Information Collection

Prospective Evaluation Of Health-care Workers Exposed To Blood From Patients Infected With Hiv

IC 110752 under ICR 198806-0920-003 · OMB 0920-0131.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0131 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	PROSPECTIVE EVALUATION OF HEALTH-CARE WORKERS EXPOSED TO BLOOD FROM PATIENTS INFECTED WITH HIV	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	CDC 47.42A	No	No
Form	57.34B	No	No
Form	57.34C	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,500	-633	2,133
Annual IC Time Burden (Hours)	450	-133	583
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.