Information Collection

Tree Testing of HRSA's Ryan White HIV/AIDS Program website

IC 264359 under ICR 202401-0915-004 · OMB 0915-0212.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RWHAP Tree Test Plan.docx	Other-Tree Test Plan
RWHAP Tree Test Plan.docx	Other-Tree Test Plan
1 Tree Test Script RWHAP Tree Test Script.docx	Form
1 Tree Test Script RWHAP Tree Test Script.docx	Form
0915 0212-memo-fast-track-hrsa-04-06-2023.docx Original Generic IC request	IC Document
0915 0212-memo-fast-track-hrsa-04-06-2023.docx Original Generic IC request	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Tree Test Plan			RWHAP Tree Test Plan.docx		Yes	Yes	Fillable Fileable
Form	1	Tree Test Script	RWHAP Tree Test Script.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Original Generic IC request	0915 0212-memo-fast-track-hrsa-04-06-2023.docx	01/09/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.