Funding Allocation Report (THRIVE Awardees only)

Form Approved

OMB No. 0920-1178

Exp. Date XX/XX/XXXX

Attachment 7 FUNDING ALLOCATIONS REPORT

Public reporting burden of this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-1178)

In this part, the list below includes aggregate data variables on allocation of funds to design and implement program activities and to reach priority population groups. These data are reported to CDC only once a year by all PS15-1509 funded health departments.

		Stratified?
FA01	Amount of funds allocated to provide services for persons at risk for HIV	No
FA02	Amount of funds allocated to provide HIV testing services/program	No
FA03	Amount of funds allocated to provide PrEP services/program	No
FA04	Amount of funds allocated to provide nPEP services/program	No
FA05	Amount of funds allocated to provide services for persons living with HIV	No
FA06	Amount of funds allocated to conduct data-to-care program	No
FA07	Amount of funds allocated to provide navigation/linkage to needed services	No
FA08	Amount of funds allocated for HIV/STD partner services	No
FA09	Amount of funds allocated to provide behavioral risk reduction counseling/interventions	No
FA10	Amount of funds allocated to provide behavioral health services	No
FA11	Amount of funds allocated to provide social services	No
FA12	Amount of funds allocated for program planning	No
FA13	Amount of funds allocated for program monitoring and evaluation	No
FA14	Amount of funds allocated for capacity building	No
FA15	Amount of funds allocated for general operations and administrative activities	No
FA16	Amount of funds allocated for CBO activities (contracts with CBOs)	No
FA17	Amount of funds allocated for other collaborative activities	No
FA18	Amount of funds allocated to reach various population groups*	Yes

* Note: Overall allocation will be stratified by race/ethnicity, current gender, and HIV transmission risk groups.