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

View Information Collection (IC)

Testing Brief Messages for Black and Latino MSM
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Yes Yes Fillable Fileable
Form none Yes Yes Fillable Fileable
Form none Yes Yes Fillable Fileable
Form none Yes Yes Fillable Fileable
Form none Yes Yes Fillable Fileable
Form none Yes Yes Fillable Fileable

Health Public Health Monitoring

 

3,780 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 3,780 0 3,780 0 0 0
Annual IC Time Burden (Hours) 1,455 0 1,455 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A 05/01/2014
Supporting Statement B 05/01/2014
Information Sheet - English 05/01/2014
Information Sheet - English screenshot 05/01/2014
Information Sheet - Spanish 05/01/2014
Information Sheet - Spanish screenshot 05/01/2014
Eligibility Screener - English word 05/01/2014
Eligibility Screener - Spanish word 05/01/2014
Messages - English word 05/01/2014
Messages - Spanish word 05/01/2014
Assessment - English word 05/01/2014
Assessment - Spanish word 05/01/2014
Recruitment Materials 05/01/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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