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Annual Reporting: Standards Evaluation Report (SER)
[NCHHSTP] National HIV Surveillance System (NHSS)
OMB: 0920-0573
IC ID: 220109
OMB.report
HHS/CDC
OMB 0920-0573
ICR 202310-0920-007
IC 220109
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0573 can be found here:
2024-08-06 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-0573
Annual Reporting: Standards Evaluation Report (SER)
Form and Instruction
0920-0573 2024 Standards Evaluation Report (SER) Surveillance Prog
Att3d SER PS18-1802_2024.pdf
Form and Instruction
0920-0573 2024 Standards Evaluation Report (SER) Surveillance Prog
Att3d SER PS18-1802_2024.pdf
Form and Instruction
Att 2 SER PS18-1802_2024_track changes.docx
Att 2_SER 2024 (track changes)
IC Document
Att 2 SER PS18-1802_2024_track changes.docx
Att 2_SER 2024 (track changes)
IC Document
Att 3d_SER (WORD)_rev. 2024.docx
Att 3d_ SER (WORD) rev.2024
IC Document
Att 3d_SER (WORD)_rev. 2024.docx
Att 3d_ SER (WORD) rev.2024
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Reporting: Standards Evaluation Report (SER)
Agency IC Tracking Number:
0920-0573-24AD
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
0920-0573
2024 Standards Evaluation Report (SER) Surveillance Program Performance
Att3d SER PS18-1802_2024.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
SORN 09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems HHS/CDC
FR Citation:
57 FR 62812
Number of Respondents:
59
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att 2_SER 2024 (track changes)
Att 2 SER PS18-1802_2024_track changes.docx
10/17/2023
Att 3d_ SER (WORD) rev.2024
Att 3d_SER (WORD)_rev. 2024.docx
10/17/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.