CDC Model Performance Evaluation Program (MPEP) Enrollment Form

CDC Model Performance Evaluation Program (MPEP) for Retroviral and AIDS-Related Testing

OMB: 0920-0274

IC ID: 37750

Documents and Forms
Document Name
Document Type
Other-Enrollment Form
Information Collection (IC) Details

View Information Collection (IC)

CDC Model Performance Evaluation Program (MPEP) Enrollment Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Enrollment Form Attachment 3 Enrollment Form.doc Yes Yes Printable Only

Health Public Health Monitoring

 

100 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 100 0 -4,145 0 0 4,245
Annual IC Time Burden (Hours) 5 0 -1,052 0 0 1,057
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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