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Att 3a_Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities

IC 248655 under ICR 202403-0920-014 · OMB 0920-1353.

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Att 3a_Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities 0920-1353
 
Yes Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1353 Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities Att 3a_Component 1_11-5-2021.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

59 0
   
State, Local, and Tribal Governments
 
   0 %

  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) 69 0 10 0 0 59
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Annual Performance Report—Component 1--Form Instructions Year 3 Reporting Period (10/1/22-9/30/23) Att5a _Comp 1 Instructions.docx 03/22/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.