OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

HIV Risk Factor

IC 187040 under ICR 201411-0925-001 · OMB 0925-0596.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

HIV Risk Factor
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1.1 HIV Attachment 1 1_HIV Qx.doc Yes Yes Paper Only

Health Public Health Monitoring

 

1,050 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 0 0 -1,050 0 0 1,050
Annual IC Time Burden (Hours) 0 0 -347 0 0 347
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 2 Attachment 2.1_Consent Cases HIV.doc 10/22/2008
Attachment 2 Attachment 2.2_Consent Controls HIV.doc 10/22/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.