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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.