Aim 2a Cohort Contact Information (English/Spanish)

[NCHHSTP] _Expanding PrEP in Communities of Color (EPICC) (24BY)

OMB: 0920-1423

IC ID: 263121

Information Collection (IC) Details

View Information Collection (IC)

Aim 2a Cohort Contact Information (English/Spanish) 0920-22GA
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-22GA Att 4b_Aim1ProviderTrainingContactInformation Att_4b_Aim1ProviderTrainingContactInformation[2].docx Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

134 0
   
Individuals or Households
 
   0 %

  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 134 0 0 0 0 134
Annual IC Time Burden (Hours) 11 0 0 0 0 11
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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