Ryan White HIV/AIDS Program Outcomes and Expanded Insurance Coverage

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Ryan White HIV/AIDS Program Outcomes and Expanded Insurance Coverage Guides	Form	New	Available
Supporting statement b August 2017 clean.docx	Supporting Statement B	Uploaded 2017-08-14	Available
Supporting statement a August 2017 final clean.doc	Supporting Statement A	Uploaded 2017-08-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
226197	Ryan White HIV/AIDS Program Outcomes and Expanded Insurance Coverage Guides	Form	New

ICR Details

OMB Control No: 0906-0030	ICR Reference No: 201703-0906-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Ryan White HIV/AIDS Program Outcomes and Expanded Insurance Coverage
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: 08/15/2017
	Date Received in OIRA: 03/28/2017
Terms of Clearance: Approved consistent with the understanding that the scope of the study is limited to only those clients receiving services and sites receiving funding through the Ryan White HIV/AIDS Program. Outcomes from this study are not generalizable to broader populations of patients with or providers serving those with HIV/AIDS. Any publications, reports, or presentations describing the outcomes of this study will clearly communicate the study methodology and limitations affecting interpretation of conclusions..

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2020	36 Months From Approved
Responses	440	0	0
Time Burden (Hours)	418	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this evaluation study is to determine the effect that healthcare coverage has had on overall health outcomes, service utilization, and gaps in care for people living with HIV enrolled in the Ryan White HIV/AIDs Program (RWHAP). This evaluation seeks to understand how Ryan White HIV/AIDS Program provider sites meet the needs of clients under the variety of healthcare coverage options clients are encountering with the healthcare coverage across the country. The expansion of healthcare coverage now offers new options of obtaining healthcare services for many individuals with HIV. Due to these changes, additional information concerning overall client health outcomes, pharmaceutical and core medical processes and outcomes, and client access to and utilization of support services is needed. Data from this evaluation study will be used to provide HRSA/HAB with the necessary information to understand the changes in primary healthcare outcomes of RWHAP clients related to healthcare coverage. This will inform how the RWHAP can best serve clients in the changing healthcare landscape.

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Authorizing Statute(s): US Code: 42 USC 241 Section 301 Name of Law: Public Health Service Act
  

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:
	81 FR 41313	06/24/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 3339	01/11/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Ryan White HIV/AIDS Program Outcomes and Expanded Insurance Coverage Guides	3, 1, 2, 4	Medical chart/record abstraction sample selection guide ,   Focus Groups ,   Site interviews (site administrators) ,   Site Survey

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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	440	0	0	440	0	0
Annual Time Burden (Hours)	418	0	0	418	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: No

Burden Reduction Due to:

Short Statement: There is an increase in burden as this is a new ICR, thus increasing from zero (0). The Annual Time Burden has been rounded up by ROCIS, the number in the IC list states 417.5, same as the SSA.

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Annual Cost to Federal Government: $648,218

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: 03/28/2017

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