Aim 2a Cohort HIPAA Form (English & Spanish)

[NCHHSTP] Expanding PrEP in Communities of Color (EPICC)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1423 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-22GA Aim 2a Cohort HIPAA Form (English & Spanish) Form and Instruction
0920-22GA Att 4h_Aim2aCohortHIPAAFormEnglish Att_4h_Aim2aCohortHIPAAFormEnglish[1].docx Form and Instruction
0920-22GA Att 4h_Aim2aCohortHIPAAFormSpanish Att_4h_Aim2aCohortHIPAAFormSpanish[1].docx Form and Instruction

Information Collection (IC) Details