Information Collection

Case Report Updates

IC 46032 under ICR 201106-0920-003 · OMB 0920-0573.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Case Report Updates	Form
Adult HIV/AIDS Confidential Case Report 0920-0573_att 3(a) CDC 50.42A adult form_wcover.pdf	Form
Pediatric HIV/AIDS Confidential Case Report 0920-0573_att 3(b) pediatric CDC 50 42B_wcover.pdf	Form

IC Title:

Case Report Updates

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Adult HIV/AIDS Confidential Case Report	0920-0573_att 3(a) CDC 50.42A adult form_wcover.pdf		Yes	Yes	Fillable Fileable
Form	none	Pediatric HIV/AIDS Confidential Case Report	0920-0573_att 3(b) pediatric CDC 50 42B_wcover.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Epidemiologic Studies and Surveillance of Disease Problems HHS/CDC

FR Citation: 57 FR 62812

Number of Respondents: 59

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5,723	5,723
Annual IC Time Burden (Hours)	477	477
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.