Assessing Client Factors Associated with Detectable HIV Viral Loads; and Models of Care the Ryan White HIV/AIDS Program

Documents and Forms

Document Name Document Type
Attachment A - Provider Interview Guide - Suppression.docx Other-Interview
Attachment B - Client Survey.docx Other-Interview
Attachment C - Client Interview.docx Other-Interview
Attachment D - Provider Interview Guide - Models of Care.docx Other-Interview
Attachment E - Client Focus Group Guide.docx Other-Interview

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Assessing Client Factors Associated with Detectable HIV Viral Loads; and Models of Care the Ryan White HIV/AIDS Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Interview	Attachment A - Provider Interview Guide - Suppression.docx	No	Printable Only
Other-Interview	Attachment B - Client Survey.docx	No	Printable Only
Other-Interview	Attachment C - Client Interview.docx	No	Printable Only
Other-Interview	Attachment D - Provider Interview Guide - Models of Care.docx	No	Printable Only
Other-Interview	Attachment E - Client Focus Group Guide.docx	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,340	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,340	1,340
Annual IC Time Burden (Hours)	1,510	1,510
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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