NOA RW Outcomes

NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

08/15/2017

Department of Health and Human Services
Health Resources and Services Administration
FOR CERTIFYING OFFICIAL:

Beth Killoran

FOR CLEARANCE OFFICER:

Darius Taylor

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
03/28/2017
ACTION REQUESTED:

New collection (Request for a new OMB Control Number)

TYPE OF REVIEW REQUESTED:

Regular

ICR REFERENCE NUMBER:

201703-0906-001

AGENCY ICR TRACKING NUMBER:
TITLE:

Ryan White HIV/AIDS Program Outcomes and Expanded Insurance Coverage

LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved with change
OMB CONTROL NUMBER:

0906-0030

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 08/31/2020

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

0

0

0

440

418

0

0

0

0

440

418

0

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Previous
New
Difference
Change due to New Statute
Change due to Agency Discretion

TERMS OF CLEARANCE:

Approved consistent with the understanding that the scope of the study is limited to only those
clients receiving services and sites receiving funding through the Ryan White HIV/AIDS
Program. Outcomes from this study are not generalizable to broader populations of patients
with or providers serving those with HIV/AIDS. Any publications, reports, or presentations
describing the outcomes of this study will clearly communicate the study methodology and
limitations affecting interpretation of conclusions..

OMB Authorizing Official:

Dominic J. Mancini
Deputy and Acting Administrator,
Office Of Information And Regulatory Affairs

List of ICs
IC Title
Ryan White HIV/AIDS
3, 4, 2, 1
Program Outcomes and
Expanded Insurance Coverage
Guides

Form No.

Form Name
Site interviews (site
administrators) , Site Survey,
Focus Groups, Medical
chart/record abstraction
sample selection guide

CFR Citation