AETC Data Collection Cover Page

OMB No.: 0915-0281
Expires 5/31/2010
HRSA AIDS Education and Training Centers

Data Submission Cover Page
Please type answers to questions. Please do not leave any blanks. There is space on the bottom
to note any exceptions to requested data or questions regarding data coding.
AETC Name:

AETC

Number:

Staff responsible for submission
Date of submission:

(mm/dd/yyyy)

/

/ /

Start of data collection period:

/

/ /

(mm/dd/yyyy)

End of data collection period:

/

/

(mm/dd/yyyy)

Datasets:

File Names

Participant Information Form

PIF

Event Record

ER

File Format

Number of Records

Status:

A ccess

Status:

Excel

The Datasets attached to this transmittal form conform to the variable name and
value formats specific in the AETC Data Manual
A list of local performance sites and the corresponding subsite codes are attached.

Notes/questions regarding data:

Include this cover page as a separate file when uploading data
PUBLIC BURDEN STATEMENT: An agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a currently valid OMB number. The OMB control number for this project is
0915-0281. Public reporting burden for this collection of information is estimated 209 hours per year. This estimate
includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed,
and completing and reviewing the collection of information.

HRSA AIDS Education and Training Centers

Data Submission List of Local Performance Sites

Sub-site Name

Sub-site Code

HRSA AIDS Education and Training Centers
AETC Submission Status and Validation Report

Item
Cover Page
Sub-sites
Participant Information Form (PIF)
Event Record (ER)

Status

Errors

Warnings