OMB control number
HIV/AIDS Bureau Core Medical Services Waiver
OMB 0915-0307 · HHS/HSA.
OMB 0915-0307
HRSA uses the documentation submitted in core medical services waiver requests to determine if the applicant/grant recipient meets the statutory requirements for waiver eligibility including: (1) No waiting lists for AIDS Drug Assistance Program (ADAP) services; and (2) evidence of core medical services availability within the grant recipient’s jurisdiction, state, or service area to all people with HIV identified and eligible under Title XXVI of the PHS Act.
The latest form for HIV/AIDS Bureau Core Medical Services Waiver expires 2022-11-30 and is listed under ICR 201910-0915-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Legislation -Parts A-B-C- RWTreatment Extension Act 2009 - CoreMedServices Waiver Applications.docx | Supplementary Document |
| Supporting Statement - CoreMedServices Waiver Applications.docx | Supporting Statement A |
 HIV/AIDS Bureau Core Medical Services Waiver |
Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201910-0915-002 | Extension without change of a currently approved collection | 2019-10-15 | Approved without change | |
| 201702-0915-001 | Extension without change of a currently approved collection | 2017-02-02 | Approved without change | |
| 201401-0915-001 | Revision of a currently approved collection | 2014-01-30 | Approved without change | |
| 201102-0915-004 | Extension without change of a currently approved collection | 2011-02-23 | Approved without change | |
| 200801-0915-004 | Extension without change of a currently approved collection | 2008-01-22 | Approved without change | |
| 200707-0915-001 | New collection (Request for a new OMB Control Number) | 2007-07-02 | Approved without change |