Information Collection

Supplement To Routine Hiv/aids Case Reporting Project

IC 110977 under ICR 199306-0920-003 · OMB 0920-0262.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0262 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

SUPPLEMENT TO ROUTINE HIV/AIDS CASE REPORTING PROJECT

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,410

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,410	745	665
Annual IC Time Burden (Hours)	940	607	333
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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

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