Qualitative Investigation of HIV Transmission in Southeastern Indiana, 2015

Emergency Epidemic Investigation Data Collections - Expedited Reviews

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1011 can be found here:

Documents and Forms

Document Name Document Type
Qualitative Investigation of HIV Transmission in Southeastern Indiana, 2015 Form and Instruction
HIV Risk Factors Interview Guide Appendix 1_Interview Guide.doc Form and Instruction
2015012-XXX HIV_IN.docx EEI Request for Approval_HIV Indiana IC Document
CDC IRB_6776 New Approval.docx IRB Approval - CDC IC Document
0920-1011 GenIC Request HIV_Indiana Burden Table.msg GenIC Request - Burden Table IC Document
LOI.pdf Letter of Invitation IC Document

Information Collection (IC) Details

IC Title:	Qualitative Investigation of HIV Transmission in Southeastern Indiana, 2015	Agency IC Tracking Number:

IC Status: Unchanged

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	NA	HIV Risk Factors Interview Guide	Appendix 1_Interview Guide.doc	NA	No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title: 09-20-0113 Epidemic Investigation Case Records	FR Citation: 51 FR 42466

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
EEI Request for Approval_HIV Indiana	2015012-XXX HIV_IN.docx	08/21/2015
IRB Approval - CDC	CDC IRB_6776 New Approval.docx	08/21/2015
GenIC Request - Burden Table	0920-1011 GenIC Request HIV_Indiana Burden Table.msg	08/21/2015
Letter of Invitation	LOI.pdf	08/21/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.