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[NCHHSTP] Evaluation of the Minority HIV/AIDS Research Initiative (MARI): 2003-Present
[NCHHSTP] Formative Research and Tool Development
OMB: 0920-0840
IC ID: 268880
OMB.report
HHS/CDC
OMB 0920-0840
ICR 202410-0920-007
IC 268880
( )
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:
Unchanged
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
Federal Enterprise Architecture Business Reference Module
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 %
Requested
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
84
0
0
0
0
84
Annual IC Time Burden (Hours)
25
0
0
0
0
25
Annual IC Cost Burden (Dollars)
0
0
0
0
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.