Participant Information Form

HRSA AIDS Education and Training Centers (AETCs) Evaluation Activities

OMB: 0915-0281

IC ID: 254443

Information Collection (IC) Details

View Information Collection (IC)

Participant Information Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Participation Information Form_Final 5.4.2022.docx Yes Yes Fillable Fileable

Health Health Care Services

 

164,835 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 164,835 0 164,835 0 0 0
Annual IC Time Burden (Hours) 27,473 0 27,473 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Participant Information Form Participation Information Form_Final 5.4.2022.docx 06/30/2022
Event Record Information Event Record_Final 5.4.2022.docx 06/30/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy