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Consent for qualitative interview– English (Att 5c)
[NCHHSTP] Surveillance of HIV-related service barriers among Individuals with Early or Late HIV Diagnoses (SHIELD)
OMB: 0920-1402
IC ID: 265787
OMB.report
HHS/CDC
OMB 0920-1402
ICR 202403-0920-003
IC 265787
( )
Documents and Forms
Document Name
Document Type
Form 0920-1402
Consent for qualitative interview– English (Att 5c)
Form and Instruction
0920-1402 Attachment 5c SHIELD Model Qual Consent (English)
Attachment 5c SHIELD Model Qual Consent (English).docx
Form and Instruction
Information Collection (IC) Details
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