MULTI-SITE INSTRUMENT 3-Month Follow-Up (Assessment) - PHMC

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

OMB: 0920-0863

IC ID: 193032

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MULTI-SITE INSTRUMENT 3-Month 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 3F_3-Month_Follow-Up.doc Yes Yes Fillable Printable

Health Illness Prevention

 

200 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 200 0 200 0 0 0
Annual IC Time Burden (Hours) 200 0 200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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