OMB control number
Ryan White HIV/AIDS Program Expenditure Forms
OMB 0915-0390 · HHS/HSA.
HRSA administers the Ryan White HIV/AIDS Program (RWHAP) authorized under Title XXVI of the Public Health Service Act. The RWHAP Allocations and Expenditures Reports (A&E Reports) allow HRSA to monitor and track the use of grant funds for compliance with program and grants policies, and requirements as outlined in the legislation. Recipients funded under RWHAP Parts A, B, C, and D are required to report financial data to HRSA at the beginning (Allocations Report) and at the end (Expenditures Report) of their grant budget period. The A&E Reports request information recipients already collect, including the use of RWHAP grant funds for core medical and support services; and on various program components, such as administration, planning and evaluation, and clinical quality management. RWHAP Parts A and B recipients funded under the Ending the HIV Epidemic in the U.S. (EHE) initiative are also required to report allocations and expenditures of the grant budget period in the EHE A&E Reports. This allows HRSA to track and report progress toward meeting the EHE goals. The reports are similar in content; however, in the first report, recipients document the allocation of their RWHAP or EHE grant award at the beginning of their grant budget period. In the second report, recipients document actual expenditures of their RWHAP or EHE grant award (including any carryover dollars) at the end of their grant budget period. This package only includes the Expenditures Report. The Allocations Report revision package was approved by OMB under 0915-0318
The latest form for Ryan White HIV/AIDS Program Expenditure Forms expires 2026-07-31 and can be found here.
Document Name |
|---|
Form and Instruction |
Form |
Form |
Form |
Form |
Form |
Public Comments |
Public Comments |
Supporting Statement A |
Supplementary Document |
| Revision of a currently approved collection | 2026-04-30 | ||
|
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2023-08-01 | |
|
Approved with change |
New collection (Request for a new OMB Control Number) | 2023-05-31 |
Part A Expenditures Report
Federal Enterprise Architecture: Health - Health Care Services
| Form 1 | Part A Expenditures Report and Changes Summary | Fillable Fileable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.