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View Information Collection (IC)

Improving Surveillance Data Collection among Persons Not Receiving HIV Care: A Qualitative Project to Enhance the MMP 0920-0840 (18ACM)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0840 No   Fillable Fileable

Health Public Health Monitoring

 

40 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 40 0 40 0 0 0
Annual IC Time Burden (Hours) 40 0 40 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A 04/24/2018
Supporting Statement B 04/24/2018
Att 2 Recruitment Script 04/24/2018
Att 3 Verbal Informed Consent 04/24/2018
Att 4 Assurance of Confidentiality 04/24/2018
Att 5 Project Determination 04/24/2018
Att 6_Agreement to Abide by Restrictions 04/24/2018
Att 7 Privacy Impact Assessment 04/24/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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