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

View Information Collection (IC)

HIV Health Improvement Affinity Group Assessment 0920-0879-17AXW
 
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
Other-Interview Guide Yes No Paper Only

Health Public Health Monitoring

 

146 0
   
State, Local, and Tribal Governments
 
   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 146 0 146 0 0 0
Annual IC Time Burden (Hours) 82 0 82 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement B 07/31/2017
List of Respondents 07/31/2017
Interview Selectees 07/31/2017
Assessment Invitation Email 07/31/2017
Assessment Reminder Email 07/31/2017
Interview Invitation Email 07/31/2017
Interview Reminder Email 07/31/2017
Supporting Statement A 07/31/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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