OMB control number
Hepatitis Testing and Linkage to Care Monitoring and Evaluation System
OMB 0920-0959 · HHS/CDC.
OMB 0920-0959
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Program-level Data | Form and Instruction |
 Att4.3 ScreenShot - HEPTLC Data Collection HBV_HCV | Form and Instruction |
| Att4.2 HCV- HEPTLC Data Collection Template | Form and Instruction |
| Att4.1 HBV- HEPTLC Data Collection Template | Form and Instruction |
 SuppState B Clean.doc | Supporting Statement B |
| Att9 970_AOC Approval_2012.pdf | Supplementary Document |
 Att8 RulesOfBehavior - Users.docx | Supplementary Document |
| Att7 RulesOfBehavior - Administrator.docx | Supplementary Document |
| Att6 Agencies and Persons Consulted.docx | Supplementary Document |
| Att3 Goals_Objectives Table.docx | Supplementary Document |
| Att2 60 Day FRN Published.PDF | Supplementary Document |
| Att1 Auth Legis.pdf | Supplementary Document |
| SuppState A Clean.doc | Supporting Statement A |
 Program-level Data |
Form and Instruction |
| Test-level Data |
Form and Instruction |
| Test-level Data |
Form and Instruction |
| Test-level Data |
Instruction |
| Test-level Data |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201301-0920-006 | New collection (Request for a new OMB Control Number) | 2013-01-17 | Approved with change | |
| 201211-0920-007 | New collection (Request for a new OMB Control Number) | 2012-11-09 | Improperly submitted |