Eligible and consenting participants - Behavioral Assessment Interview

[NCHHSTP] Barriers and Facilitators to Expanding the NHBS to Conduct HIV Behavioral Surveillance Among Transgender Women (NHBS-Trans)

OMB: 0920-1262

IC ID: 234907

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Eligible and consenting participants - Behavioral Assessment Interview 0920-1262-23BS
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1262 Behavioral Assessment (English) Att 4b_Behavioral Assessment (English)_rev 12092022.docx Yes Yes Fillable Fileable
Form and Instruction 0920-1262 Behavioral Assessment (Spanish) Att 5b_Behavioral Assessment (Spanish)_rev 12092022.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems  76 FR 4458

1,400 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 1,400 0 0 0 0 1,400
Annual IC Time Burden (Hours) 933 0 0 0 0 933
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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