Part B Expenditures Report

Ryan White HIV/AIDS Program Allocation and Expenditure Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0318 can be found here:

Documents and Forms

Document Name Document Type
Form B-3 Part B Expenditures Report Form
B-3 Part B X07 Expenditures Report 4_9_2021_clean.docx Part B X07 Expenditures Report 4_9_2021_clean.docx Form
B-3 Part B X07 Expenditures Report 4_9_2021_clean.docx Part B X07 Expenditures Report 4_9_2021_clean.docx Form
B-3 TC Part B X07 Expenditures Report 4_9_2021_tracked changes. Part B X07 Expenditures Report 4_9_2021_tracked changes.docx Form
B-3 TC Part B X07 Expenditures Report 4_9_2021_tracked changes. Part B X07 Expenditures Report 4_9_2021_tracked changes.docx Form
B-4 Part B X08 Expenditures Report 4_9_2021_clean.docx Part B X08 Expenditures Report 4_9_2021_clean.docx Form
B-4 Part B X08 Expenditures Report 4_9_2021_clean.docx Part B X08 Expenditures Report 4_9_2021_clean.docx Form
B-4 TC Part B X08 Expenditures Report 4_9_2021_tracked changes. Part B X08 Expenditures Report 4_9_2021_tracked changes.docx Form
B-4 TC Part B X08 Expenditures Report 4_9_2021_tracked changes. Part B X08 Expenditures Report 4_9_2021_tracked changes.docx Form

Information Collection (IC) Details

IC Title:	Part B Expenditures Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	B-3	Part B X07 Expenditures Report 4_9_2021_clean.docx	Part B X07 Expenditures Report 4_9_2021_clean.docx	Yes	Yes	Fillable Fileable
Form	B-3 TC	Part B X07 Expenditures Report 4_9_2021_tracked changes.docx	Part B X07 Expenditures Report 4_9_2021_tracked changes.docx	Yes	Yes	Fillable Fileable
Form	B-4	Part B X08 Expenditures Report 4_9_2021_clean.docx	Part B X08 Expenditures Report 4_9_2021_clean.docx	Yes	Yes	Fillable Fileable
Form	B-4 TC	Part B X08 Expenditures Report 4_9_2021_tracked changes.docx	Part B X08 Expenditures Report 4_9_2021_tracked changes.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-54	54
Annual IC Time Burden (Hours)	-324	324
Annual IC Cost Burden (Dollars)	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.