Annual Reporting: Standards Evaluation Report (SER)

[NCHHSTP] National HIV Surveillance System (NHSS)

OMB: 0920-0573

IC ID: 220109

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form
Form
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Annual Reporting: Standards Evaluation Report (SER) 0920-0573-24HX
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0573 2024 Standards Evaluation Report (SER) Surveillance Program Performance Att3d SER PS18-1802_2024.pdf Yes Yes Fillable Fileable
Form 0920-0573-24HX Standards Evaluation Report (SER) " Surveillance Program Performance" Att 3d_Standards Evaluation Report Form (SER)_clean.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

SORN 09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems HHS/CDC   57 FR 62812

59 0
   
State, Local, and Tribal Governments
 
   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 59 0 0 0 0 59
Annual IC Time Burden (Hours) 472 0 0 0 0 472
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 2_SER 2024 (track changes) Att 2 SER PS18-1802_2024_track changes.docx 10/17/2023
Att 3d_ SER (WORD) rev.2024 Att 3d_SER (WORD)_rev. 2024.docx 10/17/2023
Standard Evaluation Report (track changes) 24HX Att 3d_Standards Evaluation Report Form (SER)_tracked.docx 08/05/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
© 2024 OMB.report | Privacy Policy