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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
2018 Congenital Syphilis Study
New
220
220
0
Form and Instruction
0920-0840
Eligibility Screener - Prenatal Care Providers
Form and Instruction
0920-0840
Interview Guide - Prenatal Care Providers
Form and Instruction
0920-0840
Eligibility Sreener - Pregnant Women
Form and Instruction
0920-0840
Interview Guide - Pregnant Women
Assessment of STD Service Needs and Provisions
New
5025
421
0
Form
none
Patient Questionnaire
Form
none
Administrative Questionnaire
Developing Tools to Engage Adolescent Men Who Have Sex with Men (AMSM)
New
72
198
0
Form and Instruction
n/a
Screener for In-person AMSM and Transgender Focus Groups
Form
n/a
Screener for Online AMSM and Transgender Focus Groups
Form and Instruction
n/a
AMSM Focus Group Guide
Form
n/a
Screenshots of AMSM Focus Group Guide
Form and Instruction
n/a
Transgender Youth Focus Group Guide
Form
n/a
Screenshots of Transgender Youth Focus Group Guide
Development of a Mobile Messaging Intervention for Men who have Sex with Men: Formative Study
New
848
243
0
Form and Instruction
NA
Eligibility Screening Form - Online
Form and Instruction
NA
Contact Information Form - Online
Form and Instruction
NA
Eligibility Screening Form - Reverification
Form and Instruction
NA
Focus Group Guide
Form and Instruction
NA
In-Depth Interview Guide
Examination of Jail and Prison Policies Related to STD Prevention
New
24
28
0
Form and Instruction
NA
Vulnerable Populations Project Key Informant Interview Guide
Formative Research on Resilience and Transgender Youth
New
48
73
0
Form and Instruction
N/A
Qualitative Interview Guide
Form and Instruction
N/A
Eligibility Screener
Formative Tools for Addressing HIV Prevention Preferences among Adolescent MSM
New
7875
1677
0
Form
none
Survey screener
Form
none
Survey - word
Form
none
Survey AMSM - screenshots
Form
none
Survey Trans - screenshots
Improving Surveillance Data Collection among Persons Not Receiving HIV Care: A Qualitative Project to Enhance the MMP
New
40
40
0
Form
0920-0840
Interview Guide
Middle School Perspectives on Sexual Health Education in Fort Worth Independent School District
New
48
72
0
Form and Instruction
N/A
Middle School Focus Group Guide
Project Engage 2.0: Engaging Gay "Community" Activism for Syphilis Prevention
New
192
107
0
Other-WORD
Other-WORD
Project Engage: Engaging Gay "Community" Activism for Syphilis Prevention
New
100
45
0
Form and Instruction
NA
Eligibility Screener
Form and Instruction
NA
Telephone Interview Guide
Student and Teacher Perspectives on Sexual Health Education in Fort Worth Independent School District
New
126
174
0
Form and Instruction
0920-16ML
Att 2-Teacher Interview Guide
Instruction
Form and Instruction
0920-16ML
Att 4-Middle School Student Focus Group Guide
Form and Instruction
0920-16ML
Att 5-High School Student Focus Group Guide
Form and Instruction
0920-16ML
Att 8-Teacher Interview Consent Form
Instruction
Instruction
Instruction
Instruction
Total Burden Actually Used for Information Collections Under Currently Approved ICR:
14618
3298
0
Total Burden Currently Requested for Information Collections Under Currently Approved ICR:
0
0
0
To view an IC, click on IC Title