Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Phase 1 Consent Modified 2334 584 0 Form 0920-1100 Phase 1 Consent
Form and Instruction 0920-1100 Att 10b_Phase 1 Consent Form (Spanish)
Phase 1 Enrollment Survey Modified 1867 934 0 Form and Instruction 0920-1100 Att 7a_Phase 1 Enrollment Survey (English)
Form and Instruction 0920-1100 Att 7b_Phase 1 Enrollment Survey (Spanish)
Other-Screenshot
Phase 2 Behavioral Survey Modified 50 25 0 Form and Instruction 0920-1100 Att 8a_Phase 2 Behavioral Survey (English)
Form and Instruction 0920-1100 Att 8b_Phase 2 Behavioral Survey (Spanish)
Phase 2 Consent Modified 50 13 0 Form 0920-1100 Att 11a_Phase 2 Consent form (English)
Form 0920-1100 Att 8b_Phase 2 Behavioral Survey (Spanish)
Phase 2 HIV Symptom and Care Survey Modified 450 38 0 Form and Instruction 0920-1100 Att 9a_Phase 2 HIV Symptom and Care Survey (English)
Form and Instruction 0920-1100 Att 9b_Phase 2 HIV Symptom and Care Survey (Spanish)
Total burden requested under this ICR: 4751 1594 0  
To view an IC, click on IC Title