OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

HIV Testing and Counseling Baseline & 3-Month Follow-up

IC 194317 under ICR 201008-0920-009 · OMB 0920-0872.

Documents and Forms
Document Name
Document Type
Other-Cover Page
Other-Informed Consent
IC Document
Information Collection (IC) Details

View Information Collection (IC)

HIV Testing and Counseling Baseline & 3-Month Follow-up
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Cover Page Attachment 7a-Cover-HIV Testing and Counseling Protocol and Consent.doc Yes No Fillable Fileable
Other-Informed Consent Attachment 7a_NYS Informed Consent HIV Testing.pdf Yes No Fillable Fileable

Health Illness Prevention

 

400 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 400 0 400 0 0 0
Annual IC Time Burden (Hours) 300 0 300 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Process Flowchart Attachment 7b_NYS HIV Testing Flowchart.pdf 08/03/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.