Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2012 Case-Surveillance-Based-Sampling Questionnaire for the Medical Monitoring Project (MPP) New 1900 655 0 Form and Instruction None
Form OMB 0920-0740 - Medical History Form
Form OMB 0920-0840 Surveillance Period Summary Form
Form OMB 0920-0740 Surveillance Period Visit Form
Form 0920-0740 Surveillance Period Inpatient Form
Form and Instruction None
Other-Consent Form--English
Other-Consent Form--Spanish
Form and Instruction None
Instruction
Assessing the Accuracy of Self-Report of HIV Testing Behavior New 1810 600 0 Form none
Form none
Form none
Assessment of QDS Data Coll. System and Dev't of HIV Prev. Decision Support Messages and Form. Research for the Web-based HIV Beh. Survey among MSM New 17471 2497 0 Form none
Form none
Form none
Form none
Form none
Form none
Form none
Form none
Form none
Form none
Assessment of a QDS Data Collection System in HIV Prevention Program Evaluation - Spanish version New 1 1 0 Form none
Form none
Demonstration Project of HCV Rapid Testing in HIV Testing Settings and Development of Recruitment Strategies for the Web-based HIV Behavioral Survey among MSM New 15156 2104 0 Form none
Form none
Form and Instruction none
Form none
Form none
Form none
Form none
Form none
Form none
Development of a Motion Comic for HIV/STI Prevention among Young People New 780 545 0 Form none
Form and Instruction none
Form and Instruction none
Form and Instruction none
Form none
Form none
Evaluation of Rapid HIV Self-Testing: Qualitative and User Proficiency Assessments New 430 121 0 Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Field Assessment of a Comprehensive Manual for Hepatitis C Counseling and Testing New 240 70 0 Form none
Form none
Form none
HIV Testing Factors among Rural Black Men and Family and Cultural Impact on STD and HIV Risk among Latino and African-American Youth New 3858 2310 0 Form none
Form none
Form none
Form none
Form none
Form none
Form none
Form none
Local Needs Assessment of Program Collaboration and Service Integration Among Infectious Disease Prevention Providers for Persons Who Use Drugs Illicitly New 300 156 0 Instruction
Instruction
Instruction
Instruction
MARI - Empowering Latinas to Lash Out Against AIDS (ELLAS) New 530 208 0 Form none
Form none
Form none
Form none
National TB Lab Services Survey and Assessment of a QDS Data Collection System in HIV Prevention Program Evaluation New 3308 2001 0 Form none
Form none
Form none
Sexual risk-taking among young black men who have sex with men: exploring the social and situational contexts of HIV risk, prevention and treatment New 1780 745 0 Form none
Form none
Form none
Form none
Usability Study of Medscape's Technology-based Panel New 16800 934 0 Form none
Form none
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 64364 12947 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title