Act Against AIDS Campaign

CDC and ATSDR Health Message Testing System

OMB: 0920-0572

IC ID: 201132

Information Collection (IC) Details

View Information Collection (IC)

Act Against AIDS Campaign
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Screener - MSM Act Against AIDS - MSM Screening Instrument.docx No No Paper Only
Form and Instruction none Interview - MSM Act Against AIDS - MSM Interview Guide.docx No No Paper Only
Form and Instruction none Screener - HIV+ Act Against AIDS - HIV+ Screening Instrument.docx No No Paper Only
Form and Instruction none Interview - HIV+ Act Against AIDS - HIV+ Interview Guide.docx No No Paper Only
Form and Instruction none Interview - General Population Act Against AIDS - Intercept Interview Guide.docx No No Paper Only
Form and Instruction none Invitation - General Population Act Against AIDS - Script Invitation for Eligible.docx No No Paper Only

Health Immunization Management

 

1,420 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 1,420 0 0 0 0 0
Annual IC Time Burden (Hours) 385 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Script for Ineligible Participants Act Against AIDS - SCRIPT FOR INELIGIBLE PARTICIPANTS.docx 02/06/2012
Consent for MSM Audiences Act Against AIDS - MSM Consent form.docx 02/06/2012
Consent for HIV+ Audiences Act Against AIDS - HIV+ Consent Form.docx 02/06/2012
Health Message Testing Review Form Att 3 - Health Message Testing System Expedited Review Form 1 DHAP PCB.docx 02/06/2012
Messages Creative genIC 0920-0572.docx 02/06/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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