Success Case Study Consent

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

OMB: 0920-0913

IC ID: 213999

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Success Case Study Consent
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Success Case Study Consent Att 4b_Success Case Study Consent Form.docx No   Paper Only

Health Public Health Monitoring

 

14 0
   
Individuals or Households
 
   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 14 0 0 14 0 0
Annual IC Time Burden (Hours) 2 0 0 2 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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