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HIV CASI Cohort
"Cohort Study of HIV, STIs and Preventive Interventions among Young MSM in Thailand
OMB: 0920-1191
IC ID: 224251
OMB.report
HHS/CDC
OMB 0920-1191
ICR 201610-0920-014
IC 224251
( )
Documents and Forms
Document Name
Document Type
Att 14 HIV CASI Cohort.pdf
Other-WORD/Screenshots
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
HIV CASI Cohort
Agency IC Tracking Number:
16JD
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
Other-WORD/Screenshots
Att 14 HIV CASI Cohort.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
46
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
184
0
184
0
0
0
Annual IC Time Burden (Hours)
3
0
3
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.