Information Collection

Surveillance and Evaluation of Blood Donors for the Human Immunodeficiency Virus (HIV) Antibody

IC 6756 under ICR 200004-0920-005 · OMB 0920-0329.

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Information Collection (IC) Details

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IC Title:	Surveillance and Evaluation of Blood Donors for the Human Immunodeficiency Virus (HIV) Antibody	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: 208	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	208	-72	280
Annual IC Time Burden (Hours)	0	0	0
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.