Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Baseline Survey New 1200 400 0 Form and Instruction 0920-
Eligibility Consent New 3333 111 0 Form and Instruction 0920-
Eligibility Screener New 3333 111 0 Form and Instruction 0920-
Final HIV Test Result Survey (completion) New 1000 83 0 Form and Instruction 0920-
Follow-up New 1000 500 0 Form and Instruction 0920-
Guest Consent Form New 667 22 0 Form and Instruction 0920-
Guest HIV Test Result Survey New 667 56 0 Form and Instruction 0920-
Initial HIV Test Result Survey New 1000 83 0 Form and Instruction 0920-
Product Ordering New 400 20 0 Form and Instruction 0920-
Registration Contact Information New 1267 42 0 Form and Instruction 0920-
Study Consent New 1333 89 0 Form and Instruction 0920-
Total burden requested under this ICR: 15200 1517 0  
To view an IC, click on IC Title