State and Health Dept. CBO Recruitment Flyer- English and Spanish

Understanding Barriers and Facilitators to HIV Prevention for Men who Have Sex with Men (MSM) - Pulse Study

Documents and Forms

Document Name Document Type
Att 6a HIV-Neg MSM Recruitment Ads_English.docx Instruction
Att 6b HIV-Neg MSM Recruitment Ads_Spanish.docx Instruction
Att 6c HIV-negative MSM Recruitment Flyers-English.pdf Instruction
Att 6d HIV-negative MSM Recruitment Flyers-Spanish.pdf Instruction

Information Collection (IC) Details

IC Title:	State and Health Dept. CBO Recruitment Flyer- English and Spanish	Agency IC Tracking Number:	15AGK

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Instruction	Att 6a HIV-Neg MSM Recruitment Ads_English.docx	No	Fillable Printable
Instruction	Att 6b HIV-Neg MSM Recruitment Ads_Spanish.docx	No	Fillable Printable
Instruction	Att 6c HIV-negative MSM Recruitment Flyers-English.pdf	No	Fillable Printable
Instruction	Att 6d HIV-negative MSM Recruitment Flyers-Spanish.pdf	No	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	5	5
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.