THE IMPACT OF RYAN WHITE TITLE III(B) FUNDING ON THE PROVISION OF HIV PRIMARY CARE

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
110413	THE IMPACT OF RYAN WHITE TITLE III(B) FUNDING ON THE PROVISION OF HIV PRIMARY CARE	Migrated

ICR Details

OMB Control No: 0915-0181	ICR Reference No: 199407-0915-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: THE IMPACT OF RYAN WHITE TITLE III(B) FUNDING ON THE PROVISION OF HIV PRIMARY CARE
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/26/1994
	Date Received in OIRA: 07/15/1994
Terms of Clearance: This survey is approved for use through 6/95 with the understanding that: 1) HRSA will not characterize this effort as an "evaluation" pursuant to section 2674 of the Public Health Service Act or even as an "impact study." OMB believes that this survey primarily will provide descriptive information. OMB questions HRSA's approach to measuring the impact of Ryan White Title III funding to date on the structural characteristics of grantees and their service delivery. Fo example, responses to questions such as C3 may be speculative. At a minimum, HRSA should follow such questions regarding changes over time with questions regarding the basis for such observations and whether t grantee has hard data to support such claims. Regardless, HRSA should not disseminate such information as reflecting the impact of Ryan Whit funding but should use this information for guiding future efforts tha depend on baseline data. HRSA may want to clarify this in the grantee cover letter; 2) HRSA should carefully evaluate nonresponse bias, particularly for challenging questions such as C8. HRSA should caveat any dissemination of this information with its analysis of nonresponse Although pretest participants complained that the survey was lengthy and in some places complicated, HRSA made no effort to streamline the the survey. OMB is concerned that nonresponse may be an issue in the full scale effort; and 3) HRSA may want to modify its references to health care reform in the cover letter and p. 2 of the survey pa

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1995	06/30/1995
Responses	121	0	0
Time Burden (Hours)	569	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: THIS INFORMATION COLLECTION IS BEING CONDUCTED IN SUPPORT OF AN EVALUATION OF THE HIV EARLY INTERVENTION SERVICES PROGRAM. A MAILED SURVEY WILL BE ADMINISTERED TO ALL 130 ORGANIZATIONS FUNDED UNDER THIS PROGRAM TO ASSESS THE CHANGES THAT HAVE OCCURRED IN THE NATURE, EXTENT AND DELIVERY OF HIV SERVICES.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
THE IMPACT OF RYAN WHITE TITLE III(B) FUNDING ON THE PROVISION OF HIV PRIMARY CARE

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ICR Summary 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	121	0	0	121	0	0
Annual Time Burden (Hours)	569	0	0	569	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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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: 07/15/1994

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