Ryan White HIV/AIDS Program Part F Dental Services Report

ICR 202006-0915-001

OMB: 0915-0151

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2020-06-01
Supplementary Document
2020-06-01
Supplementary Document
2020-06-01
Supporting Statement A
2020-06-01
IC Document Collections
IC ID
Document
Title
Status
6384 Modified
ICR Details
0915-0151 202006-0915-001
Active 201705-0915-003
HHS/HSA 21572
Ryan White HIV/AIDS Program Part F Dental Services Report
Extension without change of a currently approved collection   No
Regular
Approved without change 07/07/2020
Retrieve Notice of Action (NOA) 06/02/2020
  Inventory as of this Action Requested Previously Approved
07/31/2023 36 Months From Approved 07/31/2020
68 0 68
2,988 0 2,940
0 0 0

1. The Dental Reimbursement Program (DRP) and the Community-Based Dental Partnership Program (CBDPP) serve to expand the availability of oral health care to patients with HIV/AIDS through the training of dental professionals. The DRP reimburses dental education programs for uncompensated funds to provide oral health services. The CBDPP funds entities in their efforts to increase access to oral health care.

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

Not associated with rulemaking

  85 FR 5969 02/03/2020
85 FR 33688 06/02/2020
No

1
IC Title Form No. Form Name
Ryan White HIV/AIDS Program Dental Services Report. 1 TAB B - DSR Form 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 68 68 0 0 0 0
Annual Time Burden (Hours) 2,988 2,940 0 48 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Increase in burden is due to non-substantive changes in the form.

$91,261
No
    No
    No
No
No
No
No
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.
06/02/2020


© 2024 OMB.report | Privacy Policy