Information Collection

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

IC 46219 under ICR 201003-0915-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
OMB Attachment A Part A MAIscreenshots_FINAL_012810.doc Other-MAI Screen Shots
OMB Attachment A Part A MAIscreenshots_FINAL_012810.doc MAI Report screen shots IC Document
OMB Attachment B Part A MAI Reporting Instructions_Jan 2010.doc MAI Report 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: Modified

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
Other-MAI Screen Shots			OMB Attachment A Part A MAIscreenshots_FINAL_012810.doc		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	112	10	102
Annual IC Time Burden (Hours)	560	-52	612
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
MAI Report screen shots	OMB Attachment A Part A MAIscreenshots_FINAL_012810.doc	03/11/2010
MAI Report Instructions	OMB Attachment B Part A MAI Reporting Instructions_Jan 2010.doc	03/11/2010

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