Ryan White Services Client Report

Ryan White HIV/AIDS Program Client-Level Data Reporting System

OMB: 0906-0039

IC ID: 233867

Information Collection (IC) Details

View Information Collection (IC)

Ryan White Services Client Report
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 3 2018 RSR Client Level Data Elements Instrument.docx D- 2018 RSR Client Level Data Elements Instrument.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,607 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,607 0 0 0 0 1,607
Annual IC Time Burden (Hours) 181,591 0 0 0 0 181,591
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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