OMB control number
COVID-19 Data Report
OMB 0906-0053 ยท 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 is listed under ICR 202005-0906-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 1 Coronavirus 2019 (COVID-19) Data Report Form.docx | Form |
| 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 |
| _HRSA RWHAP COVID-19 Data Report |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202011-0906-001 | Extension without change of a currently approved collection | 2020-11-17 | ||
| 202005-0906-002 | New collection (Request for a new OMB Control Number) | 2020-05-28 | Approved with change |