Information Collection

Acceptability/Feasibility Assessment Among Clinical and Community Providers

IC 247958 under ICR 202411-0920-009 · OMB 0920-1357.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1357 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1357 Acceptability/Feasibility Assessment Among Clinical and Community Providers	Form and Instruction
Form 0920-1357 Participant Focus Group/Interview Guide Gay City and Madison Clinic Testing, PEP & PrEP (participants testing negative only) Acceptability/Feasibility Assessment Among Clinical and Community Providers	Form and Instruction
0920-1357 Participant Focus Group/Interview Guide Gay City and Mad Att 13_Provider focus group and interview guides.docx	Form and Instruction
0920-1357 Participant Focus Group/Interview Guide Gay City and Mad Att 13_Provider focus group and interview guides.docx	Form and Instruction

IC Title:

Acceptability/Feasibility Assessment Among Clinical and Community Providers

Agency IC Tracking Number:

0920-1357-24AQ

Is this a Common Form? No

IC Status: Unchanged

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	0920-1357				No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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