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

View Information Collection (IC)

The Data to Care (D2C) Public Health Strategy: Successes, Challenges, and Lessons Learned in Identifying, Linking, and Reengaging Persons Diagnosed with HIV to Medical Care 0920-1091-18QE
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1091 NA No   Paper Only
Form and Instruction 0920-1091 NA No   Paper Only
Form and Instruction 0920-1091 NA No   Paper Only

Health Illness Prevention

 

210 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 210 0 210 0 0 0
Annual IC Time Burden (Hours) 100 0 100 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
D2C Recruitment Flyers 03/14/2018
Informed Consent Forms 03/14/2018
CDC IRB Approval 03/14/2018
Emory IRB Approval 03/14/2018
D2C Data Use Plan 03/14/2018
Privacy Impact Assessment 03/14/2018
Supporting Statement A 03/14/2018
Supporting Statement B 03/14/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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