HRSA HAB Client-Level Data Reporting System

OMB 0915-0323

The Ryan White HIV/AIDS Program’s client-level data reporting system was created in 2009 by HRSA. It is designed to collect information from grantees and their subcontracted service providers. The Ryan White HIV/AIDS Program provides funded entities with a flexibility to respond effectively to the changing HIV epidemic, with an emphasis on providing life-saving and life-extending services for people living with HIV across this country.

The latest form for HRSA HAB Client-Level Data Reporting System expires 2020-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form D HRSA Client-Level Data Reporting System: Client Report Form
Form C HRSA Client-Level Data Reporting System: Service Provider Report Form
Form B HRSA Client-Level Data Reporting System: Grantee Report Form
C - 2017_Service_Provider_Form_Screenshots_4242018_updated_final.docx Justification for No Material/Nonsubstantive Change
Non Substantitive Change 0323 RSR_Opioid Questions_final.docx Justification for No Material/Nonsubstantive Change
FINALRSR SupportingStatement_with edits_5-31-2017_OMB (003).docx Supporting Statement A
F - 0915-0323 60-Day FRN RSR pub 3272017.pdf Supplementary Document
E - 2016 RSR Manual 508.pdf Supplementary Document
HRSA Client-Level Data Reporting System: Client Report Form
HRSA Client-Level Data Reporting System: Service Provider Report Form
HRSA Client-Level Data Reporting System: Grantee Report Form

All Historical Document Collections

201804-0915-005 Approved with change	No material or nonsubstantive change to a currently approved collection	2018-04-25
201706-0915-002 Approved with change	Revision of a currently approved collection	2017-06-07
201403-0915-001 Approved with change	Revision of a currently approved collection	2014-04-10
201101-0915-002 Approved with change	Revision of a currently approved collection	2011-01-25
200811-0915-001 Approved with change	New collection (Request for a new OMB Control Number)	2008-11-28

OMB Details

HRSA Client-Level Data Reporting System: Grantee Report

Federal Enterprise Architecture: Health - Health Care Services

Form B

B - 2017_RSR_Grantee_Report_Screenshots.docx

Fillable Fileable

Form

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