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Federal forms, ICRs, and supporting documents

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Att 3d_Increasing Access to Hepatitis C and/or Hepatitis B Testing and Linkage to Care in High-Impact Settings

IC 248660 under ICR 202403-0920-014 · OMB 0920-1353.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

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Att 3d_Increasing Access to Hepatitis C and/or Hepatitis B Testing and Linkage to Care in High-Impact Settings 0920-1353
 
Yes Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1353 Increasing Access to Hepatitis C and/or Hepatitis B Testing and Linkage to Care in High-Impact Settings Att 3d_SUPP_APR_Form.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

8 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 8 0 -110 0 0 118
Annual IC Time Burden (Hours) 6 0 -33 0 0 39
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 5d_Supplemental Viral Hepatitis Prevention Activities Att5d_Supplemental Activity Instructions.docx 03/22/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.