OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

HIV Case Control Study

IC 187011 under ICR 201503-0925-008 · OMB 0925-0597.

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

View Information Collection (IC)

HIV Case Control Study
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Questionnaire Attach_1_Brazil_HIV_Case_Study_Questionnaire_4_26_2012_V_7 0.docx Yes Yes Fillable Fileable

Health Immunization Management

 

100 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 0 0 -100 0 0 100
Annual IC Time Burden (Hours) 0 0 -40 0 0 40
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attach_2_Brazil_HIV_Informed Consent_4_2012_V_2 Attach_2_Brazil_HIV_Informed Consent_4_2012_V_2.0.docx 04/30/2012
Attach_6_Brazil_HIV_Case_Study_Questionnaire_Portuguese_4_2102_V_1 0 Attach_6_Brazil_HIV_Case_Study_Questionnaire_Portuguese_4_2102_V_1 0.docx 04/30/2012
Attach_7_ Brazil_HIV_Informed_Consent_Portuguese_4_2120_V_1 Attach_7_ Brazil_HIV_Informed_Consent_Portuguese_4_2120_V_1.0.docx 04/30/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.