Information Collection

[NCHHSTP] Evaluation of the Minority HIV/AIDS Research Initiative (MARI): 2003-Present

IC 268880 under ICR 202401-0920-009 · OMB 0920-0840.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0840 can be found here:

Documents and Forms

Document Name Document Type
[NCHHSTP] Evaluation of the Minority HIV/AIDS Research Initiative (MARI): 2003-Present Form and Instruction
Att 5 MARI Consent Form.docx Other-Consent
MARI Investigators Survey Att 2 MARI Investigators Survey_final.docx Form and Instruction
Att 1 AuthLegislation.docx Authorizing Legislation IC Document
Att 4 MARI Recruitment Email.docx Recruitment Email IC Document
Att 6 PIA_MARI_Rev1.pdf PIA IC Document
Att 7 MARI Project Determination.docx Research Determination IC Document
SSA_MARI_final.docx SSA IC Document
SSB_MARI.docx SSB IC Document
Att 3 MARI Survey Screenshots.docx Survey Screenshots IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	[NCHHSTP] Evaluation of the Minority HIV/AIDS Research Initiative (MARI): 2003-Present	Agency IC Tracking Number:	0920-0840-24GS

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	n/a	MARI Investigators Survey	Att 2 MARI Investigators Survey_final.docx		Yes	Yes	Fillable Fileable
Other-Consent			Att 5 MARI Consent Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 84	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	84	84
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Authorizing Legislation	Att 1 AuthLegislation.docx	07/19/2024
Recruitment Email	Att 4 MARI Recruitment Email.docx	07/19/2024
PIA	Att 6 PIA_MARI_Rev1.pdf	07/19/2024
Research Determination	Att 7 MARI Project Determination.docx	07/19/2024
SSA	SSA_MARI_final.docx	07/19/2024
SSB	SSB_MARI.docx	07/19/2024
Survey Screenshots	Att 3 MARI Survey Screenshots.docx	07/19/2024

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