Part D Allocation and Expenditure forms

Ryan White HIV/AIDS Program Allocation and Expenditure Forms

OMB: 0915-0318

IC ID: 183276

Information Collection (IC) Details

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Part D Allocation and Expenditure forms
 
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 D1 Part D Allocations Report 27FEB2017 Final.xlsx Part D Allocations Report 27FEB2017 Final.xlsx Yes Yes Fillable Fileable
Form D2 Part D Expenditures Report 27FEB2017 Final.xlsx Part D Expenditures Report 27FEB2017 Final.xlsx Yes Yes Fillable Fileable

Health Health Care Services

 

116 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 232 0 0 0 0 232
Annual IC Time Burden (Hours) 464 0 0 0 0 464
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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