HAB Client Level Reporting

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2 HAB Client-Level Provider Report	Form and Instruction	Modified	Available
Form 1 HAB Client-Level Grantee Report	Form and Instruction	Modified	Available
E - 2010_RSR_Instructions.doc	Supplementary Document	Uploaded 2011-01-19	Available
RSR_0915-0323_SupportingStatement_2010_revised_5 2 11.doc	Supporting Statement A	Uploaded 2011-05-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
187336	HAB Client Report With Data Systems	Instruction	Modified
187335	HAB Client Report Without Data Systems	Instruction	Modified
187334	HAB Client-Level Provider Report	Form and Instruction	Modified
187333	HAB Client-Level Data Collection System	Instruction	Removed
187332	HAB Client-Level Grantee Report	Form and Instruction	Modified

ICR Details

OMB Control No: 0915-0323	ICR Reference No: 201101-0915-002
Status: Historical Active	Previous ICR Reference No: 200811-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: HAB Client Level Reporting
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/25/2011
	Date Received in OIRA: 01/25/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2014	36 Months From Approved	05/31/2011
Responses	4,525	0	7,343
Time Burden (Hours)	17,975	0	88,190
Cost Burden (Dollars)	0	0	0

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Abstract: This is a request for the revision of the Client-Level Data Reporting System for the HIV/AIDS Bureau at the Health Resources and Services Administration that will be used to collect de-identified client-level data from grantees and service providers funded under the Ryan White HIV/AIDS Program.

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Authorizing Statute(s): PL: Pub.L. 111 - 87 2610-2623-2655-2671-2693 Name of Law: Ryan White HIV/AIDS Treatment Extension Act of 2009
   PL: Pub.L. 109 - 415 101-703 Name of Law: Ryan White HIV/AIDS Treatment Modernization Act of 2006
  

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:
	75 FR 57278	09/20/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 1183	01/07/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
HAB Client-Level Grantee Report	1	Grantee Report
HAB Client-Level Provider Report	2	Service Provider Report
HAB Client Report Without Data Systems
HAB Client Report With Data Systems
HAB Client-Level Data Collection System

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ICR Summary of Burden

table that charts list 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	4,525	7,343	0	-2,332	-486	0
Annual Time Burden (Hours)	17,975	88,190	0	-65,892	-4,323	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The annual burden for this information collection activity will decrease by 70,215 hours (from 88,190 hours to 17,975 hours). A decrease of 65,892 hours are due to program changes and a decrease of 3,473 hours are due to adjustments in the number of respondents participating. The following program changes contribute to the 65,892 hour burden decrease: 1) The reporting frequency for the Ryan White Services Report will be decreasing from bi-annually to annually, 2) The Client Level Data Collection System has been deleted from the list of ICs/Part 2 and 3)The reporting hours for some of the ICs have been slightly modified.

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Annual Cost to Federal Government: $787,955

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 01/25/2011

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