HRSA AIDS Drug Assistance Quarterly Report

ICR 201102-0915-002

OMB: 0915-0294

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2011-01-31
Supporting Statement A
2011-01-31
IC Document Collections
IC ID
Document
Title
Status
6549 Modified
ICR Details
0915-0294 201102-0915-002
Historical Active 200801-0915-003
HHS/HSA
HRSA AIDS Drug Assistance Quarterly Report
Extension without change of a currently approved collection   No
Regular
Approved without change 03/24/2011
Retrieve Notice of Action (NOA) 02/03/2011
  Inventory as of this Action Requested Previously Approved
03/31/2014 36 Months From Approved 03/31/2011
228 0 228
428 0 428
0 0 0

The HRSA AIDS Drug Assistance Program provides medications for the treatment of HIV disease to States and Territories. As part of the funding requirement, ADAP grantees submit quarterly reports that provide information on how grant funds are expended and on utilization of services.

PL: Pub.L. 109 - 415 202 Name of Law: AIDS Drug Assistance Program
   US Code: 42 USC 300ff Name of Law: AIDS Drug Assistance Program
   PL: Pub.L. 111 - 87 1 Name of Law: Ryan White HIV/AIDS Treatment Extension Act of 2009
  
None

Not associated with rulemaking

  75 FR 57277 09/20/2010
76 FR 4361 01/25/2011
No

1
IC Title Form No. Form Name
HRSA AIDS Drug Assistance Quarterly Report 1 ADAP Quarterly Report

  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 228 228 0 0 0 0
Annual Time Burden (Hours) 428 428 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$502,365
No
No
No
No
No
Uncollected
Amanda Cash 301 443-0208 amanda.cash@hrsa.hhs.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.
02/03/2011


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