Ryan White HIV/AIDS Program Allocation Forms

Forms and Documents

Document Name	Status
Form E-1 EHE Allocations Report Form	Unchanged
Form D-1 Part D Allocations Report Form	Unchanged
Form C-1 Part C Allocations Report Form	Unchanged
Form B-1 Part B Allocations Report Form	Modified
Form A-1 Part A Allocations Report Form	Unchanged
Non Substantive Change Request_0915 0318_FINAL.docx Justification for No Material/Nonsubstantive Change	2023-08-01
legislation-title-xxvi.pdf Supplementary Document	2023-02-08
Allocations Supporting Statement Final 2.1.23_.docx Supporting Statement A	2023-02-08

IC Document Collections

IC ID	Document Title	Status
242545	EHE Allocations Report Form	Unchanged
183276	Part D Allocations Report Form	Unchanged
183275	Part C Allocations Report Form	Unchanged
183273	Part B Allocations Report Form	Modified
183271	Part A Allocations Report Form	Unchanged

ICR Details

OMB Control No: 0915-0318	ICR Reference No: 202308-0915-001
Status: Received in OIRA	Previous ICR Reference No: 202302-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No: 21434
Title: Ryan White HIV/AIDS Program Allocation Forms
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/01/2023

	Requested	Previously Approved
Expiration Date	04/30/2026	04/30/2026
Responses	615	615
Time Burden (Hours)	2,568	2,568
Cost Burden (Dollars)	0	0

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Abstract: HRSA’s HIV/AIDS Bureau (HAB) 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 HAB to monitor and track the use of grant funds for compliance with program and grants policies, and requirements as outlined in the legislation. To avoid duplication and reduce recipient reporting burden, HRSA HAB created an electronic grantee contract management system (GCMS) that includes data required for various reports, including the Allocations Reports and other HRSA HAB data reports, such as the RWHAP Services Report (RSR). Recipients can access GCMS year-round to upload or manually enter data on their service provider contractors or subrecipients, the RWHAP core medical and support services provided, and their funding amounts. Data required for Allocations Reports and other reports are automatically prepopulated from GCMS. This package only includes the Allocations Report. The Expenditure Report will be sent for OMB approval in a separate Information Collection Request package.

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Authorizing Statute(s): PL: Pub.L. 111 - 87 0 Name of Law: Ryan White HIV/AIDS Treatment Extension Act of 2009
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 71339	11/22/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 8295	02/08/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
EHE Allocations Report	E-1	EHE Allocations Report
Part A Allocations Report	A-1	Part A Allocations Report
Part B Allocations Report	B-1, B-2	Part B Allocations Report ,   Part B X08 Allocations Report
Part C Allocations Report	C-1	Part C Allocations Report
Part D Allocations Report	D-1	Part D Allocations Report

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	615	615	0	0	0	0
Annual Time Burden (Hours)	2,568	2,568	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $125,219

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/01/2023

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