Information Collection

Case Report Updates

IC 46032 under ICR 201409-0920-005 · OMB 0920-0573.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0573 can be found here:

Documents and Forms

Document Name Document Type
Case Report Updates Form
Pediatric HIV/AIDS Confidential Case Report 0920-0573_att 3(b) pediatric CDC 50 42B_wcover.pdf Form
0920-0573 Final Att-3a Adult CRF (2) Final Att-3a Adult CRF (2).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Case Report Updates	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Pediatric HIV/AIDS Confidential Case Report	0920-0573_att 3(b) pediatric CDC 50 42B_wcover.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	0920-0573	Final Att-3a Adult CRF (2)	Final Att-3a Adult CRF (2).pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Epidemiologic Studies and Surveillance of Disease Problems HHS/CDC	FR Citation: 57 FR 62812

Number of Respondents: 59	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	86,671	86,671
Annual IC Time Burden (Hours)	2,889	2,889
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.