OMB control number

[NCCHSTP] Integrated Viral Hepatitis Surveillance and Prevention Funding for Health Departments

OMB 0920-1353 · HHS/CDC.

OMB 0920-1353

Tools exist to prevent new cases of hepatitis A, B, and C, to treat people living with hepatitis B, and to cure people living with hepatitis C. Yet new cases of viral hepatitis (VH) continue to rise, many people infected with VH remain undiagnosed, and far too many VH-related deaths occur in the US each year. This project will enable states to collect data to evaluate disease burden and trends and to analyze and disseminate that data to develop or refine recommendations, policies, and practices that will ultimately reduce the burden of VH in their jurisdictions.

The latest form for [NCCHSTP] Integrated Viral Hepatitis Surveillance and Prevention Funding for Health Departments expires 2027-05-31 and is listed under ICR 202403-0920-014.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 0920-1353 Outbreak Summary Report Form	Form
Form 0920-1353 att 3f_Outbreak Summary Report Form	Form
Form 0920-1353 Initial Outbreak Report Form	Form and Instruction
Form 0920-1353 Att 3e_Initial Outbreak Report Form	Form and Instruction
Form 0920-1353 Increasing Access to Hepatitis C and/or Hepatitis B Testing and Linkage to Care in High-Impact Settings	Form and Instruction
Form 0920-1353 Att 3d_Increasing Access to Hepatitis C and/or Hepatitis B Testing and Linkage to Care in High-Impact Settings	Form and Instruction
Form 0920-1353 Component 3: Special Projects—Prevention, Diagnosis, and Treatment Related to the Infectious Disease Consequences of Drug Use	Form
Form 0920-1353 Att 3c_Component 3: Special Projects-Prevention, Diagnosis, and Treatment Related to the Infectious Disease Consequences of Drug Use	Form
Form 0920-1353 Component 2: Core Viral Hepatitis Prevention Activities	Form
Form 0920-1353 Att 3b_Component 2: Core Viral Hepatitis Prevention Activities	Form
Form 0920-1353 Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities	Form
Form 0920-1353 Att 3a_Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities	Form
SSA_rev 031324.docx	Supporting Statement A
Project-Determination Summary.pdf	Supplementary Document
Att 1_ Authorizing Legislation.pdf (document unavailable)	Supplementary Document
SSB_3-13-2024.docx	Supporting Statement B
att 3f_Outbreak Summary Report Form	Form
att 3f_Outbreak Summary Report Form	Form
Att 3e_Initial Outbreak Report Form	Form and Instruction
Att 3e_Initial Outbreak Report Form	Form and Instruction
Att 3d_Increasing Access to Hepatitis C and/or Hepatitis B Testing and Linkage to Care in High-Impact Settings	Form and Instruction
Att 3d_Increasing Access to Hepatitis C and/or Hepatitis B Testing and Linkage to Care in High-Impact Settings	Form and Instruction
Att 3c_Component 3: Special Projects-Prevention, Diagnosis, and Treatment Related to the Infectious Disease Consequences of Drug Use	Form
Att 3c_Component 3: Special Projects-Prevention, Diagnosis, and Treatment Related to the Infectious Disease Consequences of Drug Use	Form
Att 3b_Component 2: Core Viral Hepatitis Prevention Activities	Form
Att 3b_Component 2: Core Viral Hepatitis Prevention Activities	Form
Att 3a_Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities	Form
Att 3a_Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities	Form

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202403-0920-014	Revision of a currently approved collection	2024-04-12	Approved with change
202208-0920-006	No material or nonsubstantive change to a currently approved collection	2022-08-10	Approved without change
202111-0920-016	No material or nonsubstantive change to a currently approved collection	2021-11-22	Approved without change
202108-0920-001	New collection (Request for a new OMB Control Number)	2021-08-03	Approved with change

OMB Details

Att 3a_Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
Form	Name	Electronic access	Type
Form 0920-1353	Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities	Fillable Fileable	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.