HIV Indicators

Co-location and Integration of HIV Prevention and Medical Care into Behavioral Health Program

OMB: 0930-0343

IC ID: 212088

Information Collection (IC) Details

View Information Collection (IC)

HIV Indicators
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Program Specific Indicators Program Specific Indicators Attachment 3 Program Specific Indicators with updated directions.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

200 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 320 0 320 0 0 0
Annual IC Time Burden (Hours) 96 0 96 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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