Title National Latino AIDS Awareness Day Evaluation Report

HIV/AIDS Awareness Day Programs

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 7 Title National Latino AIDS Awareness Day Evaluation Report Form
7 NLAAD_Survey-Revised 6-2-2011 NLAAD_Survey-Revised 6-2-2011.docx Form

Information Collection (IC) Details

IC Title:	Title National Latino 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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	7	NLAAD_Survey-Revised 6-2-2011	NLAAD_Survey-Revised 6-2-2011.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 125	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	125	125
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.