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Federal Register / Vol. 70, No.

93 / Monday, May 16, 2005 / Notices 25835

Republic of the Marshall Islands. compliance with CARE Act mandates. during the fiscal year; to identify
Funding is disbursed to these grantees This includes requirements that individual and cross cutting grantee
by HRSA based on a congressionally- grantees: (a) Obligate Title II funds technical assistance needs; and to detect
mandated formula. quickly, closely monitor their use, and emerging HIV/AIDS care services issues
The purpose of the Title II CGP is to ensure that they are used as the payer that may require changes in existing
assist States and Territories in of last resort (Information Supplement program policies or procedures.
developing and/or enhancing access to 1); (b) satisfy the Maintenance of Effort The Title II Application Information
a comprehensive continuum of high requirement and ensure that Title II Supplements will be transmitted by
quality, community based care for low- funds are used to supplement, and not
mail and electronically to all States and
income individuals and families living supplant, existing State expenditures for
Territories and made available through
with HIV. Grantees may allocate funds HIV-related care and treatment services
to five legislatively authorized program the HRSA Web site. Applicants will
(Information Supplement 2); (c) include
components: (1) HIV Care Consortia, to submit the Information Supplements
a determination of the size and
provide comprehensive outpatient electronically along with Form PHS–
demographics of the population of
health and support services, e.g., early 5161–1 (Revised 7/00), SF–424 and the
people living with HIV in the State/
intervention services, outpatient program narrative portion of their
Territory (Information Supplement 3);
medical care, case management, application, using the Grants
and (c) have prepared a comprehensive
substance abuse treatment, mental Management electronic transmission
plan describing the organization and
health services, transportation; (2) delivery of HIV health care and support mechanisms established by HRSA. The
Home- and Community-Based Care; (3) services to be funded under Title II that Information Supplements will include
Health-Insurance Continuation, is based on: the size and demographics check box responses; fields for reporting
including risk pools; (4) Provision of of the population of individuals with numeric fiscal and epidemiological
Treatments for HIV disease or to prevent HIV and the needs of the population; data; and text boxes for describing other
the serious deterioration of health the availability of other non- required information. The Information
arising from HIV disease; and (5) State governmental and governmental Supplements will automatically
Direct Services, which are HIV/AIDS resources (including Medicaid and generate totals when appropriate, and
outpatient health or support service SCHIP); any capacity development have other automated fields to minimize
provided through State delivery needs resulting from disparities in the the time required to insert identifying
mechanisms determined by the grantee availability of HIV-related services in information.
to be more effective than providing the historically underserved communities The Information Supplements will
service(s) through consortia. and rural communities, and the require Title II applicants/grantees to
The Title II Grant Application efficiency of the administrative report local epidemiological information
Information Supplements have been mechanism of the State for rapidly and some fiscal and programmatic data
designed to collect information from allocating funds to areas of greatest need collected from Title II funded
States and Territories in a consistent, within the State/Territory (Information contractors (sub-grantees), which
standard way when they apply for a Supplement 4). grantees have been collecting and
grant. This information is needed to In addition, HRSA will use the reporting since FY 1995 or earlier. The
determine that funds are being used as collected information as a benchmark approximate response burden for
intended by the Congress and in for monitoring grantee performance applicants/grantees is estimated as:

Estimated Total number Hours per Estimated total


Estimated number of grantee respondents responses per of responses response hour burden
grantee

59 ..................................................................................................................... 1 59 8 472

Send comments to Susan G. Queen, DEPARTMENT OF HEALTH AND Reduction Act of 1995. To request more
PhD, HRSA Reports Clearance Officer, HUMAN SERVICES information on the proposed grant
Room 10–33, Parklawn Building, 5600 information collection activity or to
Fishers Lane, Rockville, MD 20857. Health Resources and Services obtain a copy of the data collection plan
Written comments should be received Administration and draft instruments, call the HRSA
within 60 day of this notice. Reports Clearance Officer at (301) 443–
Agency Information Collection 1129.
Dated: May 10, 2005. Activities: Proposed Collection; Comments are invited on: (a) Whether
Tina M. Cheatham, Comment Request the proposed collection of information
Director, Division of Policy Review and is necessary for proper performance of
Coordination. In compliance with the requirement grantee functions including whether the
[FR Doc. 05–9676 Filed 5–13–05; 8:45 am] for the opportunity for public comment information will have practical utility;
BILLING CODE 4165–15–P on proposed data collection projects (b) the accuracy of the burden estimate
(section 3506(c)(2)(A) of Title 44, United of the proposed collection of
States Code, as amended by the information; (c) ways to enhance the
Paperwork Reduction Act of 1995 (Pub. quality, utility and clarity of the
L. 104–13)), the Health Resources and information to be collected; and (d)
Services Administration (HRSA) ways to minimize the information
publishes periodic summaries of collection burden on respondents,
proposed projects being developed for including the use of automated
submission to the Office of Management collection methods or other types of
and Budget (OMB) under the Paperwork information technology.

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25836 Federal Register / Vol. 70, No. 93 / Monday, May 16, 2005 / Notices

Proposed Project: Ryan White whom the services are intended; requirements, (Information
Comprehensive AIDS Resources coordination of HIV care services Supplements 3 and 6); and (d) a
Emergency (CARE) Act Title I Grant delivery with HIV prevention programs comprehensive plan for the delivery of
Application Information Supplements: and programs for the prevention and HIV/AIDS care services that is
NEW treatment of substance abuse; responsive to the local epidemic and
The CARE Act (codified under Title availability of other governmental and unmet needs, (Information Supplements
XXVI of the Public Health Service Act) nongovernmental resources; and 7 and 8).
was first enacted by Congress in 1990, capacity development needs resulting In addition, HRSA will use the
and reauthorized in 1996 and 2000. It from disparities in the availability of collected information as a benchmark
addresses the unmet health needs of treatment and services in underserved for monitoring grantee performance
persons living with HIV disease by communities. Other planning council during the fiscal year; to identify
funding primary health care and duties include developing a individual and cross-cutting grantee
support services that enhance access to comprehensive plan for the delivery of technical assistance needs; and to detect
and retention in care. The CARE Act services and evaluating the effectiveness emerging HIV/AIDS care services issues
funded services reach over 571,000 of administrative mechanisms used by that may require changes in existing
individuals; after Medicaid and the grantee to disburse (contract) the program policies or procedures.
Medicare, it is the largest single source funds locally.
The Title I Grant Application The Title I Application Information
of Federal funding for HIV/AIDS care Supplements will be transmitted by
for low-income, uninsured, and Information Supplements have been
designed to collect information from mail and electronically to all Title I
underinsured Americans. Title I under EMAs and made available through the
the CARE Act provides emergency EMAs in a consistent, standard way
when they apply for new or competing HRSA Web site. Applicants will submit
assistance to eligible metropolitan areas the Information Supplements
(EMAs) that have been most severely continuation grant funds in a combined
formula and supplemental grant electronically along with Form PHS–
affected by the HIV epidemic, for the 5161–1 (Revised 7/00), SF–424 and the
purpose of developing or enhancing a application. This information is needed
to determine that funds are being used program narrative portion of their
continuum of high quality, community-
as intended by the Congress and in application, using the Grants
based care for low-income individuals
compliance with CARE Act mandates, Management electronic transmission
and families. HRSA disburses
and that supplemental funds are mechanisms established by HRSA. The
approximately one-half of the Title I
awarded to grantees on the basis of Information Supplements will include
funds among 51 EMAs based on a
objective criteria consistent with CARE check box responses; fields for reporting
congressionally-mandated formula. The
Act requirements. This includes numeric fiscal and epidemiological
remaining funds are available on a
requirements that grantees demonstrate: data; and text boxes for describing other
competitive basis to those same EMAs
(a) Severity of need for emergency required information. The Information
that demonstrate severe need for
assistance to combat the HIV epidemic, Supplements will automatically
supplemental assistance to combat the
HIV epidemic, and an ability to disburse including the unmet needs of persons generate totals when appropriate, and
and use supplemental resources in a who know their HIV status but are not have other automated fields to minimize
manner that is immediately responsive yet in care, (Information Supplements 1, the time required to insert identifying
to the local epidemic and cost effective. 4 and 5); (b) a functioning planning information.
The CARE Act requires local planning council that is in conformance with The Information Supplements will
councils to establish Title I priorities statutory membership requirements and require Title I applicants/grantees to
and allocate funds, taking into account carrying out mandated duties and report local epidemiological information
critical factors. These include the: size responsibilities, (Information and some fiscal and programmatic data
and demographics of the local HIV Supplement 2); (c) an ability to use Title collected from Title I funded contractors
epidemic; demonstrated (or probable) I grant resources in a manner that is (sub-grantees), which grantees have
cost effectiveness and outcome immediately responsive to the local been collecting and reporting since FY
effectiveness of proposed strategies and epidemic and cost effective, and in 1995 or earlier. The approximate
interventions; priorities of the compliance with payer of last resort, response burden for applicants/grantees
communities with HIV disease for maintenance of effort and related is estimated as:

Estimated
Estimated number of Total number Hours per Estimated total
responses per
grantee respondents of responses response hour burden
grantee

51 ..................................................................................................................... 1 51 16 816

Send comments to Susan G. Queen, Dated: May 10, 2005. DEPARTMENT OF HEALTH AND
PhD, HRSA Reports Clearance Officer, Tina M. Cheatham, HUMAN SERVICES
Room 10–33, Parklawn Building, 5600 Director, Division of Policy Review and
Fishers Lane, Rockville, MD 20857. Coordination. Health Resources and Services
Written comments should be received [FR Doc. 05–9677 Filed 5–13–05; 8:45 am] Administration
within 60 day of this notice. BILLING CODE 4165–15–P
Advisory Commission on Childhood
Vaccines; Notice of Meeting

In accordance with section 10(a)(2) of


the Federal Advisory Committee Act

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