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HIV-negative MSM In-Depth Interview Guide Adults -English
Understanding Barriers and Facilitators to HIV Prevention for Men who Have Sex with Men (MSM) - Pulse Study
OMB: 0920-1111
IC ID: 219090
OMB.report
HHS/CDC
OMB 0920-1111
ICR 201511-0920-012
IC 219090
( )
Documents and Forms
Document Name
Document Type
Form 0920-15AGK
HIV-negative MSM In-Depth Interview Guide Adults -English
Form and Instruction
0920-15AGK Att 3e HIV-Neg MSM In-depth Int_English
Att 3e HIV-Neg MSM In-depth Int_English.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
HIV-negative MSM In-Depth Interview Guide Adults -English
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
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
0920-15AGK
Att 3e HIV-Neg MSM In-depth Int_English
Att 3e HIV-Neg MSM In-depth Int_English.docx
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
95
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
95
0
95
0
0
0
Annual IC Time Burden (Hours)
95
0
95
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.