Ryan White HIV/AIDS Program Client-Level Data Reporting System

OMB 0906-0039

The Ryan White HIV/AIDS Program’s (RWHAP) client-level data reporting system, entitled the RWHAP Services Report or the Ryan White Services Report (RSR), is designed to collect information from grant recipients, as well as their subrecipients, funded under Parts A, B, C, and D of the RWHAP statute. The RWHAP, authorized under Title XXVI of the Public Health Service Act, as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009, is administered by the Health Resources and Services Administration (HRSA) HIV/AIDS Bureau (HAB). The HRSA RWHAP funds and coordinates with cities, states, and local clinics/community-based organizations to deliver efficient and effective HIV care, treatment, and support to low-income people living with HIV (PLWH).

The latest form for Ryan White HIV/AIDS Program Client-Level Data Reporting System expires 2021-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 3 Ryan White Services Client Report Form
Form 2 Ryan White Services Report Service Provider Report Form
Form 1 Ryan White Services Report Manual Form and Instruction
Tab C 60 Day Published.pdf Supplementary Document
Tab A - 2009 RWHAP Legislation.pdf Supplementary Document
Supporting Statement RSR.docx Supporting Statement A
09060039 Initiative Services Service Provider Report Mock Up.docx Justification for No Material/Nonsubstantive Change
09060039 Initiative Services Service Provider Report Mock Up.docx Justification for No Material/Nonsubstantive Change
FINALUSE RSR EHE Non Substantitive Changes Memo 0906-0039 OPAE TRCKD.docx Justification for No Material/Nonsubstantive Change
FINALUSE RSR EHE Non Substantitive Changes Memo 0906-0039 OPAE CLEAN.docx Justification for No Material/Nonsubstantive Change
Ryan White Services Client Report Form
Ryan White Services Report Service Provider Report Form
Ryan White Services Report Manual Form and Instruction

All Historical Document Collections

202111-0906-001 Approved without change	Extension without change of a currently approved collection	2021-11-16
201909-0906-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-09-25
201811-0906-001 Approved without change	New collection (Request for a new OMB Control Number)	2018-11-01

OMB Details

Ryan White Services Report Grantee Report

Federal Enterprise Architecture: Health - Health Care Services

Form 1

2018_RSR_Grantee_Report_Screenshots_Instrument.docx

Fillable Fileable

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.