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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.