Federal Register / Vol. 86, No. 159 / Friday, August 20, 2021 / Notices 46855 

Annual Responses: 7,988; Total Annual 

Hours: 3,994. (For policy questions 

regarding this collection contact 

Kathleen Todd at 410–786–3385). 

3. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: ICF/IID Survey 

Report Form and Supporting 

Regulations; Use: The information 

collected with forms 3070G, CMS– 

3070H and CMS–3070I is used by the 

surveyors from the State Survey 

Agencies (SAs) to determine the level of 

compliance with the ICF/IID Conditions 

of Participation (CoPs) necessary to 

participate in the Medicare/Medicaid 

program and to report any noncompliance with the ICF/IID CoPs to the 

Federal government. These forms 

summarize the survey team 

characteristics, facility characteristics, 

client population, and the special needs 

of clients. These forms are used in 

conjunction with the CMS regulation 

text and additional surveyor aids such 

as the CMS interpretive guidelines and 

probes. The CMS–3070G–I forms serves 

as coding worksheets, designed to 

facilitate data entry and retrieval into 

the Automated Survey Processing 

Environment Suite (ASPEN) in the State 

and at the CMS regional offices. Form 

Number: CMS–3070G–I (OMB control 

number: 0938–0062); Frequency: 

Reporting—Yearly; Affected Public: 

Business or other for-profits and Notfor-profit institutions; Number of 

Respondents: 5,758; Total Annual 

Responses: 5,758; Total Annual Hours: 

17,274. (For policy questions regarding 

this collection contact Caroline Gallaher 

at 410–786–8705.) 

Dated: August 17, 2021. 

William N. Parham, III 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2021–17908 Filed 8–19–21; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Proposed Collection: Public 

Comment Request; Information 

Collection Request Title: Updates to 

Uniform Standard for Waiver of the 

Ryan White HIV/AIDS Program Core 

Medical Services Expenditure 

Requirement, OMB No. 0906–XXXX– 

NEW 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: In compliance with of the 

Paperwork Reduction Act of 1995, this 

notice announces that the Information 

Collection Request (ICR) is being 

forwarded by HRSA to the Office of 

Management and Budget (OMB) for 

review and approval. OMB will accept 

further comments from the public 

during the review and approval period. 

OMB may act on HRSA’s ICR only after 

the 30-day comment period for this 

Notice has closed. 

DATES: Comments on this ICR should be 

received no later than September 20, 

2021. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under Review—Open for 

Public Comments’’ or by using the 

search function. 

FOR FURTHER INFORMATION CONTACT: To 

request a copy of the clearance requests 

submitted to OMB for review, email Lisa 

Wright-Solomon, the HRSA Information 

Collection Clearance Officer at 

paperwork@hrsa.gov or call (301) 443– 

1984. 

SUPPLEMENTARY INFORMATION: When 

submitting comments or requesting 

information, please include the 

information request collection title for 

reference. 

Information Collection Request Title: 

Updates to Uniform Standard for Waiver 

of the Ryan White HIV/AIDS Program 

Core Medical Services Expenditure 

Requirement, OMB No. 0906–XXXX– 

NEW. 

Abstract: In accordance with sections 

2604(c), 2612(b), and 2651(c) of the 

Public Health Service Act, Ryan White 

HIV/AIDS Program (RWHAP) recipients 

are required to spend not less than 75 

percent of grant funds on core medical 

services for individuals with HIV 

identified and eligible under the statute, 

after reserving statutory permissible 

amounts for administrative and clinical 

quality management costs. The RWHAP 

statute also grants the Secretary 

authority to waive this requirement for 

RWHAP Parts A, B, or C recipients if a 

number of requirements are met and a 

waiver request is submitted to HRSA for 

approval. RWHAP Part A, B, and C core 

medical services waiver requests—if 

approved—are effective for a 1-year 

budget period, and apply to funds 

awarded under the Minority AIDS 

Initiative. 

Currently, for a core medical services 

waiver request to be approved, (1) core 

medical services must be available and 

accessible to all individuals identified 

and eligible for the RWHAP in the 

recipient’s service area within 30 days, 

without regard to payer source; (2) there 

cannot be any AIDS Drug Assistance 

Program waiting lists in the recipient’s 

service area; and (3) a public process to 

obtain input on the waiver request from 

impacted communities, including 

clients and RWHAP-funded core 

medical services providers, on the 

availability of core medical services and 

the decision to request the waiver must 

have occurred. The public process may 

be a part of the same one used to seek 

input on community needs as part of the 

annual priority setting and resource 

allocation, comprehensive planning, 

statewide coordinated statement of 

need, public planning, and/or needs 

assessment processes. 

HRSA is proposing to simplify the 

waiver request process for RWHAP Parts 

A, B, and C recipients by revising Policy 

Number 13–07: Uniform Standard for 

Waiver of Core Medical Services 

Requirement for Grantees Under Part, A, 

B, and C. The proposed changes would 

reduce the administrative burden for 

recipients by lessening the 

documentation they must submit to 

HRSA when requesting a waiver. Under 

the proposed policy, recipients would 

be required to submit a one-page ‘‘HRSA 

RWHAP Core Medical Services Waiver 

Request Attestation Form’’ to HRSA in 

lieu of the multiple documents, 

including but not limited to a narrative 

of up to 10 pages currently required to 

submit a waiver request. Waiver request 

submission deadlines would also be 

revised. When finalized, the policy 

would replace HAB Policy Number 13– 

07 effective October 1, 2021, and would 

be named ‘‘Waiver of the Ryan White 

HIV/AIDS Program Core Medical 

Services Expenditure Requirement.’’ 


khammond on DSKJM1Z7X2PROD with NOTICES
46856 Federal Register / Vol. 86, No. 159 / Friday, August 20, 2021 / Notices 

A 60-day notice published in the 

Federal Register on April 20, 2021, vol. 

86, No. 74, pp. 20499–20500. No public 

comments were received in response to 

the ICR. 

Need and Proposed Use of the 

Information: HRSA uses the 

documentation submitted in core 

medical services waiver requests to 

determine if the grant applicant or 

recipient meets the statutory 

requirements for waiver eligibility 

outlined in Sections 2604(c), 2612(b), 

and 2651(c) of the Public Health Service 

Act. 

Likely Respondents: HRSA expects 

responses from RWHAP Parts A, B, and 

C grant applicants and recipients. The 

number of grant recipients requesting 

waivers has fluctuated annually and has 

ranged from 15 to 22 per year since the 

waiver process was implemented in FY 

2007. 

Given the changes in the health care 

environment, HRSA anticipates 

receiving possibly up to 22 applications 

in a given year. 

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

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

Waiver Request ................................................................... 22 1 22 4 88 

22 ........................ 22 ........................ 88 

HRSA notes that this proposed 

process represents a decrease in burden 

when compared to the current policy 

outlined in PN 13–07 due in part to the 

elimination of the requirement to 

prepare and submit a narrative and 

multiple documents. HRSA specifically 

requests comments on (1) the necessity 

and utility of the proposed information 

collection for the proper performance of 

the agency’s functions, (2) the accuracy 

of the estimated burden, (3) ways to 

enhance the quality, utility, and clarity 

of the information to be collected, and 

(4) the use of automated collection 

techniques or other forms of information 

technology to minimize the information 

collection burden. 

Maria G. Button, 

Director, Executive Secretariat. 

[FR Doc. 2021–17834 Filed 8–19–21; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Updated HRSA-Supported Women’s 

Preventive Services Guidelines: WellWomen Preventive Visits, Counseling 

for Sexually Transmitted Infections, 

and Breastfeeding Services and 

Supplies 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services (HHS). 

ACTION: Notice. 

SUMMARY: This notice seeks comments 

on an updated draft recommendation for 

Well-Woman Preventive Visits, 

Counseling for Sexually Transmitted 

Infections, and Breastfeeding Services 

and Supplies, as part of the HRSAsupported Women’s Preventive Services 

Guidelines. This updated draft 

recommendation has been developed 

through a national cooperative 

agreement, the Women’s Preventive 

Services Initiative (WPSI), by the 

American College of Obstetricians and 

Gynecologists (ACOG). Under the Public 

Health Service Act, as added by the 

Patient Protection and Affordable Care 

Act, non-grandfathered group health 

plans and non-grandfathered group and 

individual health insurance issuers 

must include coverage, without cost 

sharing, for certain preventive services 

under that section, including those 

provided for in the HRSA-supported 

Women’s Preventive Services 

Guidelines (Guidelines). 

DATES: Members of the public are 

invited to provide written comments no 

later than September 20, 2021. All 

comments received on or before this 

date will be reviewed and considered by 

the WPSI Multidisciplinary Steering 

Committee. 

ADDRESSES: Members of the public 

interested in providing comments on 

the draft recommendation statements 

can do so by accessing the initiative’s 

web page at https://www.womens

preventivehealth.org/. 

FOR FURTHER INFORMATION CONTACT: 

Kimberly Sherman, HRSA, Maternal 

and Child Health Bureau, telephone 

(301) 443–8283, email: wellwomancare@

hrsa.gov. 

SUPPLEMENTARY INFORMATION: The 

HRSA-supported Women’s Preventive 

Services Guidelines were originally 

established in 2011 based on a study 

and recommendations by the Institute of 

Medicine, now known as the National 

Academy of Medicine, commissioned 

by HHS. Since then, there have been 

advancements in science and gaps 

identified in these guidelines, including 

a greater emphasis on practice-based 

clinical considerations. In March 2016, 

HRSA awarded a 5-year cooperative 

agreement to convene a coalition 

representing clinicians, academics, and 

consumer-focused health professional 

organizations to conduct a rigorous 

review of current scientific evidence 

and recommend updates to existing 

guidelines. The ACOG was awarded the 

cooperative agreement and formed the 

WPSI, which consists of an Advisory 

Panel and two expert committees; the 

Multidisciplinary Steering Committee 

(MSC) and the Dissemination and 

Implementation Steering Committee, to 

improve adult women’s health across 

the lifespan by engaging a coalition of 

health professional organizations to 

review evidence and recommend 

updates to the HRSA-supported 

Women’s Preventive Services 

Guidelines. HRSA would then decide 

whether or not to support, in whole or 


khammond on DSKJM1Z7X2PROD with NOTICES