COVID-19 Data Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Response to OMB on FRN Comment_v2_11JUN2020.docx	Supplementary Document	Uploaded 2020-06-11	Available
ADM sgnd Tab A_Letter to OIRA Administrator.pdf	Supplementary Document	Uploaded 2020-05-21	Available
Supporting Statement- COVID-19 Data Report Survey_11MAY2020.docx	Supporting Statement A	Uploaded 2020-05-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
241923	_HRSA RWHAP COVID-19 Data Report		New

ICR Details

OMB Control No: 0906-0053	ICR Reference No: 202005-0906-002
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: COVID-19 Data Report
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 05/29/2020
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/11/2020
	Date Received in OIRA: 05/28/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2020	6 Months From Approved
Responses	24,540	0	0
Time Burden (Hours)	49,080	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: HRSA HIV/AIDS Bureau (HAB) has requested approval to create a new monthly, aggregate data report to collect information on activities to prevent or minimize the impact of COVID-19 on Ryan White HIV/AIDS Program (RWHAP) clients and organizations. Respondents are providers who use FY 2020 Coronavirus Aid, Relief, and Economic Security (CARES) Act funding to provide RWHAP core medical or support services to eligible clients and immediate household members. This information is needed to comply with federal requirements to monitor funds distributed under the CARES Act.

Emergency Justfication: The Health Resources and Services Administration (HRSA) is requesting an expedited review from the Office of Management and Budget (OMB) for a new data collection module to support the HRSA HIV/AIDS Bureau (HAB) requirement to monitor and report on funds distributed under the fiscal year (FY) 2020 Coronavirus Aid, Relief, and Economic Security (CARES) Act. Signed into law on March 27, 2020, the CARES Act appropriated $90 million to the HRSA HAB Ryan White HIV/AIDS Program (RWHAP) to prevent, prepare for, and respond to coronavirus disease 2019 (COVID-19). This additional funding was awarded to eligible RWHAP recipients on April 15, 2020, with an initial data reporting requirement due 30 days later.

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Authorizing Statute(s): US Code: 42 USC 300ff-11 et seq Name of Law: HIV Health Care Services Program
   PL: Pub.L. 111 - 352 0 Name of Law: GPRA Modernziation Act of 2010
  

Citations for New Statutory Requirements: PL: Pub.L. 116 - 136 0 Name of Law: Coronavirus Aid, Relief, and Economic Security Act

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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
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 32041	05/28/2020
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
_HRSA RWHAP COVID-19 Data Report	1

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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	24,540	0	24,540	0	0	0
Annual Time Burden (Hours)	49,080	0	49,080	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new ICR so burden increases from zero (0).

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Annual Cost to Federal Government: $595,819

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? Yes

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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: 05/28/2020

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