Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Acceptability/Feasibility Assessment Among Clinical and Community Providers Unchanged 33 33 1082 Form and Instruction n/a Participant Focus Group / Interview Guide
Baseline Data Collection Unchanged 2 4 77 Instruction
Monthly Study Report Form Unchanged 24 6 115 Form and Instruction n/a Monthly Study Report Form
Participants in Cross-sectional Comparison of Several POC NATs - ROI Form Unchanged 333 56 1062 Form and Instruction n/a Release of Information Form
Participants in Cross-sectional Comparison of Several POC NATs - Study Visit Survey Modified 333 83 1593 Form and Instruction n/a Study Visit Survey
Form and Instruction 0920-1357 GAIN Study Visit Survey - Revised 09SEP2022
Participants in POC NAT Acceptability Survey Unchanged 117 39 746 Form and Instruction n/a NAT Acceptability Survey
Participants in Prospective Study of HIV-negative Patients Seeking HIV Testing - ROI Form Unchanged 165 28 526 Form and Instruction n/a Release of Information Form
Participants in Prospective Study of HIV-negative Patients Seeking HIV Testing - Study Visit Survey Modified 165 41 790 Form and Instruction n/a Study Visit Survey
Form and Instruction 0920-1357 GAIN Study Visit Survey - Revised 09SEP2022
Participants in Prospective Study of HIV-negative Patients Seeking HIV Testing and/or PrEP Services - ROI Form Unchanged 1530 255 4881 Form and Instruction n/a Release of Information Form
Participants in Prospective Study of HIV-negative Patients Seeking HIV Testing and/or PrEP Services - Study Visit Survey Modified 1530 383 7321 Form and Instruction n/a Study Visit Survey
Form and Instruction 0920-1357 GAIN Study Visit Survey - Revised 09SEP2022
Participants in RCT of POC NAT or Standard of Care for HIV-positive Patients - ROI Form Unchanged 333 56 1062 Form and Instruction n/a Release of Information Form
Participants in RCT of POC NAT or Standard of Care for HIV-positive Patients - Study Visit Form Modified 333 83 1593 Form and Instruction n/a Study Visit Survey
Form and Instruction 0920-1357 GAIN Study Visit Survey - Revised 09SEP2022
Total burden requested under this ICR: 4898 1067 20848  
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