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Objective 2 Risk Factor Informed Consent Adult HIV positive SCD patients

IC 218303 under ICR 201509-0925-003 · OMB 0925-0736.

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

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Objective 2 Risk Factor Informed Consent Adult HIV positive SCD patients
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2 Attachment 2.2 Brazil SCD Obj. 2 Risk Factor Assessemtn Consent Attachment_2.2_Brazil_SCD_Obj_2_Risk_Factor_Assessment_Consent_9231_2015_V_9.0.docx No   Fillable Printable

Health Consumer Health and Safety

 

25 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 25 0 25 0 0 0
Annual IC Time Burden (Hours) 6 0 6 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 7 Brazil SCD Obj. 2 Risk Factor Assessment Consent Portuguese Attachment_7_Brazil_SCD_Obj_2_Risk_Factor_Assessment_Consent_Portuguese_9_23_2015_V_3.0.docx 09/29/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.