OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

HRSA Ryan White HIV/AIDS Program Part F Regional AIDS Education and Training Center Program Activities

ICR 202412-0906-005 · OMB unassigned · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 6 IPE, Long-Term Form and Instruction New Repair queued
Form 5 Participant Post-Activity Immediate Survey Form and Instruction New Repair queued
Form 4 IPE, Site Characteristics and Outcomes Form and Instruction New Repair queued
Form 3 PT, Site Characteristics and Outcomes Form and Instruction New Repair queued
Form 2 Training Activity Record Form and Instruction New Repair queued
Form 1 Individual Participant Record Form and Instruction New Repair queued
Supporting Statement A - Regional AETC 2024_12.2.2024 Final Draft.docx Supporting Statement A Uploaded 2024-12-11 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
272961 Combined Data Set Other-Codebook (“Participant List” section ONLY) New
272960 IPE, Long-Term Form and Instruction New
272958 Participant Post-Activity Immediate Survey Form and Instruction New
272957 IPE, Site Characteristics and Outcomes Form and Instruction New
272956 PT, Site Characteristics and Outcomes Form and Instruction New
272955 Training Activity Record Form and Instruction New
272954 Individual Participant Record Form and Instruction New
ICR Details
202412-0906-005
Received in OIRA
HHS/HRSA
HRSA Ryan White HIV/AIDS Program Part F Regional AIDS Education and Training Center Program Activities
New collection (Request for a new OMB Control Number)   No
Regular 12/12/2024
  Requested Previously Approved
36 Months From Approved
255,155 0
30,245 0
0 0
The Ryan White HIV/AIDS Program’s (RWHAP) AIDS Education and Training Center (AETC) Program, authorized under Title XXVI of the Public Health Service Act, supports a network of regional centers that conduct targeted, multi-disciplinary education and training programs for health care providers treating people with HIV. The RWHAP Regional AETC Program’s purpose is to increase the number of healthcare providers who are effectively educated and motivated to counsel, diagnose, treat, and medically manage people with HIV. The RWHAP Regional AETC Program recipients are required to report data on the training activities and trainees to HRSA once a year. HRSA is requesting the approval of new AETC data collection forms to accurately capture data relating to Regional AETC activities, participants, and site information for both Practice Transformation and Interprofessional Education sites as well as involvement in the HIV care and treatment workforce (1-year post-participation), knowledge gained through participating in an activity, and satisfaction with the activity.
PL: Pub.L. 118 - 87 000 Name of Law: Ryan White HIV/AIDS Treatment Extension Act of 2009
  
None
Not associated with rulemaking
  89 FR 58744 07/19/2024
89 FR 97627 12/09/2024
Yes
  Total Request 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 255,155 0 0 255,155 0 0
Annual Time Burden (Hours) 30,245 0 0 30,245 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection.
$1,840,498
No
    Yes
    No
No
No
No
No
Laura Cooper 301 443-2126 [email protected]
  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.
12/12/2024