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Federal forms, ICRs, and supporting documents

Information Collection

Objective 3 clinical Follow-up Questionaire Year 1

IC 210553 under ICR 201402-0925-003 · OMB 0925-0699.

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

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Objective 3 clinical Follow-up Questionaire Year 1
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Clinical Questionaire Follow-up Attachment 2B HIV_HBV_Objective_3_Clinical_Followup_Q_12_2013_V_1.0.docx No No Fillable Fileable

Health Public Health Monitoring

 

35 0
   
Individuals or Households
 
   0 %

  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 140 0 140 0 0 0
Annual IC Time Burden (Hours) 23 0 23 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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