Information Collection

In-Depth Interview Guide

IC 232938 under ICR 201808-0920-015 · OMB 0920-1245.

Documents and Forms

Document Name Document Type
In-Depth Interview Guide Form and Instruction
PrEP Semi-Structured In-Depth Interview Guide Att 3c In-depth Interview Guide.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	In-Depth Interview Guide	Agency IC Tracking Number:

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
Form and Instruction	NA	PrEP Semi-Structured In-Depth Interview Guide	Att 3c In-depth Interview Guide.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title: 09-20-0136 - Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 60	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	60	60
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	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.