Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Community Based Organization HE/RR Data Modified 400 8000 0 Other-EvaluationWeb
Community Based Organizations: NH&E Data Training New 400 8000 0 Other-WORD
Community-Based Organizations - Agency Data Modified 400 200 0 Other-EvaluationWeb
Other-EvaluationWeb
Counseling, Testing and Referral for Community-Based Organizations Removed 0 0 0 Form and Instruction none HIV test form - page 1
Form and Instruction none HIV test form - page 2
Form and Instruction none HIV test form - page 3
Form and Instruction none HIV test form - Pacific Islands
Health Department Data Modified 138 190026 0 Other-Evaluation Web
PEMS Data Collection for Community-Based Organizations (Training) Removed 0 0 0 Form none NHM&E variables
PEMS Data Collection for Health Jurisdictions (HIV testing non-scan) Removed 0 0 0 Form none NHM&E variables
PEMS Data Collection for Health Jurisdictions (Training) Removed 0 0 0 Form none NHM&E variables
Total burden requested under this ICR: 1338 206226 0  
To view an IC, click on IC Title