Annual Reporting: Standards Evaluation Report (SER)

National HIV Surveillance System (NHSS)

OMB: 0920-0573

IC ID: 220109

Information Collection (IC) Details

View Information Collection (IC)

Annual Reporting: Standards Evaluation Report (SER)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Standards Evaluation Report Form (Years 2-5) Att 3e_SER PS18-1802 OMB Yrs 2-5 Form v3_rev18Jun19.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems HHS/CDC   57 FR 62812

59 0
   
State, Local, and Tribal Governments
 
   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 59 0 0 0 0 59
Annual IC Time Burden (Hours) 472 0 0 0 0 472
Annual IC Cost Burden (Dollars) 12,744 0 12,744 0 0 0

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