IMMEDIATE POST Follow-UP Assessment - PHMC

Development and Testing of an HIV Prevention Intervention Targeting Black Bisexually-Active Men

OMB: 0920-0863

IC ID: 193028

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IMMEDIATE POST Follow-UP Assessment - PHMC
 
No New
 
Voluntary
 
42 CFR 241

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD 10BA_Att 3E_Immediate_Follow-Up.doc Yes Yes Fillable Printable

Health Illness Prevention

 

225 0
   
Individuals or Households
 
   0 %

  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 225 0 225 0 0 0
Annual IC Time Burden (Hours) 113 0 113 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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