Information Collection

Supplement to HIV/AIDS Surveillance (SHAS) Project

IC 6717 under ICR 200001-0920-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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Information Collection (IC) Details

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IC Title:	Supplement to HIV/AIDS Surveillance (SHAS) Project	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: 3,500	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,500	72	744	2,684
Annual IC Time Burden (Hours)	3,500	158	1,625	1,717
Annual IC Cost Burden (Dollars)	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.