Baseline Questionnaire

Evaluating Locally-Developed HIV Prevention Interventions for African-American MSM in Los Angeles

OMB: 0920-0913

IC ID: 199770

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Baseline Questionnaire
 
No Modified
 
Voluntary
 
42 CFR 241

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Baseline Questionnaires Att 3d_Baseline Questionnaire Clean.rtf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

10 0
   
Individuals or Households
 
   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 10 0 0 -518 0 528
Annual IC Time Burden (Hours) 10 0 0 -518 0 528
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.

© 2024 OMB.report | Privacy Policy