Part B Allocation and Expenditure forms

Ryan White HIV/AIDS Program Allocation and Expenditure Forms

OMB: 0915-0318

IC ID: 183273

Information Collection (IC) Details

View Information Collection (IC)

Part B 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 1 Part B Allocations Suppl Allocations Report_combined 13Mar2017_ Part B Allocations Suppl Allocations Report_combined 13Mar2017_modified 7242017.xlsx Yes Yes Fillable Fileable
Form 2 Part B Expenditures Report Suppl Expenditures_combined updated Part B Expenditures Report Suppl Expenditures_combined updated4132017_modified 7242017.xlsx Yes Yes Fillable Fileable
Instruction Part B Allocations Report - instructions.docx Yes Yes Fillable Fileable
Form B3 CLC CLC.pdf Yes Yes Fillable Fileable
Instruction CLC - instructions.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

54 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 162 0 0 0 0 162
Annual IC Time Burden (Hours) 324 0 0 0 0 324
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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