Information Collection

Comprehensive Understanding of Readiness for Elimination of Hepatitis C in Corrections (Cure-HepC)

IC 273567 under ICR 202412-0920-020 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Comprehensive Understanding of Readiness for Elimination of Hepatitis C in Corrections (Cure-HepC)	Form and Instruction
Comprehensive Understanding of Readiness for Elimination Att 3A_Instrument.pdf	Form and Instruction
Comprehensive Understanding of Readiness for Elimination Att 3a Survey_CLEAN.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

0920-24FU

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Comprehensive Understanding of Readiness for Elimination of Hepatitis C in Corrections (Cure-HepC)	Att 3a Survey_CLEAN.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 101

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	101	101
Annual IC Time Burden (Hours)	93	93
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.