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

View Information Collection (IC)

Formative Evaluation for Shigellosis Sexual Health Materials for Men who have Sex with Men 17ABT
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Yes No Paper Only
Other-Moderator's Guide Yes No Paper Only

Health Illness Prevention

 

445 0
   
Individuals or Households
 
   0 %

  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 445 0 445 0 0 0
Annual IC Time Burden (Hours) 79 0 79 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement B 05/03/2017
Supporting Statement A 05/08/2017
Request for Approval 05/08/2017
Recruitment Script 05/08/2017
Consent 05/08/2017
Baltimore message 05/08/2017
Seattle Message 05/08/2017
Minnesota message 05/08/2017
San Francisco message 05/08/2017
CDC message 05/08/2017
IRB determination 05/08/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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