AIDS Drug Assistance Program Quarterly Report

HRSA AIDS Drug Assistance Quarterly Report

OMB: 0915-0294

IC ID: 6549

Information Collection (IC) Details

View Information Collection (IC)

AIDS Drug Assistance Program Quarterly Report
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 ADAP Quarterly Report B - AQR Form.doc Yes Yes Fillable Fileable

Health Public Health Monitoring

 

57 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 57 0 -171 0 0 228
Annual IC Time Burden (Hours) 969 0 0 541 0 428
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
C - AQR Instructions 2014 C - AQR Instructions 2014.docx 02/20/2014
D - AQR Screenshots 2014 D - AQR Screenshots 2014.docx 03/26/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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