HIV SEROPREVALENCE MONITORING

ICR 198710-0920-001

OMB: 0920-0205

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
110857
Migrated
ICR Details
0920-0205 198710-0920-001
Historical Active
HHS/CDC
HIV SEROPREVALENCE MONITORING
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/07/1987
Retrieve Notice of Action (NOA) 10/05/1987
This information collection request is approved subject to the following condition - all instruction materials developed for the administration of the survey must be submitted to OMB as a supplement to this clearance package.
  Inventory as of this Action Requested Previously Approved
01/31/1988 01/31/1988
1,250 0 0
313 0 0
0 0 0

A SURVEY OF STATE AND LOCAL HEALTH DEPARTMENTS, UNIVERSITIES, HOSPITALS WILL BE CONDUCTED TO GATHER EXISTING SEROPREVALENCE AND INCIDENCE DATA ON HIV INFECTION IN THE U.S. KEY INFORMATION FROM PUBLISHED AND UNPUBLISHED SURVEYS/STUDIES WILL BE SUMMARIZED.

None
None


No

1
IC Title Form No. Form Name
HIV SEROPREVALENCE MONITORING

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,250 0 0 1,250 0 0
Annual Time Burden (Hours) 313 0 0 313 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/05/1987


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