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

[NCHHSTP] Comprehensive Understanding of Readiness for Elimination of Hepatitis C in Corrections (Cure-HepC) Survey

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Comprehensive Understanding of Readiness for Elimination of Hepatitis C in Corrections (Cure-HepC)	Agency IC Tracking Number:	0920-24FU

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

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	n/a	Comprehensive Understanding of Readiness for Elimination of Hepatitis C in Corrections (Cure-HepC)	Att 3A_Instrument.pdf		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 %

	Requested	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

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.