Emergency Departments Material Testing Interview

Formative Research to Develop Social Marketing Campaigns-Routine HIV Testing For Emergency Medicine Physicians, Prevention Is Care, and Partner Services

OMB: 0920-0775

IC ID: 183181

Information Collection (IC) Details

View Information Collection (IC)

Emergency Departments Material Testing Interview
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Emergency Department HIV Testing Interview A2a Data Collection Instruments-Routine Testing.docx No No Paper Only

Health Health Care Services

 

8 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 8 0 -16 0 0 24
Annual IC Time Burden (Hours) 8 0 -16 0 0 24
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Consent for Routine Testing Interview A5a_Consent Forms-RT_3-1-11.doc 03/23/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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