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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Adult HIV/AIDS Confidential Case Report
Unchanged
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
2021 Standards Evaluation Report (SER)
Case Report Evaluations
Unchanged
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
Unchanged
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
Unchanged
148
148
3996
Form and Instruction
n/a
Cluster Close-out Form
Cluster Follow-up Report
Unchanged
295
148
3983
Form and Instruction
n/a
Cluster Follow-up Form
Data De-duplication Activities
Unchanged
161719
26953
727736
Other-Technical Guidance for Data Management: Duplicate Review
HIV Incidence Surveillance (HIS)
Unchanged
15974
1331
143766
Form and Instruction
0920-0573
HIV Incidence Surveillance (HIS)
Initial Cluster Report
Unchanged
148
148
3996
Form and Instruction
n/a
Initial Cluster Report Form
Investigation Reporting and Evaluation
Unchanged
53159
886
23922
Other-Reporting Guidance: Data-to-Care
Laboratory Updates
Unchanged
555190
4627
124918
Form and Instruction
n/a
Adult HIV Case Report Form
Form and Instruction
n/a
Pediatric HIV Case Report Form
Pediatric HIV/AIDS Confidential Case Report
Unchanged
177
59
1593
Form and Instruction
n/a
Pediatric Case Report Form
Perinatal HIV Exposure Reporting (PHER)
Unchanged
3152
1576
42552
Form and Instruction
n/a
Perinatal HIV Exposure Reporting Form
Total burden requested under this ICR:
984308
59462
1713290
To view an IC, click on IC Title