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pdf“Evaluation of Pharmacy Syringe Access Linked to HIV Testing for
Injection Drug Users in New York City (Pharm-HIV)”
Attachment 3c
Syringe Transaction and Referral Log
FORM APPROVED
OMB. NO. 0920-09XX
EXPIRES
XX/XX/XXXX
“Evaluation of Pharmacy Syringe Access Linked to HIV Testing for Injection
Drug Users in New York City (Pharm-HIV)”
Syringe Transaction and Referral Log
Public reporting burden of this collection of information is estimated to average 5 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. An
agency may not conduct or sponsor, and a persons is not required to respond to a collection of
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this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D74, Atlanta, Georgia 30333; Attn: PRA (0920-09XX)
_____________________________________________________________________________________
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service
Centers for Disease Control and Prevention
Atlanta, Georgia 30333
| File Type | application/pdf |
| File Title | “Evaluation of Pharmacy Syringe Access Linked to HIV Testing for Injection Drug Users in New York City (Pharm-HIV)” |
| Author | Paul J Weidle |
| File Modified | 2009-05-18 |
| File Created | 2009-03-06 |