AIDS Drug Assistance Program (ADAP) Data Report

ICR 201708-0915-001

OMB: 0915-0345

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2017-08-08
Supporting Statement A
2017-08-08
IC Document Collections
ICR Details
0915-0345 201708-0915-001
Historical Active 201408-0915-002
HHS/HSA
AIDS Drug Assistance Program (ADAP) Data Report
Extension without change of a currently approved collection   No
Regular
Approved without change 10/02/2017
Retrieve Notice of Action (NOA) 08/09/2017
  Inventory as of this Action Requested Previously Approved
10/31/2020 36 Months From Approved 10/31/2017
54 0 108
4,698 0 4,698
0 0 0

ADAP grantees are required to annually submit the ADR that include information on patients served, pharmaceuticals dispensed, pricing, sources of support to provide HIV/AIDs medications, eligibility requirements, cost data, and coordination with Medicaid. The report represents the best method for HRSA to determine how grant funds are expended and to provide answers to requests from Congress and other organizations.

PL: Pub.L. 111 - 87 2 Name of Law: Ryan White HIV/AIDS Treatment Extension Act of 2009
  
None

Not associated with rulemaking

  82 FR 18918 04/24/2017
82 FR 36801 08/07/2017
No

  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 54 108 0 -54 0 0
Annual Time Burden (Hours) 4,698 4,698 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
an IC was deleted and combined with the 1st ICR, making it look like there was a burden increase and decrease. This is an extension, no actual change in burden hours.

$211,942
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.
08/09/2017


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