Acceptability/Feasibility Assessment Among Clinical and Community Providers

[NCHHSTP] The GAIN (Greater Access and Impact with NAT) Study: Improving HIV Diagnosis, Linkage to Care, and Prevention Services with HIV Point-of-Care Nucleic Acid Tests (NATs)

Documents and Forms

Document Name Document Type
Form 0920-1357 Acceptability/Feasibility Assessment Among Clinical and Community Providers Form and Instruction
0920-1357 Participant Focus Group/Interview Guide Gay City and Mad Att 13_Provider focus group and interview guides.docx Form and Instruction
0920-1357 Participant Focus Group/Interview Guide Gay City and Mad Att 13_Provider focus group and interview guides.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Acceptability/Feasibility Assessment Among Clinical and Community Providers	Agency IC Tracking Number:	0920-1357-24AQ

Is this a Common Form? No		IC Status: Modified

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	0920-1357	Participant Focus Group/Interview Guide Gay City and Madison Clinic Testing, PEP & PrEP (participants testing negative only)	Att 13_Provider focus group and interview guides.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	100	67	33
Annual IC Time Burden (Hours)	100	67	33
Annual IC Cost Burden (Dollars)	0	-1,082	1,082

Documents for IC

Title	Document	Date Uploaded
No associated records found

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