Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
SSA-4814 - Medical Report on Adult with Allegation of Human Immunodeficiency Virus (HIV) Infection Modified 816 218 0 Form and Instruction SSA-4814
SSA-4815 - Medical Report on Child with Allegation of Human Immunodeficiency Virus (HIV) Infection Modified 24 7 0 Form and Instruction SSA-4815
Total burden requested under this ICR: 840 225 0  
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