[NCCHSTP] Integrated Viral Hepatitis Surveillance and Prevention Funding for Health Departments

ICR 202403-0920-014

OMB: 0920-1353

Federal Form Document

Forms and Documents

Document Name	Status
Form 0920-1353 att 3f_Outbreak Summary Report Form Form	Modified
Form 0920-1353 Att 3e_Initial Outbreak Report Form Form and Instruction	Modified
Form 0920-1353 Att 3d_Increasing Access to Hepatitis C and/or Hepatitis B Testing and Linkage to Care in High-Impact Settings Form and Instruction	Modified
Form 0920-1353 Att 3c_Component 3: Special Projects-Prevention, Diagnosis, and Treatment Related to the Infectious Disease Consequences of Drug Use Form	Modified
Form 0920-1353 Att 3b_Component 2: Core Viral Hepatitis Prevention Activities Form	Modified
Form 0920-1353 Att 3a_Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities Form	Modified
SSA_rev 031324.docx Supporting Statement A	2024-04-12
Project-Determination Summary.pdf Supplementary Document	2024-03-22
Att 1_ Authorizing Legislation.pdf Supplementary Document	2024-03-22
SSB_3-13-2024.docx Supporting Statement B	2024-04-08

IC Document Collections

IC ID	Document Title	Status
248662	att 3f_Outbreak Summary Report Form Form	Modified
248661	Att 3e_Initial Outbreak Report Form Form and Instruction	Modified
248660	Att 3d_Increasing Access to Hepatitis C and/or Hepatitis B Testing and Linkage to Care in High-Impact Settings Form and Instruction	Modified
248659	Att 3c_Component 3: Special Projects-Prevention, Diagnosis, and Treatment Related to the Infectious Disease Consequences of Drug Use Form	Modified
248657	Att 3b_Component 2: Core Viral Hepatitis Prevention Activities Form	Modified
248655	Att 3a_Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities Form	Modified