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Assessment of QDS Data Coll. System and Dev't of HIV Prev. Decision Support Messages and Form. Research for the Web-based HIV Beh. Survey among MSM

IC 198250 under ICR 200910-0920-004 · OMB 0920-0840.

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Information Collection (IC) Details

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Assessment of QDS Data Coll. System and Dev't of HIV Prev. Decision Support Messages and Form. Research for the Web-based HIV Beh. Survey among MSM
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Assessment - Survey Attachment 1_CLA_QDS Survey.docx Yes Yes Fillable Fileable
Form none Assessment - Screener Attachment 2_CLA_QDS Screener Form.docx Yes Yes Fillable Fileable
Form none Message Testing - interview screener Attach3 Screener_Qualitative Interview -SSG.doc No No Fillable Printable
Form none Message Testing - Qualitative interview Attach1 Qualitative Interview-SSG .doc Yes Yes Fillable Fileable
Form none Message Testing - Survey screener Attach6 Screener_Web-based Survey -SSG.docx Yes Yes Fillable Fileable
Form none Message Testing - Web-based Survey Attach2 Web-based Survey-SSG .doc Yes Yes Fillable Fileable
Form none Web-based Survey - Web Survey Screener Attachment 1c_Eligibility Screener_Web-based Survey.docx Yes Yes Fillable Fileable
Form none Web-based Survey - Focus Group Screener Attachment 1a_Eligibility Screener_Focus Group.docx Yes Yes Fillable Fileable
Form none Web-based Survey - Focus Group Interview Attachment 1b_Focus Group Interview.docx Yes Yes Fillable Fileable
Form none Web-based Survey - Web Survey Questionnaire Attachment 1d_Web-based Survey.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

17,471 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 17,471 0 0 0 0 0
Annual IC Time Burden (Hours) 2,497 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Assessment - Supporting Statement A Supporting Statement - Part A.docx 06/20/2011
Message Testing - Supporting Statement A Supporting Statement A-SSG.doc 06/20/2011
Message Testing - Interview Consent Attach4 Consent Form_Qualitative Interview -SSG.doc 06/20/2011
Message Testing - Survey Consent Attach5 Consent Form_Web-based Survey -SSG.doc 06/20/2011
Message Testing - Reminder letters Attach7 Web-based Survey Reminder Letter E-Mail Phone Scripts-SSG.doc 06/20/2011
Message Testing - Recruitment Flyers Safer Sex Guide Attachment 8 Recruiting Flier (2).docx 06/20/2011
Web-based Survey - Supporting Statement A Supporting Statement - Part A.docx 06/20/2011
Web-based Survey - In person Focus Group Consent Attachment 2a_Consent_in person focus group.docx 06/20/2011
Web-based Survey - On line Focus Group Consent Attachment 2b_Consent_online focus group.docx 06/20/2011
Web-based Survey - Web Survey Consent Attachment 2c_Consent_web-based survey.docx 06/20/2011
Web-based Survey - IRB Approval Attachment 3_Emory IRB Approval Letter.pdf 06/20/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.