Clinic Staff Script - Approaching Clients

Monitoring Outcomes of the Enhanced Comprehensive HIV Prevention Plan (ECHPP) Project

OMB: 0920-0922

IC ID: 200564

Information Collection (IC) Details

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Clinic Staff Script - Approaching Clients
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Rev Attachment 7d_Clinic Staff-Approaching Clients.doc Yes Yes Printable Only

Health Immunization Management

 

1,100 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 1,100 0 1,100 0 0 0
Annual IC Time Burden (Hours) 92 0 92 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 9b Clinic Survey Interviewer Script Attach 9b Clinic Survey Interviewer Script.docx 12/20/2011
Attachment 7a Clinic Director Script Attach 7a _Clinic Director Script.doc 12/20/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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