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Federal forms, ICRs, and supporting documents

Information Collection

Qualitative Research to Understand Consumer Opinions and Preferences for Emerging HIV Prevention Products among MSM in Atlanta, Houston, and Miami

IC 241844 under ICR 202010-0920-010 · OMB 0920-1091.

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

View Information Collection (IC)

Qualitative Research to Understand Consumer Opinions and Preferences for Emerging HIV Prevention Products among MSM in Atlanta, Houston, and Miami 0920-20HK-2
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Screener Att 2a_Screener.docx No   Paper Only
Form and Instruction n/a Contact Information Form Att 2b_Contact information Form.docx No   Paper Only
Form and Instruction n/a In-depth Interview Guide Att 2c_In Depth Interview Guide.docx No   Paper Only
Form and Instruction n/a Focus Group Guide Att 2d_Focus Group Guide.docx No   Paper Only
Form and Instruction n/a Survey for Participants Currently on PrEP Att 2e_Survey on PrEP.docx No   Paper Only
Form and Instruction n/a Survey for Participants Currently Not on PrEP Att 2f_Survey not on PrEP.docx No   Paper Only

Health Illness Prevention

01-36-0216, Epidemiologic Studies and Surveillance of Disease Problems, HHS/CDC  57 FR 62812

240 0
   
Individuals or Households
 
   0 %

  Requested 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 240 0 0 0 0 240
Annual IC Time Burden (Hours) 220 0 0 0 0 220
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Recruitment Materials Att 1_Recruitment Materials.pdf 05/15/2020
Consent for Interview Att 3a_Consent for Interview.docx 05/15/2020
Consent for Focus Group Att 3b_Consent for Focus Group.docx 05/15/2020
IRB Approval Att 4_IRB Approval.docx 05/15/2020
Data Use Plan Att 5_Data Use Plan.docx 05/15/2020
Privacy Impact Assessment Att 6_Privacy Impact Assessment.pdf 05/15/2020
Product Graphics Att 7_Product Graphics.docx 05/15/2020
Show Cards Att 8_Show Cards.docx 05/15/2020
Supporting Statement Part A SSA Final.docx 05/15/2020
Supporting Statement Part B SSB Final.docx 05/15/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.