OMB control number
HIV Quality Measures Performance Measure Module (HIVQM Module)
OMB 0906-0022 · HHS/HRSA.
HAB created the RWHAP HIVQM Module as an online tool to support recipients in meeting the clinical quality management program requirement. The use of the module is voluntary for RWHAP recipients and subrecipients but strongly encouraged. 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. This package is submitted after the expiration date due to the government shutdown (i.e., could not publish 30-day FRN until government re-opened).
The latest form for HIV Quality Measures Performance Measure Module (HIVQM Module) expires 2029-02-28 and can be found here.
Document Name |
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Form |
Public Comments |
Public Comments |
Public Comments |
Public Comments |
Public Comments |
Public Comments |
Supporting Statement A |
Supporting Statement A |
| Reinstatement with change of a previously approved collection | 2025-11-25 | ||
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Approved with change |
Revision of a currently approved collection | 2022-09-29 | |
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Approved with change |
Revision of a currently approved collection | 2019-09-09 | |
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Approved with change |
New collection (Request for a new OMB Control Number) | 2016-06-24 |