OMB control number
AIDS Drug Assistance Program (ADAP) Data Report
OMB 0915-0345 · HHS/HSA.
OMB 0915-0345
RWHAP ADAP is a state and territory-administered program that provides Food and Drug Administration-approved medications to low-income people with HIV who have limited or no health coverage from private insurance, Medicaid, or Medicare. RWHAP ADAP funds may also be used to purchase health care coverage for eligible clients and for services that enhance access, adherence, and monitoring of drug treatments. RWHAP Part B reporting requirements include the annual submission of an ADAP Data Report (ADR), including a Recipient Report and a Client Report. The Recipient Report is a collection of basic information about grant recipient characteristics and policies including program administration, purchasing mechanisms, funding, and expenditures. The Client Report is a collection of client-level records (one record for each client enrolled in the RWHAP ADAP), which includes the client’s encrypted unique identifier, basic demographic data, enrollment information, services received, and clinical data.
The latest form for AIDS Drug Assistance Program (ADAP) Data Report expires 2029-05-31 and is listed under ICR 202604-0915-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
| Form and Instruction | |
| Supplementary Document | |
| Supporting Statement A | |
| Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202604-0915-001 | Extension without change of a currently approved collection | 2026-04-14 | ||
| 202512-0915-004 | No material or nonsubstantive change to a currently approved collection | 2025-12-30 | Approved without change | |
| 202301-0915-004 | Revision of a currently approved collection | 2023-02-01 | Approved without change | |
| 202004-0915-002 | Revision of a currently approved collection | 2020-04-08 | Approved with change | |
| 201708-0915-001 | Extension without change of a currently approved collection | 2017-08-09 | Approved without change | |
| 201408-0915-002 | Revision of a currently approved collection | 2014-08-28 | Approved with change | |
| 201110-0915-004 | New collection (Request for a new OMB Control Number) | 2011-10-27 | Approved without change |