OMB control number
HRSA HAB Client-Level Data Reporting System
OMB 0915-0323 · HHS/HSA.
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 is listed under ICR 201804-0915-005.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 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All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201804-0915-005 | No material or nonsubstantive change to a currently approved collection | 2018-04-25 | Approved with change | |
| 201706-0915-002 | Revision of a currently approved collection | 2017-06-07 | Approved with change | |
| 201403-0915-001 | Revision of a currently approved collection | 2014-04-10 | Approved with change | |
| 201101-0915-002 | Revision of a currently approved collection | 2011-01-25 | Approved with change | |
| 200811-0915-001 | New collection (Request for a new OMB Control Number) | 2008-11-28 | Approved with change |
OMB Details
HRSA Client-Level Data Reporting System: Grantee Report
Federal Enterprise Architecture: Health - Health Care Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| 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.