Information Collection

Participant Feedback Forms for the Mental Health Care Provider Education (MHCPE) in the HIV/AIDS Program

IC 7583 under ICR 200711-0930-003 · OMB 0930-0195.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0195 can be found here:

Documents and Forms

Document Name Document Type
Form Forms and Instruct Participant Feedback Forms for the Mental Health Care Provider Education (MHCPE) in the HIV/AIDS Program Form and Instruction
Forms and Instruct Forms and Instructions Forms-Instructions.zip Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Participant Feedback Forms for the Mental Health Care Provider Education (MHCPE) in the HIV/AIDS Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Forms and Instructions	Forms and Instructions	Forms-Instructions.zip		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	12,600	12,600
Annual IC Time Burden (Hours)	1,843	1,843
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.