OMB control number

Assessing Care and Health Outcomes Among Ryan White HIV/AIDS Program (RWHAP) Clients Who Do Not Receive RWHAP-Funded Outpatient Ambulatory Health Services (Non-OAHS)

OMB 0906-0046 · HHS/HRSA.

OMB 0906-0046

HRSA is conducting this study to understand the quality of care and viral suppression rate among the approximately 165,000 RWHAP clients for whom it does not collect clinical information. HRSA will use the findings to (1) assess care and health outcomes among its non-medical clients; (2) determine if and where these clients receive medical care; (3) identify unmet needs faced by this population; and (4) develop strategies to strengthen the coordination of services between RWHAP-funded and nonfunded providers and, thus, improve retention in care and viral suppression for all of its clients.

The latest form for Assessing Care and Health Outcomes Among Ryan White HIV/AIDS Program (RWHAP) Clients Who Do Not Receive RWHAP-Funded Outpatient Ambulatory Health Services (Non-OAHS) expires 2022-12-31 and is listed under ICR 201907-0906-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 5 Telephone Screening	Form and Instruction
Form 3 Medical Record Abstraction	Form and Instruction
Form 2 Client Interview Protocol	Form and Instruction
Form 1 Provider Interview Protocol	Form and Instruction
Attachment A8 - Type 2 Provider Intro Slides.pptx	Supplementary Document
Attachment A7 - Type 1 Provider Intro Slides.pptx	Supplementary Document
Attachment A6 - Introduction Letter.docx	Supplementary Document
Attachment A5 - Fact_Sheet_Client.docx	Supplementary Document
Attachment A4 - Fact_Sheet_Type_2_non-RWHAP_Clinical.docx	Supplementary Document
Attachment A3 - Fact_Sheet_Type_1_RWHAP_Clinical_Yes_OAHS.docx	Supplementary Document
Attachment A2 - Fact_Sheet_Type_1_RWHAP_Clinical_No_OAHS.docx	Supplementary Document
Attachment A1 - Fact_Sheet_Type_1_RWHAP_Non-Clinical_No_OAHS.docx	Supplementary Document
REVISEDFINALSupporting Statement B revised_11_5_post_omb_ convo_CLEAN.docx	Supporting Statement B
REVISEDFINALSupporting Statement A_revised_12_2_2019.docx	Supporting Statement A
Telephone Screening	Form and Instruction
Medical Record Abstraction	Form and Instruction
Client Interview Protocol	Form and Instruction
Provider Interview Protocol	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
201907-0906-001	New collection (Request for a new OMB Control Number)	2019-07-11		Approved with change

OMB Details

Provider Interview Protocol

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
Form	Name	Electronic access	Type
Form 1	B1 Provder Interview Protocols	Fillable Fileable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.