Information Collection Request

AIDS Drug Assistance Program (ADAP) Data Report

ICR 201408-0915-002 · OMB 0915-0345 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2 ADAP Grantee Report Form and Instruction Modified Available
ADAP List for Volunteers for Burden Estimates.docx Supplementary Document Uploaded 2014-08-26 Available
Legislation - 2009 RWHAP.pdf Supplementary Document Uploaded 2014-08-26 Available
Supporting Statement A.docx Supporting Statement A Uploaded 2014-10-07 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
199935 Data Collection System Other-ADAP Data Collection System Explanation Removed
199934 ADAP Client Report Instruction Modified
199933 ADAP Grantee Report Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2017 36 Months From Approved 12/31/2014
108 0 285
4,698 0 52,405
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Data Collection System
ADAP Client Report
ADAP Grantee Report 2 ADR Grantee Report

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 108 285 0 -177 0 0
Annual Time Burden (Hours) 4,698 52,405 0 -47,707 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No