OMB control number

COVID-19 Data Report

OMB 0906-0053 · HHS/HRSA.

OMB 0906-0053

HRSA HIV/AIDS Bureau (HAB) has requested approval to create a new monthly, aggregate data report to collect information on activities to prevent or minimize the impact of COVID-19 on Ryan White HIV/AIDS Program (RWHAP) clients and organizations. Respondents are providers who use FY 2020 Coronavirus Aid, Relief, and Economic Security (CARES) Act funding to provide RWHAP core medical or support services to eligible clients and immediate household members. This information is needed to comply with federal requirements to monitor funds distributed under the CARES Act.

The latest form for COVID-19 Data Report expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 _HRSA RWHAP COVID-19 Data Report Form
Attachment B - 2020_CDR_Instruction_Manual_08_03_20_508.pdf Supplementary Document
Attachment A - 60 Day FRN.pdf Supplementary Document
Supporting Statement B.docx Supporting Statement B
Supporting Statement A.docx Supporting Statement A
_HRSA RWHAP COVID-19 Data Report Form

All Historical Document Collections

202011-0906-001	Extension without change of a currently approved collection	2020-11-17
202005-0906-002 Approved with change	New collection (Request for a new OMB Control Number)	2020-05-28