Information Collection

Characterization Of Laboratory Practice In Cd4 + Cell Testing Services For Public Health Programs, Pilot Test

IC 111095 under ICR 199410-0920-001 · OMB 0920-0357.

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IC Title:	CHARACTERIZATION OF LABORATORY PRACTICE IN CD4 + CELL TESTING SERVICES FOR PUBLIC HEALTH PROGRAMS, PILOT TEST	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.	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: 40	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	140	140
Annual IC Cost Burden (Dollars)	0	0

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