Part B Allocations Report

Ryan White HIV/AIDS Program Allocation and Expenditure Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0318 can be found here:

Documents and Forms

Document Name Document Type
Form B-1 Part B Allocations Report Form
B-1 Part B Allocations Report_X07_clean.docx Part B Allocations Report_X07_clean.docx Form
B-1 Part B Allocations Report_X07_clean.docx Part B Allocations Report_X07_clean.docx Form
B-1 TC Part B Allocations Report_X07 Revised Version with track Part B Allocations Report_X07 Revised Version with track change_v02_04132021.docx Form
B-1 TC Part B Allocations Report_X07 Revised Version with track Part B Allocations Report_X07 Revised Version with track change_v02_04132021.docx Form
B-2 Part B Allocations Report_X08_clean.docx Part B Allocations Report_X08_clean.docx Form
B-2 Part B Allocations Report_X08_clean.docx Part B Allocations Report_X08_clean.docx Form
B-2 TC Part B Allocations Report_X08 Suppl Revised Version_v03_ Part B Allocations Report_X08 Suppl Revised Version_v03_04132021_OMB mock-up.docx Form
B-2 TC Part B Allocations Report_X08 Suppl Revised Version_v03_ Part B Allocations Report_X08 Suppl Revised Version_v03_04132021_OMB mock-up.docx Form

Information Collection (IC) Details

IC Title:	Part B Allocations Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	B-1	Part B Allocations Report_X07_clean.docx	Part B Allocations Report_X07_clean.docx	Yes	Yes	Fillable Fileable
Form	B-1 TC	Part B Allocations Report_X07 Revised Version with track change_v02_04132021.docx	Part B Allocations Report_X07 Revised Version with track change_v02_04132021.docx	Yes	Yes	Fillable Fileable
Form	B-2	Part B Allocations Report_X08_clean.docx	Part B Allocations Report_X08_clean.docx	Yes	Yes	Fillable Fileable
Form	B-2 TC	Part B Allocations Report_X08 Suppl Revised Version_v03_04132021_OMB mock-up.docx	Part B Allocations Report_X08 Suppl Revised Version_v03_04132021_OMB mock-up.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	324	324
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.