Ryan White HIV/AIDS Program Dental Services Report.

Ryan White HIV/AIDS Program Part F Dental Services Report

OMB: 0915-0151

IC ID: 6384

Information Collection (IC) Details

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Ryan White HIV/AIDS Program Dental Services Report.
 
No Modified
 
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 DSR Proposed Changes Tab B - Dental Services Report Proposed Changes.pdf Yes Yes Fillable Fileable
Instruction Tab C - 2023 DSR Manual_02_ADA.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

68 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 68 0 0 0 0 68
Annual IC Time Burden (Hours) 1,810 0 -1,178 0 0 2,988
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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