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Take Charge of Your Sexual Health: What you need to know about preventive services: Pre-Testing Hispanic Community

IC 220844 under ICR 201407-0920-003 · OMB 0920-1027.

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Take Charge of Your Sexual Health: What you need to know about preventive services: Pre-Testing Hispanic Community 16WA
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att1_Screener.docx No   Fillable Fileable
Other-WORD Att3_Focus Group ModeratorGuide.docx No   Paper Only

Health Illness Prevention

 

36 0
   
State, Local, and Tribal Governments
 
   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 36 0 36 0 0 0
Annual IC Time Burden (Hours) 35 0 35 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 2_Spanish Sexual Health Guide Att2_SpanishSexualHealthGuide.pdf 04/13/2016
Att 4_English Sexual Health Guide Att4_EnglishSexualHealthGuide.pdf 04/13/2016
Program Overview Project Overview.docx 04/13/2016
Request for Approval - Screener Template_Screener.docx 04/13/2016
Request for Approval - Focus Group Template_FocusGroup.docx 04/13/2016
Att 5_ English Spanish Discussion Guide Att5_EngSpanDiscussionGuide.docx 04/13/2016
Att 6_Compairson English/Spanish Guide Att6_ComparisonEngSpanGuide.docx 04/13/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.