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
Form
Form
Form
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Phase 1 Consent 0920-1100
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1100 Phase 1 Consent Att 10a_Phase 1 Consent form (English).docx Yes Yes Fillable Fileable
Form and Instruction 0920-1100 Att 10b_Phase 1 Consent Form (Spanish) Att 10b_Phase 1 Consent Form (Spanish).docx Yes Yes Fillable Fileable

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

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