Locator Form (NYBC)

HIV/AIDS Risk Reduction Interventions for African-American Heterosexual Men

OMB: 0920-0873

IC ID: 194331

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Document Type
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Information Collection (IC) Details

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Locator Form (NYBC)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD 0920-10CM_Att3e_Locator_Form_(NYBC).doc Yes Yes Fillable Printable

Health Illness Prevention

 

80 0
   
Individuals or Households
 
   100 %

  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 80 0 80 0 0 0
Annual IC Time Burden (Hours) 7 0 7 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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