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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
VARHS - Variant, Atypical, and Resistant HIV Surveillance Data Elements
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Other-Data Elements
0920-0573_Att 3(e) VARHS data elements.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
Epidemiologic Studies and Sureillance of Disease Problems HHS/CDC
FR Citation:
57 FR 62812
Number of Respondents:
11
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
22,209
0
0
0
0
22,209
Annual IC Time Burden (Hours)
1,851
0
0
0
0
1,851
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
VARHS Technical Guidance
0920-0573_att 4(c) VARHS Technical_Guidance.pdf
11/30/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.