Baseline Assessment Questionnaire

HIV Prevention among Latino MSM: Evaluation of a locally developed intervention

OMB: 0920-0942

IC ID: 201267

Documents and Forms
Document Name
Document Type
Other-Attachment 4 Baseline Assessme
Information Collection (IC) Details

View Information Collection (IC)

Baseline Assessment Questionnaire
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment 4 Baseline Assessment questionnaire Attachment 4 Baseline Assessment questionnaire[1].pdf Yes Yes Printable Only

Health Public Health Monitoring

 

300 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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 525 0 525 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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