Information Collection Request

Ryan White HIV/AIDS Program Mpox Vaccine Distribution

ICR 202312-0906-001 · OMB 0906-0078 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 3 Wastage Upload Report Form New Available
Form 2 Therapeutic Courses (Administered and Available) Form New Available
Form 1 RWHAP MPx Vaccine Distribution Request Table Form New Available
Supporting Statement Mpox 11.28.23_Clean.docx Supporting Statement A Uploaded 2023-11-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
261185 Wastage Upload Report Form New
261184 Therapeutic Courses (Administered and Available) Form New
261183 RWHAP MPx Vaccine Distribution Request Table Form New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2026 36 Months From Approved
5,985 0 0
1,375 0 0
0 0 0





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 5,985 0 0 5,985 0 0
Annual Time Burden (Hours) 1,375 0 0 1,375 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No