Information Collection List

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