View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Evaluation of Rapid HIV Self-Testing: Qualitative and User Proficiency Assessments
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Attach1a_Eligibility_ScreenerElect[1].pdf Yes Yes Fillable Printable
Other-WORD Attach1a_Eligibility_Screener[1].docx Yes Yes Fillable Printable
Other-WORD Attach1b_Focus_Group_Guide[1].docx Yes Yes Fillable Printable
Other-WORD Attach1c_In-Depth_Int_Guide[1].docx Yes Yes Fillable Printable
Other-WORD Attach1e_Test_Result_Images[1].docx Yes Yes Fillable Printable
Other-WORD Attach1d_User_Proficiency_Survey[1].docx Yes Yes Fillable Printable
Other-WORD Attach1d_User_Proficiency_SurveyElect[1].pdf Yes Yes Fillable Printable

Health Immunization Management

 

430 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 430 0 0 0 0 0
Annual IC Time Burden (Hours) 121 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attach2a_Eligibility_Screener_Consent[1] Attach2a_Eligibility_Screener_Consent[1].docx 12/12/2012
Attach2b_Focus_Group_Consent[1] Attach2b_Focus_Group_Consent[1].docx 12/12/2012
Attach2d_Proficiency_Assessment_Consent[1] Attach2d_Proficiency_Assessment_Consent[1].docx 12/12/2012
SS Part A SS Part A.docx 12/13/2012
Screenshot for consent to participate Screenshot for consent to participate.docx 12/13/2012
SS Part B SS Part B.docx.docx 12/13/2012
eSTAMP Parts 1-2 Protocol IRB Clean 12 eSTAMP Parts 1-2 Protocol IRB Clean 12.11.2012.docx 12/13/2012
Attach2c_In-Depth_Interview_Consent[1] Attach2c_In-Depth_Interview_Consent[1].docx 12/13/2012
IRB_Approval_Letter_Part_1_and_2_09252012[1] IRB_Approval_Letter_Part_1_and_2_09252012[1].pdf 12/13/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.