E - Respondents on Burden Estimates in Completing the DSR Form

E - Respondents on Burden Estimates in Completing the DSR Form.docx

Ryan White HIV/AIDS Program Part F Dental Services Report

E - Respondents on Burden Estimates in Completing the DSR Form.docx

OMB: 0915-0151

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Respondents for Burden Estimates in Completing
the Dental Services Report Form



Leeanna Bartlett (DRP)

Baylor College of Dentistry, TX A&M University Health Sciences Center

Tel: (214) 828-8452

Email: [email protected]

Burden Est: 48 hours. It takes us awhile to pull all the data together. Anticipate no changes in burden due to new and deleted data items.



Dr. Paulo Camargo (DRP)

UCLA School of Dentistry

Tel: (310) 825-0928

Email: [email protected]

Burden Est: 42 hours. It usually takes us 40 hours and the additional 2 hours is due to the changes in the form.



Eli Eliav (CBDPP)

UMDNJ-New Jersey Dental School

Tel: (973) 972-7210

Email: [email protected]

Burden Est: 1.5 hours
Comments: We have systems in place so that reporting is quick and easy for us. Anticipate no changes in burden due to new and deleted data items.



Theresa G. Mayfield, D.M.D. (CBDPP)



University of Louisville School of Dentistry Community-Based Dental Partnership Program

Tel: (502) 852-5128

Email: [email protected]

Burden Est: 80 hours

Comments: We do not collect any of the data necessary to fill out the DSR (eg. cd4 count to determine HIV status, ethnicity, etc.) so we have to reach out to multiple other service providers to gather that information for the report. Addition of the new ethnicity/race/sex would increase the burden, and that the narrative question deletions would not have an impact on the time because they are easy to fill out.



Dr. Larry Salzmann (CBDPP)

The Board of Trustees of the University of Illinois

Tel: (312) 996-6661

Email: [email protected]

Burden Est: 10 hours. Anticipate no changes in burden due to new and deleted data items.





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