Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Eligibility Screener New 1700 142 0 Form and Instruction n/a Eligibility Screener
Form and Instruction n/a Eligibility Screener (Spanish)
Focus Group Guide New 48 72 0 Form and Instruction n/a Focus Group Guide
Form and Instruction n/a Focus Group Guide (Spanish)
HIV sample collection New 1700 567 0 Form and Instruction n/a HIV Sample Collection
Form and Instruction n/a HIV Sample Collection (Spanish)
In-Depth Interview New 45 45 0 Form and Instruction n/a In-Depth Interview Guide
Form and Instruction n/a In-Depth Interview Guide (Spanish)
Quarterly Assessment New 3400 2550 0 Form and Instruction n/a Quarterly Assessment
Form and Instruction n/a Quarterly Assessment (Spanish)
Registration Contact Information Form New 425 35 0 Form and Instruction n/a Registration Contact Information Form
Form and Instruction n/a Registration Contact Information Form (Spanish)
SMaRT App Install New 425 71 0 Form and Instruction n/a SMART App Installation
Form and Instruction n/a SMART App Installation (Spanish)
STI Sample Collection New 1700 850 0 Form and Instruction n/a STI Sample Collection
Form and Instruction n/a STI Sample Collection (Spanish)
Total burden requested under this ICR: 9443 4332 0  
To view an IC, click on IC Title