Ryan White Comprehensive AIDS Resources Emergency Act of 1990, Amended 1996 - Title IV

ICR 200010-0915-003

OMB: 0915-0206

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
0915-0206 200010-0915-003
Historical Active 199808-0915-002
HHS/HSA
Ryan White Comprehensive AIDS Resources Emergency Act of 1990, Amended 1996 - Title IV
Revision of a currently approved collection   No
Regular
Approved without change 12/29/2000
Retrieve Notice of Action (NOA) 10/25/2000
  Inventory as of this Action Requested Previously Approved
12/31/2003 12/31/2003 12/31/2000
178 0 133
9,714 0 7,260
403,000 0 490,000

Ryan White Title IV grantees and their contract service providers report annual data on services and clients served. These data are used in the administration of the Title IV program.

None
None


No

1
IC Title Form No. Form Name
Ryan White Comprehensive AIDS Resources Emergency Act of 1990, Amended 1996 - Title IV

  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 178 133 0 45 0 0
Annual Time Burden (Hours) 9,714 7,260 0 2,454 0 0
Annual Cost Burden (Dollars) 403,000 490,000 0 -87,000 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.
10/25/2000


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