Information Collection Request

Ryan White HIV/AIDS Program Allocation and Expenditure Forms

ICR 202302-0915-001 · OMB 0915-0318 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 5 EHE Allocations and Expenditures CLEAN.docx Form and Instruction Removed Available
Form 5 EHE Expenditures Report Form and Instruction Removed Repair queued
Form E-1 EHE Allocations Report Form Modified Available
Form E-1 EHE Allocations Report Form Modified Repair queued
Form B-5 CLC_Part B_With Synchronization Warning.png Form and Instruction Removed Available
Form B-5 CLC Form and Instruction for Part B Form and Instruction Removed Repair queued
Form D-2 Part D COVID-19 Expenditures Form Removed Available
Form D-2 Part D Expenditures Report.docx Form Removed Available
Form D-2 Part D Expenditures Report Form Removed Repair queued
Form C-2 Part C COVID-19 Expenditures Form Removed Available
Form C-2 Part C Expenditures Report.docx Form Removed Available
Form C-2 Part C Expenditures Report Form Removed Repair queued
Form B-4 TC Part B X08 Expenditures Report 4_9_2021_tracked changes.docx Form Removed Available
Form B-4 Part B X08 Expenditures Report 4_9_2021_clean.docx Form Removed Available
Form B-3 TC Part B X07 Expenditures Report 4_9_2021_tracked changes.docx Form Removed Available
Form B-3 Part B X07 Expenditures Report 4_9_2021_clean.docx Form Removed Available
Form B-3 Part B Expenditures Report Form Removed Repair queued
Form A-2 Part A COVID-19 Expenditures Form Removed Available
Form A-2 Part A Expenditures Report.docx Form Removed Available
Form A-2 Part A Expenditures Report Form Removed Repair queued
Form A-3 CLC_Part A.png Form and Instruction Removed Available
Form A-3 CLC Form and Instruction for Part A Form and Instruction Removed Repair queued
Form D-1 Part D Allocations Report Form Modified Available
Form D-1 Part D Allocations Report Form Modified Repair queued
Form C-1 Part C Allocations Report Form Modified Available
Form C-1 Part C Allocations Report Form Modified Repair queued
Form B-1 Part B Allocations Report Form Modified Available
Form B-1 Part B Allocations Report Form Modified Repair queued
Form A-1 Part A Allocations Report Form Modified Available
Form A-1 Part A Allocations Report Form Modified Repair queued
legislation-title-xxvi.pdf Supplementary Document Uploaded 2023-02-08 Repair queued
Allocations Supporting Statement Final 2.1.23_.docx Supporting Statement A Uploaded 2023-02-08 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
242547 EHE Expenditures Report Form and Instruction RemovedEHE Allocations and Expenditures CLEAN.docx
242547 EHE Expenditures Report Form and Instruction Removed
242545 EHE Allocations Report Form ModifiedEHE Allocations Report
242545 EHE Allocations Report Form Modified
242544 CLC Form and Instruction for Part B Form and Instruction RemovedCLC_Part B_With Synchronization Warning.png
242544 CLC Form and Instruction for Part B Form and Instruction Removed
242479 Part D Expenditures Report Form RemovedPart D COVID-19 Expenditures
242479 Part D Expenditures Report Form RemovedPart D Expenditures Report.docx
242479 Part D Expenditures Report Form Removed
242478 Part C Expenditures Report Form RemovedPart C COVID-19 Expenditures
242478 Part C Expenditures Report Form RemovedPart C Expenditures Report.docx
242478 Part C Expenditures Report Form Removed
242476 Part B Expenditures Report Form RemovedPart B X08 Expenditures Report 4_9_2021_tracked changes.docx
242476 Part B Expenditures Report Form RemovedPart B X08 Expenditures Report 4_9_2021_clean.docx
242476 Part B Expenditures Report Form RemovedPart B X07 Expenditures Report 4_9_2021_tracked changes.docx
242476 Part B Expenditures Report Form RemovedPart B X07 Expenditures Report 4_9_2021_clean.docx
242476 Part B Expenditures Report Form Removed
242475 Part A Expenditures Report Form RemovedPart A COVID-19 Expenditures
242475 Part A Expenditures Report Form RemovedPart A Expenditures Report.docx
242475 Part A Expenditures Report Form Removed
226211 CLC Form and Instruction for Part A Form and Instruction RemovedCLC_Part A.png
226211 CLC Form and Instruction for Part A Form and Instruction Removed
183276 Part D Allocations Report Form ModifiedPart D Allocations Report
183276 Part D Allocations Report Form Modified
183275 Part C Allocations Report Form ModifiedPart C Allocations Report
183275 Part C Allocations Report Form Modified
183273 Part B Allocations Report Form ModifiedPart B Allocations Report
183273 Part B Allocations Report Form Modified
183271 Part A Allocations Report Form ModifiedPart A Allocations Report
183271 Part A Allocations Report Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2026 36 Months From Approved 09/30/2023
615 0 1,336
2,568 0 5,348
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
CLC Form and Instruction for Part A A-3
CLC Form and Instruction for Part B B-5
EHE Allocations Report E-1
EHE Expenditures Report 5
Part A Allocations Report A-1
Part A Expenditures Report A-2, A-2 ,  
Part B Allocations Report B-1
Part B Expenditures Report B-4, B-4 TC, B-3, B-3 TC ,   ,   ,  
Part C Allocations Report C-1
Part C Expenditures Report C-2, C-2 ,  
Part D Allocations Report D-1
Part D Expenditures Report D-2, D-2 ,  

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 615 1,336 0 -721 0 0
Annual Time Burden (Hours) 2,568 5,348 0 -2,780 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No