Adult

Minority Substance Abuse/HIV Prevention Initiative

OMB: 0930-0298

IC ID: 187120

Information Collection (IC) Details

View Information Collection (IC)

Adult
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Adult Questionnaire Adult Questionnaire HIV Adult Questionnaire_120321.docx Yes Yes Printable Only

Health Public Health Monitoring

 

9,685 0
   
State, Local, and Tribal Governments
 
   100 %

  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 16,820 0 16,820 0 0 0
Annual IC Time Burden (Hours) 12,340 0 12,340 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Overarching Guide HIVOverarching Guide Cohort N.docx 07/16/2012
Adult Admin Guide HIV Adult Admin Guide 120321_Cleaned.docx 07/16/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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