View Information Collection Request (ICR) Package
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Brief and OIRA conclusion
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IC List
Burden
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Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0915-0323
ICR Reference No:
200811-0915-001
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HHS/HSA
Agency Tracking No:
Title:
HAB Client Level Reporting
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 with change
Conclusion Date:
03/26/2009
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/28/2008
Terms of Clearance:
This ICR is approved for 2 years, consistent with HRSA memo of 3/13/09. During this time, HRSA will assess the quality of the information provided through the new data system and identify any technical assistance needed. For purposes of quality control, some respondents will be required to submit information to HRSA twice; however, HRSA agrees that this will be only for a finite period and primarily to assess the reliability of the data submissions. Upon resubmission, HRSA should describe in the supporting statement the revisions it has made--if any--as a result of the initial 24 month implementation of the new data system. HRSA should also discontinue the ICR the current reporting requirements are covered under. HRSA agrees that the the data from this system will not be used for PART purposes until CY 2012 (i.e. data from CY 2011 will be reported in CY 2012). Prior to implementation, HRSA further agrees to revise the instructions to eliminate references to "de-identified data," as the data being collected does not constitute "de-identified data" under the HIPAA privacy rule. The instructions and guidance should clarify that while identifiable health information is being disclosed to HRSA, this is authorized under the privacy rule for public health purposes. Further, HRSA agrees to clarify that although the clientÂ’s date of birth and gender make up the unique client ID, this information is encrypted with SHA-1 before it is sent to HRSA. As such, HRSA will never actually see the date of birth and gender information that make up the unique client identifier.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2011
36 Months From Approved
Responses
7,343
0
0
Time Burden (Hours)
88,190
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
This is a new request for approval for the Client-Level Data Reporting System for the HIV/AIDS Bureau at the Health Resources and Services Administration that will be used to collect de-identified client-level data from grantees and service providers funded under the Ryan White HIV/AIDS Program.
Authorizing Statute(s):
PL:
Pub.L. 109 - 415 101-703
Name of Law: Ryan White HIV/AIDS Treatment Modernization Act of 2006
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
73 FR 39018
07/08/2008
30-day Notice:
Federal Register Citation:
Citation Date:
73 FR 67527
11/14/2008
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
HAB Client Report With Data Systems
HAB Client Report Without Data Systems
HAB Client-Level Data Collection System
HAB Client-Level Grantee Report
1-HAB-CL
1-HAB-CL
HAB Client-Level Provider Report
2-HAB_CL
2-HAB_CL
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
7,343
0
0
7,343
0
0
Annual Time Burden (Hours)
88,190
0
0
88,190
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:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This is a change in burden because it is a new activity.
Annual Cost to Federal Government:
$796,339
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
Agency Contact:
Susan Queen 3014431129
Common Form ICR:
No
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:
11/28/2008
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