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Federal forms, ICRs, and supporting documents

Information Collection Request

STANDARDIZED REPORTING SYSTEM AND ASSOCIATED EPIDEMIOLOGIC INVESTIGATIONS OF OCCUPATIONALLY RELATED INFECTION WITH HIV_IN HEALTH-CARE AND PUBLIC-SAFETY SETTINGS

ICR 199307-0920-010 · OMB 0920-0286 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
111013 STANDARDIZED REPORTING SYSTEM AND ASSOCIATED EPIDEMIOLOGIC INVESTIGATIONS OF OCCUPATIONALLY RELATED INFECTION WITH HIV_IN HEALTH-CARE AND PUBLIC-SAFETY SETTINGS Migrated
ICR Details
0920-0286 199307-0920-010
Historical Active 199106-0920-002
HHS/CDC
STANDARDIZED REPORTING SYSTEM AND ASSOCIATED EPIDEMIOLOGIC INVESTIGATIONS OF OCCUPATIONALLY RELATED INFECTION WITH HIV_IN HEALTH-CARE AND PUBLIC-SAFETY SETTINGS
Extension without change of a currently approved collection   No
Regular
Approved without change 09/28/1993
Retrieve Notice of Action (NOA) 07/19/1993
  Inventory as of this Action Requested Previously Approved
09/30/1996 09/30/1996 07/31/1993
100 0 100
100 0 100
0 0 0
THE DATA COLLECTION INSTRUMENT IS DESIGNED TO GATHER INFORMATION ON DOCUMENTED OR PRESUMED OCCUPATIONAL EXPOSURE TO HIV AND TO ESTABLISH WHETHER SEROCONVERSION OR AN ILLNESS CONSISTENT WITH AN ACUTE_RETROVIR ILLNESS HAS OCCURRED.
None
None
No
  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 100 100 0 0 0 0
Annual Time Burden (Hours) 100 100 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  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.
07/19/1993