Ryan White HIV/AIDS Program Client-Level Data Reporting System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 3 2018 RSR Client Level Data Elements Instrument.docx	Form	Removed	Available
Form 3 Ryan White Services Client Report	Form	Removed	Repair queued
Form 2 2018_Service_Provider_Form_Screenshots	Form	Removed	Repair queued
Form 2 Ryan White Services Report Service Provider Report	Form	Removed	Repair queued
Form 1 2021_DRAFT RSR_Manual.pdf	Form and Instruction	Modified	Available
Form 1 Ryan White Services Report Manual	Form and Instruction	Modified	Repair queued
Tab C 60 Day Published.pdf	Supplementary Document	Uploaded 2021-11-16	Repair queued
Tab A - 2009 RWHAP Legislation.pdf	Supplementary Document	Uploaded 2021-11-16	Repair queued
Supporting Statement RSR.docx	Supporting Statement A	Uploaded 2021-11-16	Missing upstream
09060039 Initiative Services Service Provider Report Mock Up.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2019-09-24	Repair queued
09060039 Initiative Services Service Provider Report Mock Up.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2019-09-24	Repair queued
FINALUSE RSR EHE Non Substantitive Changes Memo 0906-0039 OPAE TRCKD.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2019-09-24	Repair queued
FINALUSE RSR EHE Non Substantitive Changes Memo 0906-0039 OPAE CLEAN.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2019-09-24	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
233867	Ryan White Services Client Report	Form	Removed	2018 RSR Client Level Data Elements Instrument.docx
233867	Ryan White Services Client Report	Form	Removed
233866	Ryan White Services Report Service Provider Report	Form	Removed	2018_Service_Provider_Form_Screenshots
233866	Ryan White Services Report Service Provider Report	Form	Removed
233865	Ryan White Services Report Manual	Form and Instruction	Modified	2021_DRAFT RSR_Manual.pdf
233865	Ryan White Services Report Manual	Form and Instruction	Modified

ICR Details

OMB Control No: 0906-0039	ICR Reference No: 202111-0906-001
Status: Historical Active	Previous ICR Reference No: 201909-0906-005
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Ryan White HIV/AIDS Program Client-Level Data Reporting System
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/30/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/16/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2024	36 Months From Approved	12/31/2021
Responses	4,190	0	4,161
Time Burden (Hours)	206,480	0	213,843
Cost Burden (Dollars)	0	0	0

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Abstract: The Ryan White HIV/AIDS Program’s (RWHAP) client-level data reporting system, entitled the RWHAP Services Report or the Ryan White Services Report (RSR), is designed to collect information from grant recipients, as well as their subrecipients, funded under Parts A, B, C, and D of the RWHAP statute. The RWHAP, authorized under Title XXVI of the Public Health Service Act, as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009, is administered by the Health Resources and Services Administration (HRSA) HIV/AIDS Bureau (HAB). The HRSA RWHAP funds and coordinates with cities, states, and local clinics/community-based organizations to deliver efficient and effective HIV care, treatment, and support to low-income people living with HIV (PLWH).

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Authorizing Statute(s): PL: Pub.L. 111 - 87 0 Name of Law: Ryan White HIV/AIDS Treatment Extension Act of 2009
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 44376	08/12/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 63404	11/16/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Ryan White Services Client Report	3	2018 RSR Client Level Data Elements Instrument.docx
Ryan White Services Report Manual	1	2021_DRAFT RSR_Manual.pdf
Ryan White Services Report Service Provider Report	2	2018_Service_Provider_Form_Screenshots

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,190	4,161	0	29	0	0
Annual Time Burden (Hours)	206,480	213,843	0	-7,363	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: An increase of 29 respondents resulted in an increase in burden. A decrease in burden hours per response was due to updated burden reports from respondents from the 2018 submission.

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Annual Cost to Federal Government: $1,700,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/16/2021

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