OMB control number
Experiences with 1115 Medicaid Waivers relative to the Ryan White HIV/AIDS Program and Its Clients and Providers
OMB 0915-0365 · HHS/HSA.
OMB 0915-0365
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 3 RW Part B and ADAP | Form and Instruction |
| Form 4 RW Clinical Providers | Form and Instruction |
| Form 2 RW Part A Administrators and Members of Planning Councils | Form and Instruction |
| Form 1 State medicaid Agency Groups | Form and Instruction |
 Attachment A.pdf | Supplementary Document |
| G_IRB Expemption Letter JSI.pdf | Supplementary Document |
| Supporting Statement.docx | Supporting Statement A |
 Discussion Guides |
Form and Instruction |
| Discussion Guides |
Form and Instruction |
| Discussion Guides |
Form and Instruction |
| Discussion Guides |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201307-0915-002 | New collection (Request for a new OMB Control Number) | 2013-07-11 | Approved with change |