[Federal Register Volume 79, Number 165 (Tuesday, August 26, 2014)]
[Pages 50917-50919]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-20318]



Health Resources and Services Administration

Agency Information Collection Activities: Submission to OMB for 
Review and Approval; Public Comment Request

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.


SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995, the Health Resources and Services Administration 
(HRSA) has submitted an Information Collection Request (ICR) to the 
Office of Management and Budget (OMB) for review and approval. Comments 
submitted during the first public review of this ICR will be provided 
to OMB. OMB will accept further comments from the public during the 
review and approval period.

DATES: Comments on this ICR should be received no later than September 
25, 2014.

ADDRESSES: Submit your comments, including the Information Collection 
Request Title, to the desk officer for HRSA, either by email to OIRA_submission@omb.eop.gov or by fax to 202-395-5806.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email the

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HRSA Information Collection Clearance Officer at paperwork@hrsa.gov or 
call (301) 443-1984.

    Information Collection Request Title: AIDS Drug Assistance Program 
Data Report OMB No. 0915-0345--Revision.
    Abstract: HRSA's AIDS Drug Assistance Program (ADAP) is funded 
through The Ryan White HIV/AIDS Program, Part B, Title XXVI of the 
Public Health Service Act, which provides grants to states and 
territories. ADAP provides medications for the treatment of HIV/AIDS. 
Program funds may also be used to purchase health insurance for 
eligible clients and for services that enhance access, adherence, and 
monitoring of drug treatments.
    Each of the 50 states, the District of Columbia, Puerto Rico, and 
several territories receive ADAP grants. As part of the funding 
requirements, ADAPs submit reports concerning information on patients 
served; eligibility requirements; pharmaceuticals prescribed; and 
pricing and other sources of support to provide AIDS medication 
treatment, cost data, and coordination with Medicaid. Since 2005, ADAPs 
have supplied aggregate data to HRSA using the ADAP Quarterly Report 
(AQR). However, aggregate data cannot be analyzed with the detail that 
is required to assess quality of care or to sufficiently account for 
the use of Ryan White HIV/AIDS Program Funds. To address this 
limitation, HRSA's HIV/AIDS Bureau (HAB) developed a client-level data 
system for ADAPs called the ADAP Data Report (ADR), and in 2013, ADAPs 
began submitting the ADR. As of April 30, 2104, HAB retired the AQR and 
now only requires the submission of the ADR. The ADR will be submitted 
annually and consists of a Grantee Report and a client-level data file.
    Need and Proposed Use of the Information: The Ryan White HIV/AIDS 
Program requires the submission of annual reports by the Secretary of 
the Department of Health and Human Services (HHS) to the appropriate 
committees of Congress. The collection of grantee-level and client 
level data enables HRSA to more effectively respond to requests from 
the Secretary of HHS. In addition, client-level information is needed 
by HRSA in order to respond to the request for reviews of program 
performance and information for strategic planning. Client-level data 
is also needed to support the implementation and monitoring of the 
National HIV/AIDS Strategy (NHAS).
    On April 11, 2012, a memo from the Secretary of HHS directed the 
Health Resources and Services Administration (HRSA) along with other 
Health and Human Services Operating Divisions (OpDivs) to work together 
to: (1) Identify seven common core HIV/AIDS indicators; (2) develop 
implementation plans to deploy these indicators; and (3) streamline 
data collection; and reduce reporting by at least 20 to 25 percent. In 
November 2012, the HIV/AIDS Indicators Implementation Group (HAIIG), 
comprised of representatives from HHS OpDivs, the Department of Housing 
and Urban Development, the Veterans' Health Administration, and 
community partners successfully identified the required common core 
HIV/AIDS indicators.
    Revisions to the ADR are required to support implementation of the 
core indicators, streamlining data collection and reducing reporting 
burden. Eleven data elements will be deleted from the ADR and several 
variables were modified to reduce reporting burden. Sex at Birth, 
defined as the biological sex assigned to the client at birth, will be 
added to align with variables collected by other HHS OpDivs. Type of 
ADAP-funded insurance assistance received will also be added to track 
ADAP's payment of full or partial premium and co-pays and deductibles.
    In addition to the new data elements noted above, other new 
variables will be added to the ADR address provisions set forth in 
Section 4302 of the Affordable Care Act (ACA). The ACA includes several 
provisions aimed at eliminating health disparities in America. Section 
4302 (Understanding health disparities: Data collection and analysis) 
of the ACA focuses on the standardization, collection, analysis, and 
reporting of health disparities data. Section 4302 requires the 
Secretary of HHS to establish data collection standards for race, 
ethnicity, and sex. The race/ethnicity data elements include reporting 
of Hispanic, Asian, and Native Hawaiian/Pacific Islander subgroups. The 
categories for HHS data standards for race and ethnicity are based on 
the disaggregation of the OMB standard used in the American Community 
Survey and the 2000 and 2010 Decennial Census. The subgroup categories 
can be rolled-up to the OMB standard. These new data elements will be 
used in data analysis intended to identify and understand health 
    Likely Respondents: State ADAPs of Ryan White Part B grantees.
    Burden Statement: Burden in this context means the time expended by 
persons to generate, maintain, retain, disclose or provide the 
information requested. This includes the time needed to review 
instructions; to develop, acquire, install and utilize technology and 
systems for the purpose of collecting, validating and verifying 
information, processing and maintaining information, and disclosing and 
providing information; to train personnel and to be able to respond to 
a collection of information; to search data sources; to complete and 
review the collection of information; and to transmit or otherwise 
disclose the information. The total annual burden hours estimated for 
this ICR are summarized in the table below.

                                    Total Estimated Annualized Burden--Hours
                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total burden
                                    respondents     respondent       responses      (in hours)         hours
Grantee Report..................              54               1              54               6             324
Client-level Report.............              54               1              54              81           4,374
    Total.......................  ..............  ..............  ..............              87           4,698

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    Dated: August 19, 2014.
Jackie Painter,
Acting Director, Division of Policy and Information Coordination.
[FR Doc. 2014-20318 Filed 8-25-14; 8:45 am]