Ryan White HIV/AIDS Program Data Report Form (formerly CADR System)

Forms and Documents

Document Name	Status
Form 1 Ryan White HIV/AIDS Program Data Report Form Form	Modified
12-10FINALClient-Level Data Update.doc Supplementary Document	2007-12-10
FINAL 2005 - 08 Crosswalk for OMB.doc Supplementary Document	2007-12-10
FINAL 2008 Ryan White Data Report Instructions for OMB.doc Supplementary Document	2007-12-10
FINALRDR Data ReportSupportStatementfinal.doc Supporting Statement A	2007-12-10

IC Document Collections

IC ID	Document Title	Status
6504	Ryan White HIV/AIDS Program Data Report Form Form	Modified

ICR Details

OMB Control No: 0915-0253	ICR Reference No: 200712-0915-002
Status: Historical Active	Previous ICR Reference No: 200409-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Ryan White HIV/AIDS Program Data Report Form (formerly CADR System)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/08/2008
	Date Received in OIRA: 12/13/2007
Terms of Clearance: Per 12-10-07 memo, HRSA shall continue to pursue client-level data collection, with the aim of beginning such data collection for January 2009.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2011	36 Months From Approved	02/29/2008
Responses	2,897	0	3,367
Time Burden (Hours)	94,242	0	107,636
Cost Burden (Dollars)	0	0	0

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Abstract: This is a revision request to continue using the Ryan White HIV/AIDS Program Data Report for the collection of service and client data. The Data Report was initially created in 1999 by HRSA's HIV/AIDS Bureau and the information that is collected is used to assess the status of existing HIV-related service delivery systems.

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Authorizing Statute(s): PL: Pub.L. 109 - 415 2601 Name of Law: Ryan White HIV/AIIDS Treatment Modernization Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 45821	08/15/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 70601	12/12/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Ryan White HIV/AIDS Program Data Report Form	1	Ryan White HIV/AIDS Program Data Report

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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	2,897	3,367	0	0	-470	0
Annual Time Burden (Hours)	94,242	107,636	0	0	-13,394	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:

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Annual Cost to Federal Government: $414,140

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 12/13/2007

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