Federal Register / Vol. 75, No. 181 / Monday, September 20, 2010 / Notices 57277 

3. Accountability, Enforcement and 

Oversight 

• Please share your experiences in 

establishing accountability, enforcement 

and oversight with regard to both trust 

and interoperability. 

• What suggestions do you have for 

ONC for establishing governance in this 

area? Examples of specific issues 

include: 

• How should organizations be vetted 

for participation? 

• How should the exchange of 

information be monitored for 

appropriateness in a large volume/ 

distributed environment? 

• How should information be 

provided to a consumer regarding who 

accessed his/her information? 

• How should consumer complaints 

be investigated? 

• How should ‘‘bad actors’’ be 

disciplined? 

Panel 4: Existing Governance 

Authorities 

1. Please describe the scope and 

jurisdiction of your authority/ 

authorities, with particular reference to 

areas that are/may be related to the 

exchange of health information over a 

network. 

2. Please describe how your 

authorities are implemented. 

3. Please offer suggestions to the 

Office of the National Coordinator for 

developing, implementing and 

coordinating governance. 

Persons attending ONC’s advisory 

committee meetings are advised that the 

agency is not responsible for providing 

access to electrical outlets. 

ONC welcomes the attendance of the 

public at its advisory committee 

meetings. Seating is limited at the 

location, and ONC will make every 

effort to accommodate persons with 

physical disabilities or special needs. If 

you require special accommodations 

due to a disability, please contact Judy 

Sparrow at least seven (7) days in 

advance of the meeting. 

ONC is committed to the orderly 

conduct of its advisory committee 

meetings. Please visit our Web site at 

http://healthit.hhs.gov for procedures 

on public conduct during advisory 

committee meetings. 

Notice of this meeting is given under 

the Federal Advisory Committee Act 

(Pub. L. 92–463, 5 U.S.C., App. 2). 

Dated: September 13, 2010. 

Judith Sparrow, 

Office of Programs and Coordination, Office 

of the National Coordinator for Health 

Information Technology. 

[FR Doc. 2010–23311 Filed 9–17–10; 8:45 am] 

BILLING CODE 4150–45–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Proposed Collection: 

Comment Request 

In compliance with the requirement 

for opportunity for public comment on 

proposed data collection projects 

(section 3506(c)(2)(A) of Title 44, United 

States Code, as amended by the 

Paperwork Reduction Act of 1995, Pub. 

L. 104–13), the Health Resources and 

Services Administration (HRSA) 

publishes periodic summaries of 

proposed projects being developed for 

submission to the Office of Management 

and Budget (OMB) under the Paperwork 

Reduction Act of 1995. To request more 

information on the proposed project or 

to obtain a copy of the data collection 

plans and draft instruments, e-mail 

paperwork@hrsa.gov or call the HRSA 

Reports Clearance Officer at (301) 443– 

1129. 

Comments are invited on: (a) The 

proposed collection of information for 

the proper performance of the functions 

of the Agency; (b) the accuracy of the 

Agency’s estimate of the burden of the 

proposed collection of information; (c) 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 

or other forms of information 

technology. 

Proposed Project: HRSA AIDS Drug 

Assistance Program Quarterly Report— 

(OMB No. 0915–0294)—Extension 

HRSA’s AIDS Drug Assistance 

Program (ADAP) is funded through Part 

B of Title XXVI of the Public Health 

Service Act, the Ryan White HIV/AIDS 

Program, which provides grants to 

States and Territories. The ADAP 

provides medications for the treatment 

of HIV disease. Program funds may also 

be used to purchase health insurance for 

eligible clients or 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, ADAP 

grantees submit quarterly reports that 

include information on patients served, 

pharmaceuticals prescribed, pricing, 

and other sources of support to provide 

AIDS medication treatment, eligibility 

requirements, cost data, and 

coordination with Medicaid. Each 

quarterly report requests updates from 

programs on number of patients served, 

type of pharmaceuticals prescribed, and 

prices paid to provide medication. The 

first quarterly report of each ADAP 

fiscal year (due in July of each year) also 

requests information that only changes 

annually (e.g., State funding, drug 

formulary, eligibility criteria for 

enrollment, and cost-saving strategies 

including coordinating with Medicaid). 

The quarterly report represents the 

best method for HRSA to determine how 

ADAP grants are being expended and to 

provide answers to requests from 

Congress and other organizations. 

The estimated annual burden is as 

follows: 

Form Number of 

respondents 

Responses 

per 

respondent 

Total 

responses 

Hours per 

response 

Total burden 

hours 

1st Quarterly Report ........................................................ 57 1 57 3 171 

2nd, 3rd, & 4th Quarterly Reports ................................... 57 3 171 1 .5 256 .5 

Total .......................................................................... 57 ........................ 228 .......................... 427 .5 


jdjones on DSK8KYBLC1PROD with NOTICES
57278 Federal Register / Vol. 75, No. 181 / Monday, September 20, 2010 / Notices 

E-mail comments to 

paperwork@hrsa.gov or mail the HRSA 

Reports Clearance Officer, Room 10–33, 

Parklawn Building, 5600 Fishers Lane, 

Rockville, MD 20857. Written comments 

should be received within 60 days of 

this notice. 

Dated: September 14, 2010. 

Sahira Rafiullah, 

Director, Division of Policy and Information 

Coordination. 

[FR Doc. 2010–23417 Filed 9–17–10; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

In compliance with the requirement 

for the opportunity for public comment 

on proposed data collection projects 

(section 3506(c)(2)(A) of Title 44, United 

States Code, as amended by the 

Paperwork Reduction Act of 1995, Pub. 

L. 104–13), the Health Resources and 

Services Administration (HRSA) 

publishes periodic summaries of 

proposed projects being developed for 

submission to the Office of Management 

and Budget (OMB) under the Paperwork 

Reduction Act of 1995. To request more 

information on the proposed project or 

to obtain a copy of the data collection 

plans and draft instruments, e-mail 

paperwork@hrsa.gov or call the HRSA 

Reports Clearance Officer on (301) 443– 

1129. 

Comments are invited on: (a) Whether 

the proposed collection of information 

is necessary for the proper performance 

of the functions of the Agency, 

including whether the information shall 

have practical utility; (b) the accuracy of 

the Agency’s estimate of the burden of 

the proposed collection of information; 

(c) ways to enhance the quality, utility, 

and clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 

or other forms of information 

technology. 

Proposed Project: Ryan White HIV/ 

AIDS Program: Client-Level Data 

Reporting System: (OMB No. 0915– 

0323)—Extension 

The Ryan White HIV/AIDS Program’s 

client-level data reporting system, the 

Ryan White HIV/AIDS Program Services 

Report or Ryan White Services Report 

(RSR), created in 2008 by HRSA, is 

designed to collect information from 

grantees, as well as their subcontracted 

service providers, funded under Parts A, 

B, C, and D, and the Part F Minority 

AIDS Initiative of the Title XXVI of the 

Public Health Service Act (Ryan White 

HIV/AIDS Program). The Ryan White 

HIV/AIDS Program provides the 

programs with the flexibility to respond 

effectively to the changing HIV 

epidemic. Its emphasis is on providing 

life-saving and life-extending services 

for people living with HIV/AIDS across 

the country, and on targeting resources 

to areas that have the greatest needs. 

All parts of the Ryan White HIV/AIDS 

Program specify HRSA’s responsibilities 

in the administration of grant funds, the 

allocation of funds, the evaluation of 

programs for the population served, and 

the improvement of the quality of care. 

Accurate records of the providers 

receiving Ryan White HIV/AIDS 

Program funding, the services provided, 

and the clients served continue to be 

critical to the implementation of the 

legislation and thus are necessary for 

HRSA to fulfill its responsibilities. 

The RSR provides data on the 

characteristics of Ryan White HIV/AIDS 

Program-funded grantees, their 

contracted service providers, and the 

clients being served with program 

funds. The reporting system consists of 

two online data forms: the Grantee 

Report, completed by all grantees, and 

the Service Provider Report, completed 

by all subcontracted service providers. 

Each provider that delivers direct client 

services also submits a data file 

containing one de-identified record for 

each client that received a Ryan Whitefunded service during the year. The 

client record contains information on 

demographic status, HIV medical and 

support services received, and HIV 

clinical information. 

The RSR provides the grantees with 

the requisite information to assess 

quality of care and unmet need, and the 

ability to more accurately and efficiently 

report these figures to HRSA and other 

funding agencies than is possible with 

an aggregate data reporting system. In 

addition, HRSA will be able to perform 

detailed analyses and to characterize 

accurately the number of clients served 

by the Ryan White HIV/AIDS Program 

and the outcomes of the program 

services on a national scale. Because 

grantees associate a unique client 

identifier that is encrypted before 

transfer to each client record, HRSA is 

able to link data for clients across Ryan 

White HIV/AIDS Program-funded 

grantees and their subcontracted service 

providers. 

With an increased emphasis on 

grantee accountability and linking 

performance to budget, the RSR will be 

used to ensure compliance with the 

requirements of the legislation; to 

evaluate the progress of programs; to 

monitor grantee and provider 

performance; to measure the 

Government Performance and Result 

Act (GPRA) and the Performance 

Assessment Rating Tool (PART) goals; 

and to meet reporting responsibilities to 

the Department, Congress, and OMB. In 

addition to meeting the goal of 

accountability to Congress, clients, 

advocacy groups, and the general 

public, information collected through 

the RSR is critical for HRSA, State and 

local grantees, and individual providers. 

Through the RSR, these groups will 

assess the status of existing HIV-related 

service delivery systems, investigate 

trends in service utilization, and 

identify areas of greatest need. 

The response burden for grantees is 

estimated as: 

Component Source of funding Number of 

respondents 

Responses per 

grantee 

Hours per 

response 

Total hour 

burden 

Grantee Report ......................... Part A ........................................ 56 1 1.02 57 

Part B ........................................ 59 1 1.50 89 

Part C ....................................... 354 1 0.32 113 

Part D ....................................... 98 1 0.33 32 

Part A MAI ................................ 56 1 1.02 57 

Part B MAI ................................ 30 1 2.00 60 

Subtotal ..................................... 653 ............................ ............................ 408 


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