Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Adult HIV/AIDS Confidential Case Report Modified 50386 16795 453474 Form and Instruction n/a Adult Case Report Form
Annual Reporting: Standards Evaluation Report (SER) Modified 59 472 12744 Form and Instruction n/a Standards Evaluation Report Form (Years 2-5)
Case Report Evaluations Modified 5074 1691 45666 Form and Instruction n/a Adult HIV Case Report Form
Form and Instruction n/a Pediatric HIV Case Report Form
Case Report Updates Modified 138827 4628 124944 Form and Instruction n/a Adult HIV Case Report Form
Form and Instruction n/a Pediatric HIV Case Report Form
Cluster Close-out Report New 148 148 3996 Form and Instruction n/a Cluster Close-out Form
Cluster Follow-up Report New 295 148 3983 Form and Instruction n/a Cluster Follow-up Form
Data De-duplication Activities New 161719 26953 727736 Other-Technical Guidance for Data Management: Duplicate Review
HIV Incidence Surveillance (HIS) Removed 0 0 0 Form and Instruction NA Adult HIV Confidential Case Report Form 2015
Instruction
Instruction
Initial Cluster Report New 148 148 3996 Form and Instruction n/a Initial Cluster Report Form
Investigation Reporting and Evaluation New 53159 886 23922 Other-Reporting Guidance: Data-to-Care
Laboratory Updates Modified 555190 4627 124918 Form and Instruction n/a Adult HIV Case Report Form
Form and Instruction n/a Pediatric HIV Case Report Form
Molecular HIV Surveillance (MHS) Removed 0 0 0 Form and Instruction NA Adult HIV Confidential Case Report Form 2015
Form and Instruction NA Pediatric HIV Confidential Case Report Form 2015
Instruction
Instruction
Instruction
Pediatric HIV/AIDS Confidential Case Report Modified 177 59 1593 Form and Instruction n/a Pediatric Case Report Form
Perinatal HIV Exposure Reporting (PHER) Modified 3152 1576 42552 Form and Instruction n/a Perinatal HIV Exposure Reporting Form
Total burden requested under this ICR: 968334 58131 1569524  
To view an IC, click on IC Title