View Information Collection Request (ICR) Package
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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:
0915-0318
ICR Reference No:
201102-0915-003
Status:
Historical Active
Previous ICR Reference No:
200801-0915-001
Agency/Subagency:
HHS/HSA
Agency Tracking No:
Title:
Ryan White HIV/AIDS Program Allocation and Expenditure Forms
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
03/21/2011
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/03/2011
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2014
36 Months From Approved
04/30/2011
Responses
1,362
0
1,362
Time Burden (Hours)
9,546
0
9,546
Cost Burden (Dollars)
0
0
0
Abstract:
The Ryan White HIV/AIDS Treatment Modernization Act of 2006 requires grantees receiving funds under Parts A, B, and C to spend at least 75 percent of their grant funds on core medical services. Prior to the new law, no core set of medical services had been specified in the statute. The Allocation and Expenditure forms collect information necessary tn monitor grant funds and ensure compliance with the Act.
Authorizing Statute(s):
PL:
Pub.L. 109 - 415 1
Name of Law: Ryan White HIV/AIDS Treatment Modernization Act of 2006
US Code:
42 USC 2601
Name of Law: Public Health Service Act
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:
75 FR 66379
10/28/2010
30-day Notice:
Federal Register Citation:
Citation Date:
75 FR 82032
12/29/2010
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
MAI Report for Part B
4b, 4a
Part B Expenditures Report
,
Part B Allocations Report
MAI report for Part A
2, 3
Part A Allocations Report and Checklist
,
Part A Expenditures Report and Checklist
Part A Allocation and Expenditures Forms
Part A Expenditures Report and Checklist, 1
Part A Expenditures Report and Checklist
,
Part A Allocations Report and Checklist
Part B Allocation and Expenditure forms
2a, 2b
Part B Allocations Report
,
Part B Expenditures Report
Part C Allocation and Expenditure forms
5a, 5b
Part C Allocations Report and Checklist
,
Part C Expenditures Report and Checklist
Part D Allocation and Expenditure forms
6b, 6a
Part D Expenditures Report
,
Part D Allocations Report
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
1,362
1,362
0
0
0
0
Annual Time Burden (Hours)
9,546
9,546
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$8,146
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]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Gerta Bardhoshi 301 443-1129 GBardhoshi@hrsa.gov
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:
02/03/2011
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