Under the Ryan/White HIV/AIDS Treatment Modernization Act, accredited schools of dentistry, pre- and post-doctoral dental training programs, and dental hygiene education programs may apply for reimbursement of uncompensated costs for providing oral health care to HIV infected individuals. The Dental Services Form provides information on unreimbursed expenses and descriptions of selected program components in order to determine the reimbursement award amount and to report on provided services under the Act.
The current OMB inventory of burden hours for this activity is 45 hours for DRP applicants and 35 hours for CBDPP grantees. This is an increase from the previous 20 hours for all respondents. Most of the respondents we contacted this year did not have data collection systems in place and cited this as a reason for the higher burden estimate. We had one CBDPP who did have systems in place and stated that the Dental Services Form was easy to complete and took them one hour and 30 minutes. Another CBDPP stated it took them 80 hours to complete the Dental Services Form because they had to reach out to multiple service providers to report demographic and clinical data. Two respondents said that the additional data elements would increase their burden. See Tab E for a list of burden estimates and comments.
The Dental Services Form has been revised to comply with the National HIV/AIDS Strategy directive to standardize data collection and reduce grantee reporting burden. The revised form implements data collection standards for race, ethnicity, and sex and eliminates some narrative description items.
$228,468
No
No
No
No
No
Uncollected
Jodi Duckhorn 301 443-1984
No
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:
(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;
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.
E - Respondents on Burden Estimates in Completing the DSR Form.docx
A - 2009 RWHAP Legislation.pdf
Ryan White HIV/AIDS Program Dental Services Report.