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Knowledge, Attitudes, and Perceptions of Shigellosis Related Prevention Behaviors Among Men Who Have Sex With Men 0920-21BI
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Screener Attachment 1 - Screening Form_01222021.docx Yes Yes Fillable Fileable
Form and Instruction n/a Interview Guide Attachment 2 - Interview Guide_01222021.docx No   Paper Only

Health Illness Prevention

 

530 0
   
Individuals or Households
 
   74 %

  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 530 0 530 0 0 0
Annual IC Time Burden (Hours) 113 0 113 0 0 0
Annual IC Cost Burden (Dollars) 2,633 0 2,633 0 0 0

Title Document Date Uploaded
Supporting Statement Part A Shigella_SSA_01132021.docx 01/22/2021
Supporting Statement Part B Shigella_SSB_01212021.docx 01/22/2021
Fact Sheet Attachment 3 - Fact Sheet.pdf 01/22/2021
Non-Research Determination Attachment 4 - NonResearchDetermination.pdf 01/22/2021
Recruitment Materials Attachment 5 - Recruitment Materials.docx 01/22/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.