Information Collection

2018 National Ryan White Conference on HIV Care & Treatment Evaluation

IC 233091 under ICR 201506-0915-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 2018 National Ryan White Conference on HIV Care & Treatment Evaluation	Form and Instruction
1 Ryan White 2018 Session Evaluation 9.18.2018 FINAL2.pdf Ryan White 2018 Session Evaluation 9.18.2018 FINAL2.pdf	Form and Instruction
2 Breakout Session Evaluation Questions_final.docx Breakout Session Evaluation Questions_final.docx	Form and Instruction
3 Plenary Session Evaluation Questions_final.docx Plenary Session Evaluation Questions_final.docx	Form and Instruction
4 Overall 2018 NRWC Evaluation_final.docx Overall 2018 NRWC Evaluation_final.docx	Form and Instruction
Supporting Statement NRWC 2018_final.docx Supporting Statment A	IC Document

IC Title:

2018 National Ryan White Conference on HIV Care & Treatment 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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Ryan White 2018 Session Evaluation 9.18.2018 FINAL2.pdf	Ryan White 2018 Session Evaluation 9.18.2018 FINAL2.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2	Breakout Session Evaluation Questions_final.docx	Breakout Session Evaluation Questions_final.docx	Yes	Yes	Fillable Fileable
Form and Instruction	3	Plenary Session Evaluation Questions_final.docx	Plenary Session Evaluation Questions_final.docx	Yes	Yes	Fillable Fileable
Form and Instruction	4	Overall 2018 NRWC Evaluation_final.docx	Overall 2018 NRWC Evaluation_final.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,125

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	18,761	18,761
Annual IC Time Burden (Hours)	526	526
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statment A	Supporting Statement NRWC 2018_final.docx	09/20/2018

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