Informed Consent

The Prevalence and Incidence of HIV Molecular Variants and Their Correlation with Risk Behaviors and HIV Treatment in Brazilian Blood Donors (NHLBI)

Documents and Forms

Document Name Document Type
Form 1 Informed Consent Form and Instruction
Attach_6_Risk_Factor_Informed_Consent_Portuguese_2_2015_V_2.0.docx Other-Portuguese Inform Consent
1 Attachment 2 Risk Factor Informed Consent Attach_2_Risk_Factor_Informed Consent_2_2015_V_2.0.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Informed Consent	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Attachment 2 Risk Factor Informed Consent	Attach_2_Risk_Factor_Informed Consent_2_2015_V_2.0.docx		Yes	Yes	Fillable Fileable
Other-Portuguese Inform Consent			Attach_6_Risk_Factor_Informed_Consent_Portuguese_2_2015_V_2.0.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.