Form Approved
OMB No. 0920-New
Expiration Date: XX/XX/XXXX
Harm Reduction toolkits for Non-Prescription Syringe Sales in Community Pharmacies
Attachment 8
Syringe Sales and Service referrals variables
Public reporting burden of this collection of information is estimated to average 60 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-New)
Syringe sales and service referrals variables |
Number of syringe customers |
Number of syringes distributed |
Estimated number of syringes returned for disposal |
Number of referrals for HIV testing and/or HIV tests provided |
Number of referrals for HCV antibody testing and/or HCV antibody tests provided |
Number of referrals for substance abuse treatment |
Number of harm reduction kits distributed |
Number of unique visits to the resource website for PWID |
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |