OMB control number
HRSA AIDS Education and Training Centers (AETCs) Evaluation Activities
OMB 0915-0281 · HHS/HSA.
OMB 0915-0281
Information collection is needed to evaluate AETC training sessions, consultations, and technical assistance activities. This information allows HRSA and HAB to provide information on the number and types of training activities provided to Ryan White HIV/AIDS Program Grantees as well as resource allocation and capacity expansion. Trainees complete the Participant Information Form (PIF) and trainers complete an Event Record (ER).
The latest form for HRSA AIDS Education and Training Centers (AETCs) Evaluation Activities expires 2022-06-30 and is listed under ICR 202006-0915-005.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form D Participant Information Form (PIF) | Form |
 Form C Event Record (ER) Form | Form |
| Participation Information Form_Final 5.4.2022.docx | Supplementary Document |
| E_AETC OMB Pilot Respondents.docx | Supplementary Document |
| B_Event Record Form_2021.pdf | Supplementary Document |
| C_Participation Information Form_2021.pdf | Supplementary Document |
 AETC Supporting Statement Extension.xml | Supporting Statement A |
| A_2009 RWHAP Legislation.pdf | Supplementary Document |
 Event Record |
Instruction |
| Participant Information Form |
Instruction |
| Participant Information Form (PIF) |
Form |
| Event Record (ER) Form |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202206-0915-001 | Revision of a currently approved collection | 2022-06-30 | Approved with change | |
| 202006-0915-005 | No material or nonsubstantive change to a currently approved collection | 2020-06-24 | Approved without change | |
| 201905-0915-001 | Revision of a currently approved collection | 2019-05-16 | Approved without change | |
| 201605-0915-002 | Revision of a currently approved collection | 2016-05-24 | Approved with change | |
| 201306-0915-005 | Revision of a currently approved collection | 2013-06-25 | Approved with change | |
| 201004-0915-002 | Revision of a currently approved collection | 2010-04-26 | Approved without change | |
| 200702-0915-002 | Revision of a currently approved collection | 2007-02-15 | Approved with change | |
| 200310-0915-001 | New collection (Request for a new OMB Control Number) | 2003-10-16 | Approved without change |
OMB Details
Event Record (ER) Form
Federal Enterprise Architecture: Health - Health Care Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form C | FINAL Event Record Form.docx Change memo version | Fillable Fileable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.