Information Collection

Technical Assistance to Support the HHS Viral Hepatitis National Strategic Plan

IC 268809 under ICR 202608-0906-005 · OMB 0906-0084.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HBV Interviews - Questions Guide.docx	Other-Interview Questions
BPHC-Generic Memo- HPV Interviews- 6.20.24.docx BPHC Generic Memo_Technical Assistance to Support the HHS Viral Hepatitis National Strategic Plan	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: Modified

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
Other-Interview Questions					Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
BPHC Generic Memo_Technical Assistance to Support the HHS Viral Hepatitis National Strategic Plan		06/20/2024

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

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