They Ryan White CARE Act Client Demonstration Project Reporting System

ICR 200005-0915-002

OMB: 0915-0245

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0915-0245 200005-0915-002
Historical Active
HHS/HSA
They Ryan White CARE Act Client Demonstration Project Reporting System
Existing collection in use without an OMB Control Number   No
Regular
Approved without change 07/10/2000
Retrieve Notice of Action (NOA) 05/11/2000
Approval is granted in concept for the information collection entitled, "The Ryan White CARE Act Client Demonstration Project Reporting System" through July 2003 once the agency addresses the following issues: 1. The agency must submit copies of the guidance manuals on additional measures to be used to protect respondent confidentiality. 2.The agency must answer the questions in Part B of the Justification Statement. In particular, the agency must assure that the respondent population is described, the methods used to collect the information are clearly stated, the estimation methods are discussed to address non-response, and sufficient methods are used to ensure that the response rate will be 80% or higher. 3. The agency must consult with the Substance Abuse and Mental Health Services Agency within the Department of Health and Human Services, and provide OMB with the results of this consulation in writing. OMB requests that the agency address these issues in a written response no later than 2 weeks before the anticipated data collection. OMB reserves the right to ask for amendments and/or deletions based on the results of the agency's response.
  Inventory as of this Action Requested Previously Approved
07/31/2003 07/31/2003
52,298 0 0
26,149 0 0
0 0 0

The Client Demonstration Project will collect information from several Title I and Title II grantees and their subcontracted service providers about their individual clients. The CDP supports efforts by HRSA, state and local grantees, and providers to assess health outcomes and the service utilization patterns of individuals at these sites who are infected or affected by HIV/AIDS and receive care at a provider funded by the Ryan White CARE Act.

None
None


No

1
IC Title Form No. Form Name
They Ryan White CARE Act Client Demonstration Project Reporting System

  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 52,298 0 0 52,298 0 0
Annual Time Burden (Hours) 26,149 0 0 26,149 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/11/2000


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