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 202605-0906-001 · OMB 0906-0108 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 6 IPE-Long-Term_Updated 05122026 Form and Instruction Modified Available
Form 5 PPA_finaldraftOMB 05.29.2025 Form and Instruction Unchanged Available
Form 4 IPE-HC_Updated 05122026 Form and Instruction Modified Available
Form 3 PT-SC_Updated 05122026 Form and Instruction Modified Available
Form 2 TAR_Updated 05122026 Form and Instruction Modified Available
Form 1 IND-PAR_Updated 05122026 Form and Instruction Modified Available
Regional AETC - OMB NonSubstantive Change Request Final.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-05-12 Available
Supporting Statement A - Regional AETC 2024_v1.4 Final Draft (Clean).docx Supporting Statement A Uploaded 2025-06-10 Available
IC Document Collections
IC IDCollectionTypeStatusForm
272961 Combined Data Set Other-Codebook (“Participant List” section ONLY) Unchanged
272960 IPE, Long-Term Form and Instruction ModifiedIPE-Long-Term_Updated 05122026
272958 Participant Post-Activity Immediate Survey Form and Instruction UnchangedPPA_finaldraftOMB 05.29.2025
272957 IPE, Site Characteristics and Outcomes Form and Instruction ModifiedIPE-HC_Updated 05122026
272956 PT, Site Characteristics and Outcomes Form and Instruction ModifiedPT-SC_Updated 05122026
272955 Training Activity Record Form and Instruction ModifiedTAR_Updated 05122026
272954 Individual Participant Record Form and Instruction ModifiedIND-PAR_Updated 05122026
ICR Details
0906-0108 202605-0906-001
Received in OIRA 202412-0906-005
HHS/HRSA
HRSA Ryan White HIV/AIDS Program Part F Regional AIDS Education and Training Center Program Activities
No material or nonsubstantive change to a currently approved collection   No
Regular 05/13/2026
  Requested Previously Approved
07/31/2028 07/31/2028
255,155 255,155
30,245 30,245
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 255,155 255,155 0 0 0 0
Annual Time Burden (Hours) 30,245 30,245 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
05/13/2026