# Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request
**AGENCY:**
Health Resources and Services Administration, HHS.
**ACTION:**
Notice.
**SUMMARY:**
In compliance with Section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the Health Resources and Services Administration (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 within 30 days of this notice.
**ADDRESSES:**
Submit your comments, including the Information Collection Request Title, to the desk officer for HRSA, either by email to *[email protected]* 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 the HRSA Information Collection Clearance Officer at *[email protected]* or call (301) 443-1984.
**SUPPLEMENTARY INFORMATION:**
*Information Collection Request Title:* Ryan White HIV/AIDS Program Core Medical Services Waiver Application Requirements.
*OMB No.:* 0915-0307—Revision.
*Abstract:* Title XXVI of the Public Health Service (PHS) Act, as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009 (Ryan White HIV/AIDS Program), Part A section 2604(c), Part B section 2612(b), and Part C section 2651(c), requires that grantees expend 75 percent of Parts A, B, and C funds on core medical services, including antiretroviral drugs for individuals with HIV/AIDS, identified and eligible under the legislation. In order for grantees under Parts A, B, and C to be exempted from the 75 percent core medical services requirement, they must request and receive a waiver from HRSA, as required in the Act.
On October 25, 2013, HRSA published revised standards for core medical services waiver requests in the *Federal Register* (78 FR 63990). These revised standards will allow grantees more flexibility to adjust resource allocation based on the current situation in their local environment. These standards ensure that grantees receiving waivers demonstrate the availability of core medical services, including antiretroviral drugs, for persons with HIV/AIDS served under Title XXVI of the PHS Act. The core medical services waiver uniform standard and waiver request process will apply to Ryan White HIV/AIDS Program Grant Awards under Parts A, B, and C of Title XXVI of the PHS Act. Core medical services waivers will be effective for a 1-year period that is consistent with the grant award period. Grantees may submit a waiver request before the annual grant application, with the application, or up to 4 months after the grant award has been made.
*Need and Proposed Use of the Information:* HRSA uses the documentation submitted in core medical services waiver requests to determine if the applicant/grantee meets the statutory requirements for waiver eligibility including: (1) No waiting lists for AIDS Drug Assistance Program (ADAP) services; and (2) evidence of core medical services availability within the grantee's jurisdiction, state, or service area to all individuals with HIV/AIDS identified and eligible under Title XXVI of the PHS Act. See sections 2604(c)(2), 2612(b)(2), and 2651(c)(2) of the PHS Act.
*Likely Respondents:* Ryan White HIV/AIDS Program Part A, B, and C grantees.
*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.
| Form name | Number of | Number of | Total | Average | Total burden hours |
| --- | --- | --- | --- | --- | --- |
| Core Medical Services Waiver Request | 20 | 1 | 20 | 5.5 | 110 |
| Total | 20 | 1 | 20 | 5.5 | 110 |
Dated: January 22, 2014.
Jackie Painter,
Deputy Director, Division of Policy and Information Coordination.