA Client-Level Data Reporting System: Service Provider Report

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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	3,700	4,525	0	-825	0	0
Annual Time Burden (Hours)	122,550	17,975	0	104,575	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The current inventory for the RSR is for 122,550 burden hours, an increase of 104,575 hours from the currently approved burden of 17,975 hours per year. This change in burden largely reflects HAB's push to improve grantee data collection, completeness and quality. One grantee stated that providers are now required to review Completeness Reports throughout the year to identify, locate and complete missing data. Other reasons for the increase in burden as stated by grantees include: • Training of providers in completing the Provider and Client Report due to increased staff turnover • Provision of technical assistance to providers year round • Some grantees have invested more time to improve the automation of their data collection • Increased availability of electronic or paper records to retrieve client data means spending more time to improve the quality of the data (e.g. not leaving data missing) • Staff skill sets may be inadequate The increase in burden estimates is also likely attributable to asking questions in this latest sample of grantee that cover more of the scope of their data collection and reporting activities (e.g. improving data quality and monitoring data collection year-round) and with greater specificity than for estimating burden when grantees were sampled for previous renewals. Finally, all grantees who responded with burden estimates expressed that the current data elements changes in the Client Report described above would have little to no affect in burden estimates.

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Annual Cost to Federal Government: $1,985,000

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 04/10/2014

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