Information Collection Request

Formative Research to Develop HIV Social Marketing Campaigns for Healthcare Providers

ICR 202106-0920-013 · OMB 0920-1182 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Project Determination Approval #6838.pdf Supplementary Document Uploaded 2021-08-13 Repair queued
Att11 PIA_DevelopHIVSocial-Signed.pdf Supplementary Document Uploaded 2021-07-15 Repair queued
Att10-Recruitment Firm Privacy Agreement.docx Supplementary Document Uploaded 2021-08-03 Repair queued
Att8-Informed Consent.docx Supplementary Document Uploaded 2021-07-15 Repair queued
Att2-60 Day FRN Published 3-6-2021 1182.pdf Supplementary Document Uploaded 2021-07-15 Missing upstream
Att1-Legislation.pdf Supplementary Document Uploaded 2021-08-03 Repair queued
SSB_04-23-21.docx Supporting Statement B Uploaded 2021-08-13 Repair queued
SSA(0920-1182)_rev2.docx Supporting Statement A Uploaded 2021-08-13 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
223937 Att 9_Provider Screener Other-WORD Modified
223936 Att 7_Materials Testing Guide Other-WORD Modified
223935 Att 6_Concept Testing Guide Other-WORD Modified
223934 Att 5_Message Testing Guide Other-WORD Modified
223933 Att 4c_Exploratory Testing Guide_HIV Prevention: HIV Testing & PrEP Other-WORD Modified
223932 Att 4b_Exploratory Testing Guide_ Patient Centered Care Other-WORD Modified
223931 Att 4a_Exploratory Testing Guide_Prevention with Positives & Retentiuon in Care Other-WORD Modified
223930 Att 3_Web-Based Survey Other-WORD Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
2,277 0
902 0
0 0





table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,277 0 0 2,277 0 0
Annual Time Burden (Hours) 902 0 0 902 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No