Minority AIDS Initiative for Collaboration for Prevention and Treatment Improvement for AIANs at Risk for Substance Use and HIV/AID, (MIA) Rapid HIV Testing Clinical Information Form
HIV-AIAN\CDC PEMS Form
OMB: 0930-0295
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0930-0295 can be found here: