Perinatal HIV Exposure Reporting (PHER)

National HIV Surveillance System (NHSS)

OMB: 0920-0573

IC ID: 46035

Information Collection (IC) Details

View Information Collection (IC)

Perinatal HIV Exposure Reporting (PHER)
 
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 Perinatal HIV Exposure Reporting Form Att 3d_Perinatal HIV Exposure Reporting Form 2019_v1_OMB_rev18Jun19.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems HHS/CDC  57 FR 61812

16 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 3,152 0 -838 0 0 3,990
Annual IC Time Burden (Hours) 1,576 0 -419 0 0 1,995
Annual IC Cost Burden (Dollars) 42,552 0 42,552 0 0 0

Title Document Date Uploaded
Technical Guidance: Pediatric HIV Case Reporting and Perinatal HIV Exposure Reporting Att 4b_PEDIATRIC HIV AND PERINATAL EXPOSURE CONFIDENTIAL CASE REPORT FORM_TG..pdf 06/26/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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