Locator Form

Nurse Delivered Risk Reduction Intervention for HIV-Positive Women In the South

OMB: 0920-0831

IC ID: 189533

Documents and Forms
Document Name
Document Type
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Locator Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 2 Locator Form 0920-New_att4_Locator.doc Yes Yes Fillable Fileable

Health Illness Prevention

 

330 0
   
Individuals or Households
 
   100 %

  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 330 0 330 0 0 0
Annual IC Time Burden (Hours) 17 0 17 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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