View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0573 Yes Yes Fillable Fileable
Form and Instruction 0920-0573 N/A Yes Yes Fillable Fileable

Health Public Health Monitoring

SORN 09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems HHS/CDC  57 FR 62812

59 0
   
State, Local, and Tribal Governments
 
   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 3,363 0 0 0 0 3,363
Annual IC Time Burden (Hours) 1,962 0 0 0 0 1,962
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Technical Guidance: Pediatric HIV Confidential Case Report Form 12/19/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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