Qualitative Interview

Surveillance of HIV/AIDS Related Events Among Persons Not Receiving Care ("Never In Care")

OMB: 0920-0748

IC ID: 180335

Information Collection (IC) Details

View Information Collection (IC)

Qualitative Interview
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Qualitative Interview Guide for Never in Care Attachment 2b Qualitative Interview Guide and Form.doc Yes Yes Fillable Printable

Health Public Health Monitoring

 

75 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 75 0 75 0 0 0
Annual IC Time Burden (Hours) 75 0 75 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Consent Form for Qualitative Interview Attachment 5b IC for Qualitative Interview.doc 05/21/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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