Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Adult HIV/AIDS Confidential Case Report Modified 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 None 2023 Standards Evaluation Report (SER)
Case Report Evaluations Modified 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 Modified 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 Modified 148 148 0 Form and Instruction None Cluster Close-out Form
Cluster Follow-up Report Modified 295 148 0 Form and Instruction None Cluster Follow-up Form
Data De-duplication Activities Modified 178888 29815 0 Other-Technical Guidance for HIV Surveillance Programs: Duplicate Review
HIV Incidence Surveillance (HIS) Removed 0 0 0 Form and Instruction 0920-0573 HIV Incidence Surveillance (HIS)
Initial Cluster Report Modified 148 148 0 Form and Instruction None Initial Cluster Report Form
Investigation Reporting and Evaluation Modified 54811 914 0 Other-Data to Care Reporting Guidance for PS18-1802 and PS20-2010 Recipients
Laboratory Updates Modified 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) Modified 3363 1962 0 Form and Instruction None Pediatric HIV Confidential Case Report Form
Perinatal HIV Exposure Reporting (PHER) Removed 0 0 0 Form and Instruction n/a Perinatal HIV Exposure Reporting Form
Total burden requested under this ICR: 1035569 60731 0  
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