Information Collection

Investigation Reporting and Evaluation [D2C]

IC 236509 under ICR 202602-0920-009 · OMB 0920-0573.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0573 D2C Guidance Investigation Reporting and Evaluation [D2C]	Form
0920-0573 D2C Guidance Att_4d D2C Guidance.pdf	Form
Att_4(e) DETECTING HIV TRANSMISSION CLUSTERS 2022 v1 (1).pdf Technical Guidance for HIV Surveillance Programs: Detecting HIV Transmission Clusters	IC Document

IC Title:

Agency IC Tracking Number:

0920-0573

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	0920-0573				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: SORN 09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems HHS/CDC

FR Citation: 57 FR 62812

Number of Respondents: 59

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
	Requested	Previously Approved
Annual Number of Responses for this IC	54,811	54,811
Annual IC Time Burden (Hours)	914	914
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Technical Guidance for HIV Surveillance Programs: Detecting HIV Transmission Clusters		09/08/2022

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].