Att 6_Enrollment Survey B

Identification of Behavioral and Clinical Predictors of Early HIV Infection (Project DETECT)

OMB: 0920-1100

IC ID: 218945

Information Collection (IC) Details

View Information Collection (IC)

Att 6_Enrollment Survey B 15AEZ
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att 6_Phase 1 Enrollment Survey B.docx Yes Yes Fillable Fileable

Health Health Care Services

 

200 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 200 0 200 0 0 0
Annual IC Time Burden (Hours) 200 0 200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 11.6_Screenshots Att 11.6_Screenshots_Phase 1 Enrollment Survey B.pdf 11/12/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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