Federal Register / Vol. 82, No. 217 / Monday, November 13, 2017 / Notices 52309 

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 

In-class evaluations ............................................................. 40,000 1 40,000 .05 2,000 

Mail/Telephone surveys ....................................................... 12,000 1 12,000 .25 3,000 

Focus groups ....................................................................... 250 1 250 1.5 375 

Total .............................................................................. 52,250 ........................ 52,250 ........................ 5,375 

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. 

Amy McNulty, 

Acting Director, Division of the Executive 

Secretariat. 

[FR Doc. 2017–24492 Filed 11–9–17; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Submission to OMB for 

Review and Approval; Public Comment 

Request; Assessing Client Factors 

Associated With Detectable HIV Viral 

Loads; and Models of Care and the 

Ryan White HIV/AIDS Program 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995, 

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 December 13, 

2017. 

ADDRESSES: Submit your comments, 

including the ICR 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 Lisa 

Wright-Solomon, the HRSA Information 

Collection Clearance Officer at 

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

1984. 

SUPPLEMENTARY INFORMATION: 

Information Collection Request Title: 

Assessing Client Factors Associated 

with Detectable HIV Viral Loads and 

Models of Care and the Ryan White 

HIV/AIDS Program. 

OMB No.: 0906–xxxx—NEW. 

Abstract: The Ryan White HIV/AIDS 

Program (RWHAP), first authorized by 

the U.S. Congress in 1990, is 

administered by HRSA’s HIV/AIDS 

Bureau (HAB). The RWHAP provides 

medical services, treatment, and/or 

support services to 533,036 clients in 

2015; 97.0 percent of these clients were 

living with HIV. This information 

collection request covers two distinct 

evaluation studies with RWHAP 

provider sites that will share 

components of data collection 

instruments through shared variables. 

Sharing data collection instruments will 

minimize burden for RWHAP provider 

sites collecting this data and will 

increase the sample size for data 

analysis thus resulting in more robust 

data and greater generalizability of 

results. 

The first evaluation study, Assessing 

Client Factors Associated with 

Detectable HIV Viral Loads, will explore 

individuals’ specific facilitators and 

barriers to achieving and sustaining 

viral suppression. Early and effective 

treatment for HIV has been shown to 

greatly reduce associated morbidity and 

mortality, and prevents transmission of 

HIV. In spite of the known benefit of 

treatment, many individuals remain out 

of care or access care only 

intermittently; the CDC estimated that 

in 2013, approximately 45 percent of 

people living with HIV (PLWH) in the 

United States were not virally 

suppressed, indicating a significant gap 

in the percentage of PLWH who are 

being successfully engaged and retained 

in care. In spite of the increased 

attention on retention in care and the 

overarching goal of viral suppression, 

little data exist regarding the specific 

individual factors that are associated 

with sub-optimal viral suppression. 

Such information is valuable for 

targeting programs to reach populations 

that are currently not achieving HIV 

viral suppression. 

The second evaluation study, Models 

of Care and the Ryan White HIV/AIDS 

Program, seeks to answer the critical 

questions of what individual and 

system-wide factors, including the 

models of care employed among 

RWHAP provider sites, contribute to 

better health outcomes for PLWH. While 

advances in treatment have improved 

survival in patients with HIV, longer 

lives are associated with increased 

prevalence of adverse effects of HIV 

infection and therapeutic complications, 

concurrent with medical conditions 

related to aging processes that would 

occur in the absence of HIV. These longterm complications amplify chronic 

disease management as a major issue for 

the HIV population and a challenge for 

the delivery of effective health care. Yet 

little is known about how the method of 

health services delivery (the ‘‘model of 

care’’) contributes to better health 

outcomes, including HIV-related 

outcomes. For example, does it make a 

difference if a patient receives HIV care 

from a primary care provider, a 


asabaliauskas on DSKBBXCHB2PROD with NOTICES
52310 Federal Register / Vol. 82, No. 217 / Monday, November 13, 2017 / Notices 

specialist, or from a care team that 

includes both? Understanding the most 

effective models of care is important for 

HIV specialists, primary care 

physicians, and other clinicians who 

care for PLWH as they design and 

coordinate a full array of primary care 

and support services for their patients. 

These primary care and support services 

have a direct impact on HIV viral 

suppression, which in turn improves 

life expectancy and quality of life and 

prevents HIV transmission. 

The two studies inform each other in 

that the degree to which clients achieve 

and sustain viral suppression may be 

attributed partly to the model of care 

practiced at their clinic. Likewise, the 

degree to which its clients have 

achieved viral suppression may drive a 

clinic to practice a particular model of 

care. The two studies will collect 

several identical data elements through 

their individual collection instruments, 

allowing data to be aggregated across the 

two studies. The aggregation of data 

across the two studies will minimize 

burden for RWHAP provider sites 

collecting this data and will increase the 

sample size for data analysis thus 

resulting in more robust data and greater 

generalizability of results. 

A 60-day Federal Register Notice was 

published in the Federal Register on 

May 18, 2017 (Volume 82, page 22838) 

which solicited comments on this data 

collection. Four comments were 

received that focused on how facilities 

will be selected for participation and the 

importance of adequate nutrition for 

PLWH. 

Need and Proposed Use of the 

Information: The Assessing Client 

Factors Associated with Detectable HIV 

Viral Loads study will identify 

characteristics of RWHAP clients and 

health facilities that are associated with 

the ability to achieve and sustain an 

undetectable viral load as compared to 

the characteristics that are associated 

with sub-optimal viral suppression. 

This study will enable the development 

of better targeted services for improved 

viral suppression rates. The Models of 

Care and the Ryan White HIV/AIDS 

Program study will compare HIV and 

primary health outcomes across various 

models of care to determine which are 

most effective in responding to HIV to 

improve health outcomes for people 

living with HIV and to prevent HIV 

transmissions. The results from this 

study will enable improvements or 

redesigns of effective delivery of HIV 

care among Ryan White HIV/AIDS 

Program providers, which will in turn 

improve HIV clinical outcomes such as 

viral suppression. 

In both studies, an analysis of the 

perceptions of providers and clients will 

further support the understanding of the 

impact of individual and system-wide 

factors on achieving health outcomes. 

The two studies will share data to 

inform both studies’ objectives, allow 

for a larger sample size from which to 

generalize conclusions, and reduce the 

overall burden of response on RWHAP 

providers and clients. The objectives of 

both studies will be achieved through 

collection of the following data: 

• RWHAP client records 

abstraction—Medical chart and 

administrative records (e.g., service 

utilization and health outcomes data); 

• RWHAP provider interviews—Site 

staff interviewees (in person); 

• RWHAP client focus groups 

(Models of Care study sites only)— 

Clients at selected clinics that represent 

a given model of care; 

• RWHAP client surveys (HIV Viral 

Suppression study sites only)—Clients 

with detectable and undetectable viral 

load at each clinic; and 

• RWHAP client semi-structured 

interviews (HIV Viral Suppression study 

sites only)—Clients with detectable and 

undetectable viral load. 

These studies will build upon and 

complement HAB’s study focusing on 

RWHAP outcomes within the context of 

the changing health care landscape; and 

will use the RWHAP site survey and 

chart abstraction instruments that were 

submitted as part of that study. The data 

will be collected by a HRSA contractor. 

Likely Respondents: RWHAP 

Administrators, RWHAP Service 

Providers, and RWHAP Clients. 

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. Both 

research studies are included in the 

table, with burden proportional to the 

number of RWHAP provider sites from 

which each study will collect data: 25 

distinct facilities for Assessing Client 

Factors Associated with Detectable HIV 

Viral Loads and 50 distinct facilities for 

Models of Care and the Ryan White 

HIV/AIDS Program. The table below 

provides the level of burden inclusive of 

both studies. 

Total Estimated Annualized Burden— 

Hours. 

12A—ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total 

burden hours 

RWHAP Site Administrators 

(Private Sector).

Medical Records Sample 

Selection Guide *.

75 1 75 1 75 

RWHAP Service Providers 

(Private Sector).

Provider Interview Guide 

(HIV Viral Suppression).

125 1 125 2 250 

RWHAP Service Providers 

(Private Sector).

Provider Interview Guide 

(Models of Care).

250 1 250 2 500 

RWHAP Clients (Individual/ 

Household).

Focus Groups Guide .......... 240 1 240 1.5 360 

RWHAP Clients (Individual/ 

Household).

Client Survey ...................... 500 1 500 0.5 250 

RWHAP Clients (Individual/ 

Household).

Client Semi-Structured 

Interview.

150 1 150 0.5 75 


asabaliauskas on DSKBBXCHB2PROD with NOTICES
Federal Register / Vol. 82, No. 217 / Monday, November 13, 2017 / Notices 52311 

12A—ESTIMATED ANNUALIZED BURDEN HOURS—Continued 

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total 

burden hours 

Total ............................. ............................................. 1,340 ........................ 1,340 ........................ 1,510 

* The medical records sample selection instrument has been previously submitted as part of the RWHAP Outcomes Study proposed data collection project. 

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. 

Amy McNulty, 

Acting Director, Division of the Executive 

Secretariat. 

[FR Doc. 2017–24491 Filed 11–9–17; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

National Advisory Committee on Rural 

Health and Human Services; Notice of 

Correction 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services (HHS). 

ACTION: Notice; correction. 

SUMMARY: The Health Resources and 

Services Administration published a 

notice in the Federal Register, FR 2017– 

23562 (October 31, 2017), announcing 

the charter renewal of the National 

Advisory Committee on Rural Health 

and Human Services (NACRHHS). 

FOR FURTHER INFORMATION CONTACT: Paul 

Moore, Designated Federal Officer, 

NACRHHS, HRSA, 5600 Fishers Lane, 

Room 17W41C, Rockville, Maryland 

20857, telephone (301) 443–0835, fax 

(301) 443–2803 or by email at pmoore2@

hrsa.gov. 

Correction 

In the Federal Register, FR 2017– 

23562 (October 31, 2017), please make 

the following correction: 

In the Summary section, correct to 

read: The effective date of the renewed 

charter is October 29, 2017. 

Amy McNulty, 

Acting Director, Division of Executive 

Secretariat. 

[FR Doc. 2017–24490 Filed 11–9–17; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Submission to OMB for 

Review and Approval; Public Comment 

Request; Be The Match® Patient 

Services Survey, OMB No. 0906– 

0004—Revision 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995, 

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 December 13, 

2017. 

ADDRESSES: Submit your comments, 

including the ICR 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 Lisa 

Wright-Solomon, the HRSA Information 

Collection Clearance Officer at 

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

1984. 

SUPPLEMENTARY INFORMATION: 

Information Collection Request Title: 

Be The Match® Patient Services Survey. 

OMB No.: 0906–0004—Revision. 

Abstract: The National Marrow Donor 

Program®/Be The Match® is a HRSA 

contractor dedicated to helping patients 

and families get the support and 

information they need to learn about 

their disease and treatment options, 

prepare for a blood stem cell transplant, 

and thrive after a transplant procedure. 

The information and resources provided 

help individuals navigate the bone 

marrow or cord blood transplant 

process. Participant feedback is 

essential to understand the needs for 

transplant support services and 

educational information across a diverse 

population. This information is used to 

determine the helpfulness of existing 

services and resources. Feedback is also 

used to identify areas for improvement 

and develop future programs. 

Need and Proposed Use of the 

Information: Barriers to access to bone 

marrow or cord blood transplant related 

care and educational information are 

multi-factorial. Feedback from 

participants is essential to understand 

the changing needs for services and 

information as well as to demonstrate 

the effectiveness of existing services. 

The primary use for information 

gathered through the survey is to 

determine helpfulness of participants’ 

initial contact with Be The Match®

Patient Services Coordinators (PSC) and 

to identify areas for improvement in the 

delivery of services. In addition, 

stakeholders use this evaluation data to 

make program and resource allocation 

decisions. 

The survey includes the following 

items to measure: (1) Reason for 

contacting Be The Match®, (2) if the PSC 

was able to answer questions and easy 

to understand, (3) if the contact helped 

the participant to feel better prepared to 

discuss transplant with their care team, 

(4) increase in awareness of available 

resources, (5) timeliness of response, 

and (6) overall satisfaction. 

Proposed changes to the survey 

instrument include updated references 

to the survey title and staff titles. 

Changes to the questions include minor 

changes to question one, changes to the 

instructions for questions three and 

four, and minor rewording of question 


asabaliauskas on DSKBBXCHB2PROD with NOTICES