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

View Information Collection (IC)

HBV and HCV Risk Factor
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1.2 HBV HCV Attachment 1.2_HBV&HCV Qx.doc Yes Yes Paper Only

Health Public Health Monitoring

 

2,870 0
   
Individuals or Households
 
   0 %

  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 2,870 0 2,870 0 0 0
Annual IC Time Burden (Hours) 947 0 947 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 2 Attachment 2.3_Consent HBV.doc 10/22/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.