Information Collection Request

Ryan White HIV/AIDS Program Part F Dental Services Report

ICR 202602-0915-001 · OMB 0915-0151 · Received in OIRA

ICR Details
0915-0151 202602-0915-001
Received in OIRA 202306-0915-001
HHS/HSA 21572
Ryan White HIV/AIDS Program Part F Dental Services Report
Revision of a currently approved collection   No
Regular 03/02/2026
  Requested Previously Approved
36 Months From Approved 08/31/2026
68 68
1,811 1,810
0 0

The Dental Reimbursement Program (DRP) and the Community Based Dental Partnership Program (CBDPP) under Part F of the Ryan White HIV/AIDS Program (RWHAP) offer funding to accredited dental education programs to support the education and training of oral health providers in HIV oral health care and reimbursement for the provision of oral health services for people eligible for the RWHAP. Institutions eligible for the RWHAP DRP and CBDPP are accredited schools of dentistry and other accredited dental education programs, such as dental hygiene programs or those sponsored by a school of dentistry, a hospital, or a public or private institution that offers postdoctoral training in the specialties of dentistry, advanced education in general dentistry, or a dental general practice residency. The RWHAP DRP Application for the Notice of Funding Opportunity includes the Dental Services Report (DSR) that applicants use to apply for funding of non-reimbursed costs incurred in providing oral health care to patients with HIV and to report annual program data. The form is also used by CBDPP recipients to report on services rendered, patients served, and partnerships as an annual data report. The DSR collects data on program information, client demographics, oral health services, funding, and training. It also requests applicants to provide narrative descriptions of their services and facilities, as well as their linkages and how they collaborate with community-based providers of oral health services.

PL: Pub.L. 111 - 87 2 Name of Law: Ryan White HIV/AIDS Treatment Extension Act of 2009
   US Code: 42 USC 300ff-111(b) Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  90 FR 54333 11/26/2025
91 FR 9872 02/27/2026
No

4
IC Title Form No. Form Name
Community Based Dental Partnership Program (Private) 2
Community Based Dental Partnership Program (State/Local/Tribal) 2
Ryan White HIV/AIDS Program Dental Services Report.(Private) 1
Ryan White HIV/AIDS Program Dental Services Report.(State/Local/Tribal) 1

  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 68 68 0 -68 68 0
Annual Time Burden (Hours) 1,811 1,810 0 -1,809 1,810 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
The 1 hour increase in burden hours is due to rounding. Because applicants/recipients are both state/local/tribal entities and private sector organizations, we had separate ICs with the estimated breakdown of hours between the two awards. Furthermore, in the previous version we had one IC that encompassed DRP and CBDPP. In this version, we have ICs for DRP and CBDPP for clarity.

$120,855
No
    No
    No
No
No
No
No
Laura Cooper 301 443-2126 lcooper@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.
03/02/2026

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