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

View Information Collection (IC)

Pilot Test Study for the HIV Risk Reduction Educational Tool (HRRET) 15FT
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None None Yes Yes Fillable Fileable
Form and Instruction None None Yes Yes Fillable Fileable
Form and Instruction None None Yes Yes Fillable Fileable
Other-HRRET Website Content None Yes No Printable Only

Health Public Health Monitoring

 

12,000 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 12,000 0 12,000 0 0 0
Annual IC Time Burden (Hours) 1,750 0 1,750 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Authorizing Legislation 12/09/2014
HRRET Screener Survey - WORD 12/09/2014
HRRET Exploration Period 12/09/2014
HRRET PRETEST Survey - WORD 12/09/2014
HRRET POSTTEST Survey - WORD 12/09/2014
HRRET Sample Email reminder 12/09/2014
HRRET Study Consent 12/09/2014
HRRET Recruitment Ads 12/09/2014
HRRET Sample Google Ad 12/09/2014
HRRET Message Topics 12/09/2014
HRRET Sample Amazon Delivery Template 12/09/2014
Supporting Statement A 12/12/2014
Supporting Statement B 12/12/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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