Supporting Statement
Ryan White HIV/AIDS Program Part F Dental Services Report
OMB Control No. 0915-0151
Terms of Clearance: None
This is a request for OMB approval for an extension to the Health Resources and Services Administration’s (HRSA’s) Dental Services Report (DSR) Form which expires June 30, 2017. This form and accompanying instructions is used by accredited schools of dentistry, pre- and post-doctoral dental training programs, and dental hygiene education programs to meet the requirements of two oral health services programs under the Ryan White HIV/AIDS Treatment Extension Act of 2009 (Public Law 111-87, October 30, 2009). See Tab A for the legislation, Tab B for the Dental Services Report Form, and Tab C for instructions manual.
The Ryan White legislation was first enacted in 1990 as the Ryan White CARE (Comprehensive AIDS Resources Emergency) Act. It has been amended and reauthorized four times: in 1996, 2000, 2006, and 2009. The Ryan White legislation has been adjusted with each reauthorization to accommodate new and emerging needs, such as an increased emphasis on funding of core medical services and changes in funding formulas. This Federal legislation funds primary health care and support services to address the unmet health needs of persons living with HIV/AIDS. Part F of the Ryan White Program includes two oral health care programs. Both the Dental Reimbursement Program (DRP) and the Community-Based Dental Partnership Program (CBDPP) are authorized under the Ryan White Program to expand the availability of oral health care services to patients with HIV/AIDS through the training of dental professionals.
The DRP reimburses dental education programs for uncompensated funds to provide oral health services to patients with HIV. The Dental Services Report Form serves as an application for funding from DRP. The CBDPP program funds eligible entities in their efforts to increase access to oral health care for unserved and underserved rural and urban HIV positive populations. The Dental Services Report Form is also used by CBDPP grantees to report on services rendered, patients served, and partnerships. The form complies with the National HIV/AIDS Strategy directive to standardize data collection and reduce grantee reporting burden.
The HIV/AIDS Bureau (HAB) within HRSA administers funds for the DRP and the CBDPP. Participation in both DRP and CBDPP is limited to accredited predoctoral and postdoctoral dental, and dental hygiene education programs. DRP reimburses applicants for a portion of their uncompensated services provided to patients with HIV. The CBDPP awards grants to dental programs to develop partnerships with community-based oral health programs to expand the reach of trained dental professionals to serve patients with HIV. While the same institutions/programs are eligible to receive funds under both programs, the programs must be administered separately.
The Dental Services Report Form is also used as an annual data report by grantees under CBDPP. CBDPP funds selected eligible entities in their efforts to increase access to oral health care for unserved and underserved rural and urban HIV positive populations. Funding supports oral health service delivery and provider training in community settings.
The Dental Services Report Form collects information about the program, patient demographics, oral health services, and funding. In addition, DRP applicants complete Section 5, which gathers information on unreimbursed expenses and descriptions of selected program components (e.g., settings of training, outreach activities, etc.). This information is needed to calculate an award amount. CBDPP grantees complete Section 6, which gathers information on community partnerships and populations served through these partnerships. This information enables HRSA to monitor DRP and CBDPP grantee progress.
There are two major purposes for this data collection. The first purpose is to allow accredited dental education programs (predoctoral, postdoctoral, and dental hygiene) to apply for reimbursement of uncompensated expenditures for provision of oral health care services to people living with HIV under DRP. The second purpose is an annual data report for CBDPP grantees so that HRSA can review progress and understand what services are being provided with grant funds.
The information collected enables HRSA to:
Determine the unreimbursed costs of DRP applicants and calculate a reimbursement award amount;
Understand the extent of dental education programs’—and their partners’—involvement in the treatment of patients with HIV;
Determine the characteristics of patients with HIV receiving oral health services;
Determine the scope and extent of oral health services provided to patients with HIV through the Act funding, including types of services and number of visit by service;
Calculate the costs of services and types of reimbursement funds received; and
Understand how the Ryan White Program funds for oral health services are used.
Respondents complete the form annually to report on services provided and patients served. The DRP reports data from July 1 through June 30 and the CBDPP reports data from January 1 through December 31.
HRSA will be able present data that are collected in various settings, using slides and ad hoc reports. Data can be used to report to Congress and the public on oral health services provided to people living with HIV, as well as trends over time.
The Dental Services Report Form and instructions are available on the Bureau’s web site and can be submitted electronically. Respondents can access information from the web and download the form for completion.
Data that describe the activities of the DRP applicants and CBDPP grantees are not available elsewhere. This is the only effort to characterize the impact that these programs are making on the provision of services.
This data collection does not involve small businesses and does not have a significant impact on small entities.
Dental reimbursement funds are disseminated once each year based on the dental education programs applications. Collection of DRP applications on a less-than-annual basis would not be consistent with the availability and distribution of the reimbursement funds. CBDPP grantees submit data annually to allow HRSA to monitor the services provided by the grant program and to allow HRSA to compare data across DRP and CBDPP.
The data will be collected in a manner consistent with the guidelines in 5 CFR 1320.5.
Section 8A:
A 60-day Federal Register Notice was published in the Federal Register on January 19, 2017, (Volume 82, No. 12, pages 6581-6582). See Tab D for the 60 Day Federal Register Notice. No comments were received.
Section 8B:
In determining the burden estimate and the clarity of the information requested in the report from grantees, HAB consulted with two DRP applicants and three CBDPP grantees. See Tab E for a list of burden estimates and comments. Contact information is provided below:
Leeanna Bartlett (DRP)
Baylor College of Dentistry, TX A&M University Health Sciences Center
P.O. Box 660677
Dallas, TX 75266-0677
Tel: (214) 828-8452
Email: [email protected]
Dr. Paulo Camargo (DRP)
UCLA School of Dentistry
10833 Le Conte Avenue
Los Angeles, CA 90065-1668
Tel: (310) 825-0928
Email: [email protected]
Eli Eliav (CBDPP)
UMDNJ-New Jersey Dental School
110 Bergen Street
Newark, NJ 07103-2400
Tel: (973) 972-7210
Email: [email protected]
Theresa G. Mayfield, D.M.D. (CBDPP)
University of Louisville School of Dentistry Community-Based Dental Partnership Program
501 South Preston Street
Room 0113
Louisville, KY 40202-3822
Tel: (502) 852-5128
Email: [email protected]
Dr. Larry Salzmann (CBDPP)
The Board of Trustees of the University of Illinois
MB 502 (M/C 551)809 S Marshfield Ave
Chicago,IL60612
Tel: (312) 996-6661
Email: [email protected]
Respondents will not receive any payments or gifts.
Only summary data will be included in any reports developed from the collection of this information. No individual level data will be seen by HRSA or any outside party.
Data are reported on the number of patients with HIV; however, data submitted to HRSA do not include any client-level data or client-identifying information.
The estimated annual burden to complete the Dental Services Report Form is as follows:
12A. Estimated Annualized Burden Hours
Form Name |
Type of Respondent |
No. of Respondents |
No. of Responses per Respondent |
Total Responses |
Average Burden per Response (in hours) |
Total Burden Hours |
Dental Services Report |
DRP |
56 |
1 |
56 |
45 |
2,520 |
CBDPP |
12 |
1 |
12 |
35 |
420 |
|
Total |
|
68 |
|
68 |
|
2,940 |
12B. Estimated Annualize Burden Costs
Type of Respondent |
Total Burden Hours |
Hourly Wage Rate |
Total Respondent Costs |
DRP |
2,520 |
30.55 |
$76,986 |
CBDPP |
420 |
30.55 |
$12,831 |
Total |
|
|
$89,817 |
There are no capital or start-up costs for this activity. There are no direct costs to respondents other than their time in participating in the data collection, which is shown in table above.
HRSA has maintained a contract to provide technical assistance, the distribution of OMB-approved dental services data report forms, data entry, and analysis. For 2017, this contract will be $236,000. In addition, government personnel require 10% time of one FTE at a GS 14, Step 11 level ($11,202) and one FTE at a GS 12, Step 1 level ($7,972) to review and prepare award notices. The total annualized cost to the Federal government is $255,174.
The burden has not changed from the burden shown in the current inventory.
The OMB number and expiration date will be displayed.
There are no exceptions to the certification.
1 Based on 2017 OPM Pay Schedule for Washington D.C. Metro area, https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2017/DCB.pdf.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Modified | 0000-00-00 |
| File Created | 2021-01-22 |