Brazil HIV Case Study Questionnaire

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

OMB: 0925-0597

IC ID: 215854

Documents and Forms
Information Collection (IC) Details

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Brazil HIV Case Study Questionnaire
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2 REDS-III Risk Factor Assessment Attach_1_REDS-III_Risk_Factor_Assessment_2_2015_V_3.0.docx Yes Yes Fillable Fileable
Other-Portuguese Assessment Questionnaire Attach_5_Risk_Factor_Assessment_Portuguese_2_2105_V_3.0.docx Yes Yes Fillable Fileable

Health Health Care Services

 

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 100 0 100 0 0 0
Annual IC Time Burden (Hours) 32 0 32 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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