HIV/AIDS Bureau Core Medical Services Waiver

HIV/AIDS Bureau Core Medical Services Waiver

OMB: 0915-0307

IC ID: 181012

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

HIV/AIDS Bureau Core Medical Services Waiver
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 1 Waiver definitions.doc Yes Yes Printable Only

Health Health Care Services

 

20 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 20 0 0 0 0 20
Annual IC Time Burden (Hours) 130 0 0 0 0 130
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
waiver legislation hiv waiver law.doc 06/29/2007
waiver letters waiver letters 2007.pdf 06/29/2007
waiver memo 2007 waiver memo 2007.pdf 06/29/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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