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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
46551
15517
0
Form and Instruction
None
Adult HIV Confidential Case Report Form
Annual Reporting: Standards Evaluation Report (SER)
Modified
59
472
0
Form and Instruction
0920-0573
2024 Standards Evaluation Report (SER) Surveillance Program Performance
Case Report Evaluations
Unchanged
5015
1672
0
Form and Instruction
None
Adult HIV Confidential Case Report Form
Form and Instruction
None
Pediatric HIV Confidential Case Report Form
Case Report Updates
Unchanged
148621
4954
0
Form and Instruction
None
Adult HIV Confidential Case Report Form
Form and Instruction
None
Pediatric HIV Confidential Case Report Form
Cluster Close-out Report
Unchanged
148
148
0
Form and Instruction
None
Cluster Close-out Form
Cluster Follow-up Report
Unchanged
295
148
0
Form and Instruction
None
Cluster Follow-up Form
Data De-duplication Activities
Unchanged
178888
29815
0
Other-Technical Guidance for HIV Surveillance Programs: Duplicate Review
Initial Cluster Report
Unchanged
148
148
0
Form and Instruction
None
Initial Cluster Report Form
Investigation Reporting and Evaluation
Unchanged
54811
914
0
Other-Data to Care Reporting Guidance for PS18-1802 and PS20-2010 Recipients
Laboratory Updates
Unchanged
597670
4981
0
Form and Instruction
None
Adult HIV Confidential Case Report Form
Form and Instruction
None
Pediatric HIV Confidential Case Report Form
Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information)
Unchanged
3363
1962
0
Form and Instruction
None
Pediatric HIV Confidential Case Report Form
Total burden requested under this ICR:
1035569
60731
0
To view an IC, click on IC Title