Ryan White HIV/AIDS Program Part F Dental Services Report

ICR 201705-0915-003

OMB: 0915-0151

Federal Form Document

Forms and Documents
IC Document Collections
IC ID
Document
Title
Status
6384 Modified
ICR Details
0915-0151 201705-0915-003
Historical Active 201403-0915-006
HHS/HSA 21572
Ryan White HIV/AIDS Program Part F Dental Services Report
Extension without change of a currently approved collection   No
Regular
Approved without change 06/26/2017
Retrieve Notice of Action (NOA) 05/18/2017
  Inventory as of this Action Requested Previously Approved
06/30/2020 36 Months From Approved 06/30/2017
68 0 68
2,940 0 2,940
0 0 0

The Dental Reimbursement Program (DRP) and the Community-Based Dental Partnership Program (CBDPP) serve to expand the availability of oral health care to patients with HIV/AIDS through the training of dental professionals. The DRP reimburses dental education programs for uncompensated funds to provide oral health services. The CBDPP funds entities in their efforts to increase access to oral health care.

PL: Pub.L. 111 - 87 2 Name of Law: Ryan White HIV/AIDS Treatment Extension Act of 2009
  
None

Not associated with rulemaking

  82 FR 6581 01/19/2017
82 FR 22837 05/18/2017
No

1
IC Title Form No. Form Name
Ryan White HIV/AIDS Program Dental Services Report. B B - 2017 DSR Form.docx

  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 68 68 0 0 0 0
Annual Time Burden (Hours) 2,940 2,940 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$255,174
No
No
No
No
No
Uncollected
Elyana Bowman 301 443-3983 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/18/2017


© 2024 OMB.report | Privacy Policy