Information Collection

National Asian & Pacific Islander HIV/AIDS Awareness Day Evaluation Report

IC 197438 under ICR 201104-0920-014 · OMB 0920-0890.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0890 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5 National Asian & Pacific Islander HIV/AIDS Awareness Day Evaluation Report	Form
5 National Asian & Pacific Islander HIV/AIDS Awareness Day Att 5 API HIVAIDS Evaluation Report.docx	Form

IC Title:

National Asian & Pacific Islander HIV/AIDS Awareness Day Evaluation Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5	National Asian & Pacific Islander HIV/AIDS Awareness Day Evaluation Report	Att 5 API HIVAIDS Evaluation Report.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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