Information Collection

2016 National Ryan White Conference on HIV Care and Treatment Conference Evaluation

IC 222522 under ICR 201502-0915-002 · OMB 0915-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 2016 National Ryan White Conference on HIV Care and Treatment Conference Evaluation	Form and Instruction
Example modified session evaluation 2016-07-06.pdf	Other-Example
1 Overall 2016 RW Conference Meeting Evaluation Overall 2016 RW Conference Meeting Evaluation_OAA_clean_UPDATED.docx	Form and Instruction
Supporting Statement NRWC 2016.docx Supporting Statement	IC Document

IC Title:

2016 National Ryan White Conference on HIV Care and Treatment Conference Evaluation

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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
Form and Instruction	1	Overall 2016 RW Conference Meeting Evaluation	Overall 2016 RW Conference Meeting Evaluation_OAA_clean_UPDATED.docx		Yes	Yes	Fillable Fileable
Other-Example			Example modified session evaluation 2016-07-06.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,069

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,069	2,069
Annual IC Time Burden (Hours)	1,490	1,490
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	Supporting Statement NRWC 2016.docx	07/18/2016

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