3-Month Follow-up Questionnaire

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

OMB: 0920-0913

IC ID: 199773

Information Collection (IC) Details

View Information Collection (IC)

3-Month Follow-up 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 3 month Follow-up Questionnaire Att 3g_3-month Questionnaire Clean.rtf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

185 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 185 0 0 -235 0 420
Annual IC Time Burden (Hours) 185 0 0 -235 0 420
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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