0920-0573 - Enhance Perinatal Surveillance (EPS) Data Collection

Adult and Pediatric HIV/AIDS Confidential Case Reports for National HIV/AIDS Surveillance

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0573 can be found here:

Documents and Forms

Document Name Document Type
Form None assigned 0920-0573 - Enhance Perinatal Surveillance (EPS) Data Collection Form and Instruction
None assigned Enhanced HIV/AIDS Surveillance to Maximally Reduce Perin Attachment H EPS.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	0920-0573 - Enhance Perinatal Surveillance (EPS) Data Collection	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None assigned	Enhanced HIV/AIDS Surveillance to Maximally Reduce Perinatal HIV Transmission	Attachment H EPS.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	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 Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	1,250	1,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.