Collaborative Assessment Tool (THRIVE Awardees)

Comprehensive HIV Prevention and Care for Men Who Have Sex with Men of Color

OMB: 0920-1178

IC ID: 224637

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Collaborative Assessment Tool (THRIVE Awardees)
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment 6 Collaborative Assessment Tool 11 22 2016 final.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

7 0
   
State, Local, and Tribal Governments
 
   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 7 0 7 0 0 0
Annual IC Time Burden (Hours) 2 0 2 0 0 0
Annual IC Cost Burden (Dollars) 60 0 60 0 0 0

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