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 2021 Standards Evaluation Report (SER) a. SER PS18-1802 OMB Yrs 2-5 Form_2021_v6_clean.docx 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 0 0 0 12,744

Title Document Date Uploaded
Tracked-changes version of the 2021 SER to facilitate review of changes a. SER PS18-1802 OMB Yrs 2-5 Form_2021_v6_trackchanges.docx 12/10/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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