Information Collection Request Ryan White HIV/AIDS Program (RWHAP) Parts A and B Unobligated Balances and Rebate Addendum Tables.

ICR 201911-0906-001

OMB: 0906-0047

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Supplementary Document
2019-11-19
Supplementary Document
2019-11-19
Supporting Statement A
2019-11-19
IC Document Collections
IC ID
Document
Title
Status
238609 New
ICR Details
0906-0047 201911-0906-001
Active
HHS/HRSA
Information Collection Request Title: Ryan White HIV/AIDS Program (RWHAP) Parts A and B Unobligated Balances and Rebate Addendum Tables.
Existing collection in use without an OMB Control Number   No
Regular
Approved without change 12/23/2019
Retrieve Notice of Action (NOA) 11/20/2019
Approved consistent with the understanding that HHS/HRSA will consider ways to integrate and harmonize data collection activities associated with the Ryan White HIV/AIDS Program.
  Inventory as of this Action Requested Previously Approved
12/31/2022 36 Months From Approved
111 0 0
56 0 0
0 0 0

HRSA’s Ryan White HIV/AIDS Program (RWHAP) funds and coordinates with cities, states and territories, and local clinics/community-based organizations to deliver efficient and effective HIV care, treatment, and support to low-income people diagnosed with HIV. Nearly two-thirds of RWHAP clients (patients) live at or below 100 percent of the Federal poverty level and approximately three-quarters of RWHAP clients are racial and ethnic minorities. Since 1990, the RWHAP has developed a comprehensive system of HIV service providers who deliver high quality direct health care and support services to over half a million people diagnosed with HIV—more than 50 percent of all people diagnosed with HIV in the United States. Grant recipients funded under Parts A, B, C, and D of the RWHAP (codified under Title XXVI of the Public Health Service Act) are required to report financial data to HRSA at the beginning (Allocations Report) and at the end of each grant budget period (Expenditures Report) using the HRSA Electronic Handbooks (EHBs). HRSA RWHAP’s Parts A and B collect unobligated balances (UOB) of federal funds and rebate addendum information by subprogram from their grant recipients. Parts A and B use the UOB and rebate addendum financial information to determine formula funding as directed by the Ryan White HIV/AIDS Program statute. These data were collected when grant recipients submitted their annual Federal Financial Report (FFR SF-425) in hard copy only, and were submitted to the individual OPDIVs. HRSA HAB combined the FFR SF-425 with the UOB and rebate addendum tables using a suggested format through the HRSA EHBs. This financial information is collected in the same location to streamline the process for the grant recipients. The UOB and rebate addendum data tables will be collected in the HRSA EHBs below the FFR SF-425 control number and the Paperwork Burden Statement.

PL: Pub.L. 111 - 87 XXVI, RWHAP Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  84 FR 34903 07/19/2019
84 FR 63663 11/18/2019
No

1
IC Title Form No. Form Name
RWHAP UOB Tables Summary 1 RWHAP UOB Tables Summary 02-22-2019.pdf

  Total Approved 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 111 0 0 111 0 0
Annual Time Burden (Hours) 56 0 0 56 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR, so the burden increase is from zero (0).

$60,000
No
    No
    No
No
No
No
Uncollected
Elyana Bowman 301 443-3983 enadjem@hrsa.gov

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/20/2019


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