HIV Clinician Survey

HIV Clinician Workforce Study

Documents and Forms

Document Name Document Type
Info_Brochure_Clinician_Survey.pdf Instruction
Web_Example.pdf Other-Web_Demo
Study_Design_Report.pdf Other-Study Design Report
2 Pretest Pretest-Version-Questionnaire_Clinician-Survey.pdf Form and Instruction
1 Clinician survey HIV Clinician Workforce Study - Final Design Report (To HRSA).docx Form and Instruction

Information Collection (IC) Details

IC Title:	HIV Clinician Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Study Design Report			Study_Design_Report.pdf	Yes	No	Printable Only
Instruction			Info_Brochure_Clinician_Survey.pdf	Yes	No	Printable Only
Form and Instruction	2	Pretest	Pretest-Version-Questionnaire_Clinician-Survey.pdf	Yes	Yes	Fillable Fileable
Other-Web_Demo			Web_Example.pdf	Yes	No	Printable Only
Form and Instruction	1	Clinician survey	HIV Clinician Workforce Study - Final Design Report (To HRSA).docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,500	3,500
Annual IC Time Burden (Hours)	1,155	1,155
Annual IC Cost Burden (Dollars)	96,546	96,546

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.