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Partner Feedback Assessment Of Sexually Transmitted Disease (STD) Clinic Processes For Conducting And Documenting Routine HIV Testing

IC 227197 under ICR 201605-0920-001 · OMB 0920-1050.

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

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Partner Feedback Assessment Of Sexually Transmitted Disease (STD) Clinic Processes For Conducting And Documenting Routine HIV Testing 0920-1050-17ASX
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA DSTDP Assessment: HIV testing in SSuN STD Clinics - STD Clinic Provider Interview Guide Att1_Interview Form_Provider_REVISED_20170420v3.1.docx NA No   Paper Only
Form and Instruction NA DSTDP Assessment: HIV testing in SSuN STD Clinics - STD Clinic/Data Manager Interview Guide Att2_Interview Form_Data-Clinic Manager_REVISED_20170420v1.0.docx NA No   Paper Only

Health Health Care Services

 

25 0
   
State, Local, and Tribal Governments
 
   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 25 0 25 0 0 0
Annual IC Time Burden (Hours) 25 0 25 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Request Template - 0920-1050 Generic Clearance for Qualitative Feedback Template Approval Form.docx 06/15/2017
0920-1050 GenIC Summary 2017_STD Partner Feedback Assessment Summary.docx 06/16/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.