Part A Allocation and Expenditures Forms

Ryan White HIV/AIDS Program Allocation and Expenditure Forms

OMB: 0915-0318

IC ID: 183271

Information Collection (IC) Details

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Part A Allocation and Expenditures Forms
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Part A Allocations Report 30MAR2017 Final_modification Part A Allocations Report 30MAR2017 Final_modification sent 7242017.xlsx Yes Yes Fillable Fileable
Form 2 Part A Expenditures Report 30MAR2017 Final Part A Expenditures Report 30MAR2017 Final_modified 7242017.xlsx Yes Yes Fillable Fileable
Instruction Part A Allocations Report - instructions.docx Yes Yes Fillable Fileable

Health Health Care Services

 

52 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 104 0 0 0 0 104
Annual IC Time Burden (Hours) 312 0 0 0 0 312
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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