OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

HIV Incidence Surveillance (HIS)

IC 46034 under ICR 201811-0920-006 · OMB 0920-0573.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

HIV Incidence Surveillance (HIS)
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Att_3c_NHSS_dataelements OMB 21Dec2015.pdf NA Yes Yes Fillable Fileable
Instruction Att 4c_Suppl Surv Act 1 HIV Incidence TG.pdf NA Yes Yes Printable Only
Form and Instruction NA Adult HIV Confidential Case Report Form 2015 Att 3a_ACRF_PROOF242015.pdf NA Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Sureillance of Disease Problems HHS/CDC  57 FR 62812

25 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 57,200 0 0 0 0 57,200
Annual IC Time Burden (Hours) 9,533 0 0 0 0 9,533
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Final Att-4d MHS Tech Guidance (2) Final Att-4d MHS Tech Guidance (2).pdf 12/19/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.