HRSA AIDS Drug Assistance Quarterly Report

ICR 200801-0915-003

OMB: 0915-0294

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2008-01-07
Supporting Statement A
2007-12-20
IC Document Collections
IC ID
Document
Title
Status
6549 Modified
ICR Details
0915-0294 200801-0915-003
Historical Active 200409-0915-003
HHS/HSA
HRSA AIDS Drug Assistance Quarterly Report
Extension without change of a currently approved collection   No
Regular
Approved without change 02/21/2008
Retrieve Notice of Action (NOA) 01/09/2008
  Inventory as of this Action Requested Previously Approved
02/28/2011 36 Months From Approved 02/29/2008
228 0 228
428 0 428
0 0 0

The HRSA AIDS Drug Assistance Program provides medications for the treatment of HIV disease to States and Territories. As part of the funding requirement, ADAP grantees submit quarterly reports that provide information on how grant funds are expended and on utilization of services.

PL: Pub.L. 109 - 415 202 Name of Law: AIDS Drug Assistance Program
   US Code: 42 USC 300ff Name of Law: AIDS Drug Assistance Program
  
None

Not associated with rulemaking

  72 FR 56773 10/04/2007
72 FR 74317 12/31/2007
Yes

1
IC Title Form No. Form Name
HRSA AIDS Drug Assistance Quarterly Report 1 1

  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 228 228 0 0 0 0
Annual Time Burden (Hours) 428 428 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$548,844
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Susan Queen 3014431129

  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.
01/09/2008


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