Flyer

Poster Design 4_revised.doc

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0840 can be found here:

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Are you over the age of 18?

Do you have 10 – 15 minutes to spare?

You may be eligible to take a Quick and Easy survey!

Participate in a health study survey investigating HIV reporting practices!

Participants will receive some compensation.

This survey is Private!

Time and Location :

Sponsored by the Centers for Disease Control

and Houston Department of Health and Human Services