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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.