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

View Information Collection (IC)

Development of Messages for the "Let's Stop HIV Together" National Campaign 0920-21AH
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Yes Yes Fillable Fileable
Other-WORD version of screening questions to facilitate review No   Paper Only
Other-WORD version of survey questions to facilitate review No   Paper Only

Health Illness Prevention

 

1,340 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 1,340 0 1,340 0 0 0
Annual IC Time Burden (Hours) 545 0 545 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Part A 12/09/2020
Supporting Statement Part B 12/09/2020
Consent Form (consent is embedded in the screenshots) 10/20/2020
Email Reminder 10/22/2020
Project Determination: IRB Approval Not Required 10/22/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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