Model Performance Evaluation Program (MPEP) For HIV Rapid Testing (HIV-RT) ENROLLMENT FORM

Performance Evaluation Program for Rapid HIV Testing

OMB: 0920-0595

IC ID: 7058

Information Collection (IC) Details

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Model Performance Evaluation Program (MPEP) For HIV Rapid Testing (HIV-RT) ENROLLMENT FORM
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Model Performance Evaluation Program (MPEP) For HIV Rapid Testing (HIV-RT) ENROLLMENT FORM Attachment 5a_Enrollment Form.doc Yes Yes Fillable Fileable

Health Public Health Monitoring

 

10 2
   
Private Sector Not-for-profit institutions
 
   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 10 0 -740 0 0 750
Annual IC Time Burden (Hours) 1 0 -374 0 0 375
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 5b_Welcome letter Attachment 5b_Welcome letter.doc 12/17/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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