C4P Client DCE Survey

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

Documents and Forms

Document Name Document Type
Form 0920 C4P Client DCE Survey Form and Instruction
0920 C4P Client DCE Survey Att 7 Client DCE Survey.docx survey.rti.org/SE/1/ClientSurveyDev Form and Instruction
0920 C4P Client DCE Survey Att 7 Client DCE Survey.docx survey.rti.org/SE/1/ClientSurveyDev Form and Instruction
Att 7a Client DCE Survey Screenshots.docx C4P Client DCE Survey Screenshots IC Document
Att 7a Client DCE Survey Screenshots.docx C4P Client DCE Survey Screenshots IC Document
Videos for Client DCE Survey.mp4 Videos for Client DCE Survey IC Document
Videos for Client DCE Survey.mp4 Videos for Client DCE Survey IC Document

Information Collection (IC) Details

IC Title:	C4P Client DCE Survey	Agency IC Tracking Number:	0920-22CX

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920	C4P Client DCE Survey	Att 7 Client DCE Survey.docx	https://survey.rti.org/SE/1/ClientSurveyDev	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,610	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,610	1,610
Annual IC Time Burden (Hours)	671	671
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
C4P Client DCE Survey Screenshots	Att 7a Client DCE Survey Screenshots.docx	09/26/2022
Videos for Client DCE Survey	Videos for Client DCE Survey.mp4	09/26/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.