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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.