M&E Data Elements on HIV Prevention and Care Services (THRIVE Partners)

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

OMB: 0920-1178

IC ID: 224629

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

View Information Collection (IC)

M&E Data Elements on HIV Prevention and Care Services (THRIVE Partners)
 
No Modified
 
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 4 ME Variables 112816.docx Yes Yes Fillable Fileable
Instruction Att 4 Clean_ME Variables.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

80 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 160 0 0 0 0 160
Annual IC Time Burden (Hours) 1,440 0 0 0 0 1,440
Annual IC Cost Burden (Dollars) 37,224 0 0 0 0 37,224

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