HIV Quality Measures Performance Measure Module (HIVQM Module)

ICR 201909-0906-002

OMB: 0906-0022

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
0906-0022 201909-0906-002
Active 201606-0906-002
HHS/HRSA
HIV Quality Measures Performance Measure Module (HIVQM Module)
Revision of a currently approved collection   No
Regular
Approved with change 12/23/2019
Retrieve Notice of Action (NOA) 09/09/2019
Approved consistent with the understanding that HRSA will consider ways to integrate and harmonize data collection activities associated with the Ryan White HIV/AIDS Program.
  Inventory as of this Action Requested Previously Approved
12/31/2022 36 Months From Approved 12/31/2019
9,264 0 6,948
55,584 0 6,948
0 0 0

Information collected will be used to continually monitor and evaluate HIV Performance Measures for Ryan White HIV/AIDS Program recipients. The aggregate data collected will also be critical to ensuring that HRSA can continue to respond to requests from the Secretary of the DHHS, Congress and other stakeholders. Recipients entering data will be health facilities who provide HIV care services to HIV-infected patients.

PL: Pub.L. 111 - 87 0 Name of Law: Ryan White HIV/AIDS Treatment Extension Act of 2009
  
None

Not associated with rulemaking

  84 FR 9362 03/14/2019
84 FR 44623 08/26/2019
Yes

1
IC Title Form No. Form Name
HIV Quality Measures Performance Measure Module (HIVQM Module) 1 Draft Manual

  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 9,264 6,948 0 0 2,316 0
Annual Time Burden (Hours) 55,584 6,948 0 0 48,636 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The burden has increased due to an increase in average burden per response. It has increased from 1 to 6 this submission.

$140,800
No
    No
    No
No
No
No
Uncollected
Elyana Bowman 301 443-3983 [email protected]

  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.
09/09/2019


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