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Prospective Evaluation of Health Care Workers Exposed to Blood from Patients Infected with HIV
Prospective Evaluation of Health Care Workers Exposed to Blood from Patients Infected with HIV
OMB: 0920-0131
IC ID: 6643
OMB.report
HHS/CDC
OMB 0920-0131
ICR 199706-0920-002
IC 6643
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
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.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
57.34B
No
No
Form
57.42A
No
No
Form
57.34E
No
No
Form
57.34C
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
250
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
1,125
0
1,125
0
0
0
Annual IC Time Burden (Hours)
198
0
198
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.