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Adult and Pediatric Confidential HIV/AIDS Case Report
Adult and Pediatric Confidential HIV/AIDS Case Report
OMB: 0920-0573
IC ID: 7028
OMB.report
HHS/CDC
OMB 0920-0573
ICR 200210-0920-004
IC 7028
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0573 can be found here:
2023-10-17 - No material or nonsubstantive change to a currently approved collection
2022-09-13 - Revision of a currently approved collection
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:
Adult and Pediatric Confidential HIV/AIDS Case Report
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
CDC-50.42B
Yes
Yes
Form
CDC-50.42A
Yes
Yes
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
59
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
79,981
0
79,981
0
0
0
Annual IC Time Burden (Hours)
13,191
0
13,191
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.