Adult HIV Confidential Case Report Form

[NCHHSTP] National HIV Surveillance System (NHSS)

Att_3(a) Adult Case Report Form 2023 v17

Case Report Updates

OMB: 0920-0573

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0573 can be found here:

2025-01-06 - No material or nonsubstantive change to a currently approved collection

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