Information Collection Request

Evaluation of the NIAID HIV Vaccine Research Education Initiative (NHVREI)

ICR 200911-0925-002 · OMB 0925-0611 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2 Focus Groups - Time 2 Form and Instruction New Available
Form 1 Focus Groups - Time 1 Form and Instruction New Available
Form 2 Key Influencer Survey Instrument - Time 2 Form and Instruction New Available
Form 1 Key Influencer Survey Instrument - Time 1 Form and Instruction New Available
HHS_PIA_Form_KI.DOC Supplementary Document Uploaded 2010-01-20 Available
Supporting Statement SectionB10-16-09v5.doc Supporting Statement B Uploaded 2009-10-20 Available
Attachment I_Informed Consent_6_29_09.doc Supplementary Document Uploaded 2009-10-16 Available
Attachment G_NHVREI TelephoneScripts6_29_09.doc Supplementary Document Uploaded 2009-10-15 Available
Attachment E RecruitmentLetter6-29-09.doc Supplementary Document Uploaded 2009-10-15 Available
Attachment J_Letter_of_Support_6-29-09.doc Supplementary Document Uploaded 2009-10-15 Available
Attachment H_RecruitmentLetterFG_6_29_09.doc Supplementary Document Uploaded 2009-10-15 Available
Attachment F_RecruitmentLetterst12-17-09.doc Supplementary Document Uploaded 2010-01-20 Available
Attachment B_IRB_Approval.doc Supplementary Document Uploaded 2009-10-15 Available
Attachment A_Pla-Privacy Act.pdf Supplementary Document Uploaded 2009-10-15 Available
ICR_Eval_NIAID_HIV_Vaccine_Key_Inf_01_14_10(2).doc Supporting Statement A Uploaded 2010-01-20 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
191224 Focus Groups - Time 2 Form and Instruction New
191223 Focus Groups - Time 1 Form and Instruction New
191222 Key Influencer Survey Instrument - Time 2 Form and Instruction New
191221 Key Influencer Survey Instrument - Time 1 Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2013 36 Months From Approved
1,402 0 0
567 0 0
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Key Influencer Survey Instrument - Time 1 1 Survey
Key Influencer Survey Instrument - Time 2 2 Survey
Focus Groups - Time 1 1 FG survey
Focus Groups - Time 2 2 FG survey

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,402 0 0 1,402 0 0
Annual Time Burden (Hours) 567 0 0 567 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No