PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
General Population: Pilot test of Procedures in Bars
Modified
27
2
0
Other-Script for Recruiting Participants
Other-Screener Informed Consent
Other-Screener
General population – outcome screener (in person)
Modified
9255
768
0
Other-Script for Recruiting Intercept Participants
Other-Screener Informed Consent
Other-Screener
Other-Video Storyboards FU5
General population – outcome screener (social media)
Modified
3083
256
0
Other-Screener Informed Consent
Other-Screener
LGBT young adults Outcome follow-up questionnaire (in person)
Modified
4265
2846
0
Other-Follow Up
Other-Screener
Other-Longitudinal Screener Inf Con
Other- CrossSectional Survey Inf Con
Other-Longitudinal Survey Inf Con
LGBT young adults Outcome follow-up questionnaire (social media)
Modified
1402
934
0
Other-Follow Up
Other-CrossSectional Survey Informed Consent
Other-Longitudinal Survey Informed Consent
LGBT young adults media tracking questionnaire
Modified
501
333
0
Other-Follow up
LGBT young adults media tracking screener
Modified
1668
138
0
Other-Screener Informed Consent
Other-Screener
LGBT young adults outcome baseline (in person)
Unchanged
788
394
0
Other-Web Survey Informed Consent
Other-Baseline Web Survey
LGBT young adults outcome baseline (social media)
Unchanged
263
131
0
Other-Web Survey Informed Consent
Other-Baseline Web Survey
Venue Owners and Managers
Modified
650
54
0
Other-Talking Points for Recruiting Venues
Total burden requested under this ICR:
21902
5856
0
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