OMB control number

Enhancing HIV Care of Women, Infants, Children and Youth Building Capacity through Communities of Practice

OMB 0915-0391 · HHS/HSA.

OMB 0915-0391

HRSA aims to increase delivery of evidence-based interventions that enhance client outcomes, increase the skill level of the HIV workforce providing care and treatment to Women, Infants, Children and Youth (WICY), and involve partnerships for dissemination of best practices to Ryan White HIV/AIDS Program (RWHAP) Part D participants. To that end, HRSA seeks to implement a Communities of Practice (CoP) platform for RWHAP Part D recipients. A CoP engages recipient teams in improvement learning sessions using subject matter experts along with application experts who help recipient teams select, test and implement changes on the front line of care. Through organizational self-assessments, didactic learning on specific care topics, goals setting and work plan development, each team can strategically benefit their organization. CoPs afford participants the opportunity to work in a group to solve a recognized challenge related to a CoP domain and support dialogue among participants and the consultant/subject matter experts. Recipient teams commit to working over a period of 12 months, alternating between Learning Sessions in which teams come together to learn about the chosen topic and to plan changes, and Action Periods in which the teams return to their respective organizations and test those changes in their clinic settings. The domains for the proposed CoPs are trauma informed care, pre-conception counseling and youth transitioning into adult HIV care services.

The latest form for Enhancing HIV Care of Women, Infants, Children and Youth Building Capacity through Communities of Practice expires 2026-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 6 (Revised) Foundational TA Assessment Form and Instruction
Form 6 Foundational TA Assessment Form and Instruction
Form 6 Foundational TA Assessment Form and Instruction
Form 5 (Redline) Targeted and Intensive TA Assessment Form and Instruction
Form 5 Targeted and Intensive TA Assessment Form and Instruction
Form 5 Targeted and Intensive TA Assessment Form and Instruction
Form 3 (revised) Community of Practice Post-Assessment Form and Instruction
Form 3 Community of Practice Post-Assessment Form and Instruction
Form 3 Community of Practice Post-Assessment Form and Instruction
Form 4 (Revised) Community of Practice Session Assessment Form and Instruction
Form 4 Community of Practice Session Assessment Form and Instruction
Form 2 (Revised) Community of Practice Pre-Assessment Form and Instruction
Form 2 Community of Practice Pre-Assessment Form and Instruction
Form 1 (Revised) Pre-conception Counseling Community of Practice Retrospective Pretest-Post Assessment Form and Instruction
Form 1 Pre-conception Counseling Community of Practice Retrospective Pretest-Post Assessment Form and Instruction
HAB0915-0391 _OMB NonSubstantive Change Request_07072025.docx Justification for No Material/Nonsubstantive Change
HAB0915-0391 _OMB NonSubstantive Change Request_07072025.docx Justification for No Material/Nonsubstantive Change
OMB Supporting Statement B 5.24.23.docx Supporting Statement B
OMB Supporting Statement B 5.24.23.docx Supporting Statement B
OMB Part A Supporting Statement 05122023.docx Supporting Statement A
OMB Part A Supporting Statement 05122023.docx Supporting Statement A
Foundational TA Assessment Form and Instruction
Foundational TA Assessment Form and Instruction
Foundational TA Assessment Form and Instruction
Targeted and Intensive TA Assessment Form and Instruction
Targeted and Intensive TA Assessment Form and Instruction
Targeted and Intensive TA Assessment Form and Instruction
Community of Practice Post-Assessment Form and Instruction
Community of Practice Post-Assessment Form and Instruction
Community of Practice Post-Assessment Form and Instruction
Community of Practice Session Assessment Form and Instruction
Community of Practice Session Assessment Form and Instruction
Community of Practice Session Assessment Form and Instruction
Community of Practice Pre-Assessment Instrument Form and Instruction
Community of Practice Pre-Assessment Instrument Form and Instruction
Community of Practice Pre-Assessment Instrument Form and Instruction
Pre-Conception Counseling Community of Practice Retrospective Pre-Post-Assessment Instrument Form and Instruction
Pre-Conception Counseling Community of Practice Retrospective Pre-Post-Assessment Instrument Form and Instruction
Pre-Conception Counseling Community of Practice Retrospective Pre-Post-Assessment Instrument Form and Instruction

All Historical Document Collections

202507-0915-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2025-07-10
202305-0915-004 Approved without change	New collection (Request for a new OMB Control Number)	2023-05-24

OMB Details

Pre-Conception Counseling Community of Practice Retrospective Pre-Post-Assessment Instrument

Federal Enterprise Architecture: Health - Health Care Services

Form 1	Pre-conception Counseling Community of Practice Retrospective Pretest-Post Assessment	Fillable Fileable	Form and instruction
Form 1 (Revised)	Pre-conception Counseling Community of Practice Retrospective Pretest-Post Assessment	Fillable Fileable	Form and instruction

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