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Federal Register / Vol. 86, No. 147 / Wednesday, August 4, 2021 / Notices request clearance: 1 Health Center COVID19 Data Collection Survey Tool, 2 Addendum to COVID19 Data Collection Survey Tool, and 3 the Health Center COVID19 Vaccine Program Readiness Assessment Tool.
This revised information collection request also includes two newly added forms: 1 Primary Care Association PCA COVID19 Data Collection Survey Tool 1 and 2 the Health Center COVID19 Vaccine Program Conditions of Participation Agreement.
A 60-day notice published in the Federal Register on April 23, 2021, vol.
86, No. 77; pp. 2175657. There were no public comments.
Need and Proposed Use of the Information: HRSA uses the data collected to optimize COVID19 testing and vaccination; track health center capacity and the impact of COVID19
on operations, patients, and staff; and better understand training and technical assistance, funding, and other health center resource needs. The data allow HRSA to assess health center capacity prior to program enrollment, supporting successful vaccine allocation strategies, while providing HRSA with information on the effectiveness of vaccine distribution through this program. In addition, the data inform HRSA in resource allocation and technical assistance to health centers.

The readiness assessment supports HRSAs analysis of health center ability to successfully participate in the Health Center COVID19 Vaccine Program.
These data are critical to determine health center capacity to implement the vaccination program as well as comply with program requirements. These data are used to assess program readiness including:
Ability to safely store the vaccine Availability of trained and credentialed staff and other staff capacity Reporting capacity Sufficient PPE
Plan for vaccine transport The health center weekly survey and addendum support HRSAs ability to monitor progress towards the development and delivery of COVID19
prevention, preparedness, and/or response activities; and ensure appropriate vaccine administration as well as better understand training and technical assistance, funding, and other health center resource needs.
The Conditions of Participation Agreement governs all COVID19
vaccination activities at all health center sites that receive COVID19 vaccine through the HRSA Health Center COVID19 Vaccine Program. Health Centers that sign the agreement agree to
adhere to each of the stated requirements.
The PCA weekly survey increases information sharing between health centers, PCAs, and HRSA in order to better support COVID19 emergency response efforts inclusive of testing and vaccination activities. Data collected from the survey tool is used to track and monitor issues/challenges to program implementation and assess the need for the delivery/dissemination of targeted training and technical assistance.
Likely Respondents: HRSA-supported health centers, look-alikes, and PCAs.
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.

lotter on DSK11XQN23PROD with NOTICES1

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS
Number of responses to form per respondent
Total responses
Average burden per response in hours
Total burden hours
Form name
Number of respondents
Condition of Participation Agreement one-time completion for vaccine program participants only.
Readiness Assessment Tool onetime completion for vaccine program participants only.
Health Center COVID19 Data Collection Survey Tool weekly completion of existing 20 questions.
Addendum to COVID19 Data Collection Survey Tool weekly completion for vaccine program participants only.
PCA COVID19 Data Collection Survey Tool bi-weekly completion of existing six questions.

1,467 Total health centers, including look-alikes, in 2019.

1

1,467

.25

366.75

1,467 Total health centers, including look-alikes, in 2019.

1

1,467

.50

733.50

1,389 Total health centers in 2019

48

66,672

1.00

66,672.00

1,389 Total health centers in 2019

48

66,672

.50

33,336.00

52

6

312

.75

234.00

Total

5,764

136,590

101,342.25

HRSA specifically requests comments on 1 the necessity and utility of the proposed information collection for the proper performance of the agencys
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
1 The bi-weekly COVID19 PCA Survey Tool comprised of six questions is currently approved under the HHS Secretarys Public Health
Emergency Authority to waive the requirements of the Paperwork Reduction Act during the Public
Health Emergency for reporting on a voluntary basis.

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