Information Collection Request

Preferences for Longer-Acting Preexposure Prophylaxis (PrEP) Methods Among Persons in US Populations at Highest Need: A Discrete Choice Experiment

ICR 202209-0920-019 · OMB 0920-1400 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920 C4P Provider DCE Survey Form and Instruction New Available
Form 0920 Provider Screening & Consent Form and Instruction New Repair queued
Form 0920 C4P Client DCE Survey Form and Instruction New Repair queued
Form 0920 Client Screening & Consent Form and Instruction New Available
Att 4 Provider Invitation Email.docx Supplementary Document Uploaded 2022-09-26 Repair queued
Att 3 Client Invitation Email.docx Supplementary Document Uploaded 2022-09-26 Repair queued
Att 10 PIA_signed.pdf Supplementary Document Uploaded 2022-09-26 Repair queued
Att 9 RTI IRB Approval Notice.pdf Supplementary Document Uploaded 2022-09-26 Repair queued
Att 1 Authorizing Legislation.docx Supplementary Document Uploaded 2022-09-26 Repair queued
SS Part B_C4P.docx Supporting Statement B Uploaded 2022-09-26 Missing upstream
SS Part A.docx Supporting Statement A Uploaded 2022-09-26 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
256139 C4P Provider DCE Survey Form and Instruction New
256138 Provider Screening & Consent Form and Instruction New
256137 C4P Client DCE Survey Form and Instruction New
256136 Client Screening & Consent Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
24 Months From Approved
11,040 0
2,282 0
0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
C4P Client DCE Survey 0920 C4P Client DCE Survey
C4P Provider DCE Survey 0920 C4P Provider DCE Survey
Client Screening & Consent 0920 Client Screening & Consent
Provider Screening & Consent 0920 Provider Screening & Consent

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 11,040 0 0 11,040 0 0
Annual Time Burden (Hours) 2,282 0 0 2,282 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No