Information Collection Request

Qualitative Evaluation of HIV Counseling, Testing, and Referral Services in Non-Health Care Settings: Eliciting Consumer Views

ICR 200712-0920-005 · OMB 0920-0774 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
SS_Section B.doc Supporting Statement B Uploaded 2007-11-15 Available
A11_Reminder Ltr_Email.doc Supplementary Document Uploaded 2007-11-16 Available
A10_Recruitment E-mail.doc Supplementary Document Uploaded 2007-11-16 Available
A9_Recruitment Flyers.doc Supplementary Document Uploaded 2007-11-16 Available
A8_E-Builletin Board Ad.doc Supplementary Document Uploaded 2007-11-16 Available
A7_Recruitment Print Ad.doc Supplementary Document Uploaded 2007-11-16 Available
A5_Consent Form_Adolescents.doc Supplementary Document Uploaded 2007-11-16 Available
A3-B._RTI IRB.doc Supplementary Document Uploaded 2007-11-16 Available
A4_Consent Form_Adult.doc Supplementary Document Uploaded 2007-11-16 Available
A3-A_CDC IRB.doc Supplementary Document Uploaded 2007-11-15 Repair queued
A2.Published 60d FRN.pdf Supplementary Document Uploaded 2007-11-15 Available
A1_Legislation.doc Supplementary Document Uploaded 2007-11-15 Available
SS_Section A.doc Supporting Statement A Uploaded 2007-11-27 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
183085 Facilitator Guide Adolescents (HIV-negative) Other-WORD New
183084 Facilitator Guide Adolescents (HIV-positive) Other-WORD New
183083 Facilitator Guide Adult Potential Clients Other-WORD New
183082 Facilitator Guide Adult Past Clients (HIV-positive) Other-WORD New
183081 Facilitator Guide Adult Past Clients (HIV-negative) Other-WORD New
183080 Screening Other-WORD New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2011 36 Months From Approved
882 0 0
714 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 882 0 0 882 0 0
Annual Time Burden (Hours) 714 0 0 714 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No