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Federal forms, ICRs, and supporting documents

Information Collection Request

Surveillance and Evaluation of Plasma Donors for the Human Immunodeficiency Virus (HIV) and Hepatitis C Virus (HCV)

ICR 200004-0920-004 · OMB 0920-0473 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
6906 Surveillance and Evaluation of Plasma Donors for the Human Immunodeficiency Virus (HIV) and Hepatitis C Virus (HCV) Migrated
ICR Details
0920-0473 200004-0920-004
Historical Active
HHS/CDC
Surveillance and Evaluation of Plasma Donors for the Human Immunodeficiency Virus (HIV) and Hepatitis C Virus (HCV)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/28/2000
Retrieve Notice of Action (NOA) 04/24/2000
This collection is approved, with changes sent by CDC to OMB on June 8, 2000.
  Inventory as of this Action Requested Previously Approved
06/30/2003 06/30/2003
880 0 0
218 0 0
0 0 0
The proposed study will assess HIV and Hepatitis C (HCV) incidence and prevalence trends among source plasma donors. Participants will be interviewed via telephone using computer assisted telephone interview (CATI) software. Knowledge of HIV and HCV, risks for HIV and HCV transmission and motivatons for donating will be evaluaed to improve donor deferral criteria.
None
None
No
1
IC Title Form No. Form Name
Surveillance and Evaluation of Plasma Donors for the Human Immunodeficiency Virus (HIV) and Hepatitis C Virus (HCV)
  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 880 0 0 880 0 0
Annual Time Burden (Hours) 218 0 0 218 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
Yes Part B of Supporting Statement
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.
04/24/2000