HIV Quality Measures Performance Measure Module (HIVQM Module)

OMB 0906-0022

Information collected will be used to continually monitor and evaluate HIV Performance Measures for Ryan White HIV/AIDS Program recipients. The aggregate data collected will also be critical to ensuring that HRSA can continue to respond to requests from the Secretary of the DHHS, Congress and other stakeholders. Recipients entering data will be health facilities who provide HIV care services to HIV-infected patients.

The latest form for HIV Quality Measures Performance Measure Module (HIVQM Module) expires 2022-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 HIV Quality Measures Performance Measure Module (HIVQM Module) Form
Final HIVQM Supporting Statement.docx Supporting Statement A
HIV Quality Measures Performance Measure Module (HIVQM Module) Form

All Historical Document Collections

202209-0906-001 Approved with change	Revision of a currently approved collection	2022-09-29
201909-0906-002 Approved with change	Revision of a currently approved collection	2019-09-09
201606-0906-002 Approved with change	New collection (Request for a new OMB Control Number)	2016-06-24