OMB control number

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

OMB 0906-0039 · HHS/HRSA.

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 2027-09-30 and is listed under ICR 202506-0906-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 3 Client Level Data on File	Form and Instruction
Form 2 Provider Report	Form and Instruction
Form 2 Provider Report	Form and Instruction
Form 1 Recipient Report	Form and Instruction
Form 1 Recipient Report	Form and Instruction
HRSA HAB RSR Non-Substantive Change Memo _ OMB 0906 0039_ 06132025_v2.0_Draft_Final.docx	Justification for No Material/Nonsubstantive Change
HRSA HAB RSR Non-Substantive Change Memo _ OMB 0906 0039_ 06132025_v2.0_Draft_Final.docx	Justification for No Material/Nonsubstantive Change
Tab A - 2009 RWHAP Legislation.pdf	Supplementary Document
Tab A - 2009 RWHAP Legislation.pdf	Supplementary Document
Supporting Statement A - RSR 2024 Final 07012024.docx	Supporting Statement A
Supporting Statement A - RSR 2024 Final 07012024.docx	Supporting Statement A
Client Report	Form and Instruction
Client Report	Other-Redline
Provider Report	Form and Instruction
Provider Report	Form and Instruction
Recipient Report	Form and Instruction
Recipient Report	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202506-0906-004	No material or nonsubstantive change to a currently approved collection	2025-07-02	Approved without change
202407-0906-003	Revision of a currently approved collection	2024-07-16	Approved without change
202111-0906-001	Extension without change of a currently approved collection	2021-11-16	Approved without change
201909-0906-005	No material or nonsubstantive change to a currently approved collection	2019-09-25	Approved without change
201811-0906-001	New collection (Request for a new OMB Control Number)	2018-11-01	Approved without change

OMB Details

Recipient Report

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
Form	Name	Electronic access	Type
Form 1	Recipient Report	Fillable Fileable	Form and instruction

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