OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Test-level Data

IC 204799 under ICR 201301-0920-006 · OMB 0920-0959.

Documents and Forms
Document Name
Document Type
Form and Instruction
Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Test-level Data
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Att4.1 HBV- HEPTLC Data Collection Template Att4.1 HBV- HEPTLC Data Collection Template.pdf Yes Yes Fillable Fileable
Form and Instruction none Att4.2 HCV- HEPTLC Data Collection Template Att4.2 HCV- HEPTLC Data Collection Template.pdf Yes Yes Fillable Fileable
Form and Instruction none Att4.3 ScreenShot - HEPTLC Data Collection HBV_HCV Att4.3 ScreenShot - HEPTLC Data Collection HBV_HCV.pdf Yes Yes Fillable Fileable
Instruction Att4 Test Level Data Variables.docx Yes Yes Fillable Fileable

Health Immunization Management

 

40 0
   
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 480 0 480 0 0 0
Annual IC Time Burden (Hours) 5,760 0 5,760 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.