MAI Progress Report

Monitoring Data Collection Tools for the Minority AIDS Initiative (MAI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0357 can be found here:

Documents and Forms

Document Name Document Type
Form MAI Progress Repor MAI Progress Report Form and Instruction
MAI Progress Repor MAI Progress Report 2021 MAI Progress Report 2021_CLEAN.docx Form and Instruction
MAI Progress Repor MAI Progress Report 2021 MAI Progress Report 2021_CLEAN.docx Form and Instruction

Information Collection (IC) Details

IC Title:	MAI Progress Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	MAI Progress Report 2021	MAI Progress Report 2021	MAI Progress Report 2021_CLEAN.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 197	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	788	168	620
Annual IC Time Burden (Hours)	3,152	672	2,480
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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