Phase 1 Consent

Identification of Behavioral and Clinical Predictors of Early HIV Infection (Project DETECT)

OMB: 0920-1100

IC ID: 218948

Documents and Forms
Document Name
Document Type
Other-Consent Form (English)
Other-Consent Form (Spanish)
Information Collection (IC) Details

View Information Collection (IC)

Phase 1 Consent
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Consent Form (English) Att 10a_Phase 1 Consent form (English).docx No   Paper Only
Other-Consent Form (Spanish) Att 10b_Phase 1 Consent Form (Spanish).docx No   Paper Only

Health Health Care Services

 

2,334 0
   
Individuals or Households
 
   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 2,334 0 0 0 0 2,334
Annual IC Time Burden (Hours) 584 0 0 0 0 584
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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