Information Collection

Ryan White CARE Act Title I Minority AIDS Initiative Report: Title I Report

IC 46219 under ICR 200611-0915-003 · OMB 0915-0304.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0304 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Ryan White CARE Act Title I Minority AIDS Initiative Report: Title I Report	Form
1 Title 1 mai workbood 10-06.xls	Form
mai instructions.doc MAI instructions	IC Document

IC Title:

Ryan White CARE Act Title I Minority AIDS Initiative Report: Title I Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Title 1	mai workbood 10-06.xls		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 51

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	102	102
Annual IC Time Burden (Hours)	612	612
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
MAI instructions	mai instructions.doc	10/24/2006

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.