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Barriers and Facilitators to HIV Prevention, Care and Treatment among Trasngender Women in Atlanta, Philadelphia and Washington, DC

IC 225125 under ICR 201505-0920-007 · OMB 0920-1091.

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

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Barriers and Facilitators to HIV Prevention, Care and Treatment among Trasngender Women in Atlanta, Philadelphia and Washington, DC 17KT
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Eligibility Screener Att 3a Eligibility Screener Transg Women.docx No   Paper Only
Form none Demographic Questionnaire - Transgender Women Att 3b DemoQuestionnaire Trans Women.docx Yes No Paper Only
Form none Demographic Questionnaire - Healthcare Providers Att 3c DemoQuestonnaire Healthcare Providers.docx No   Paper Only
Form none INterview Guide HIV- Transgender Women Att 3d Interview Guide HIV Negative Transgender Women.docx No   Paper Only
Form none Interview Guide - HIV+ Transgender Women Att 3e Interview Guide HIV Positive TransWomen.docx No   Paper Only
Form none Interview Guide Healthcare Providers Att 3f Interview Guide Healthcare Providers.docx No   Paper Only

Health Health Care Services

 

180 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 180 0 180 0 0 0
Annual IC Time Burden (Hours) 61 0 61 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A SSA.docx 01/12/2017
Supporting Statement B SSB.docx 01/12/2017
Recruitment Materials Att 1 Recruitment Materials.docx 01/12/2017
Consent Forms Att 2 Consent Forms.docx 01/12/2017
IRB Approval Att 4 Abt IRB 0853 Transgender Full Approval.pdf 01/12/2017
Certificate of Confidentiality Attachment 5 CoC Barriers and Facilitators to HIV Prevention, Care, and Treatment amo....pdf 01/12/2017
Research Determination Tqual Project-Determination-and-Approval-Form _JD_Approval-9-7-16.pdf 01/12/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.