Information Collection Request
Monitoring Data Collection Tools for the Minority AIDS Initiative (MAI)
ICR 202406-0930-001 · OMB 0930-0357 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0930-0357 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form MAI Youth Question Youth Questionnaire |
Form and Instruction | Modified | Repair queued |
| Form MAI Adult Question Adult Questionnaire |
Form and Instruction | Modified | Repair queued |
| Form MAI Progress Repor MAI Progress Report |
Form and Instruction | Modified | Repair queued |
 MAIYouthQuestionnaireSpanish2024.docx |
Supplementary Document | Uploaded 2024-06-21 | Repair queued |
| MAIAdultQuestionnaireSpanish2024.docx |
Supplementary Document | Uploaded 2024-06-21 | Repair queued |
| MAI_MRT_SS_B 2024.docx |
Supporting Statement B | Uploaded 2024-06-21 | Repair queued |
| MAI_MRT_SS_A 2024 (2024.06.17)_CLEAN.docx |
Supporting Statement A | Uploaded 2024-06-21 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 234096 |  Youth Questionnaire |
Form and Instruction | Modified | |
| 234095 | Adult Questionnaire |
Form and Instruction | Modified | |
| 219824 | MAI Progress Report |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/SAMHSA |
| OMB Control No | 0930-0357 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202110-0930-004 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |