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Federal forms, ICRs, and supporting documents

Information Collection

Sexual Contact Interview form

IC 271899 under ICR 202412-0920-003 · OMB 0920-1446.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Sexual Contact Interview form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-25AU Sexual Contact Interview form Att. 7 Sexual Contact Interview_Revised.docx Yes Yes Fillable Fileable
Form and Instruction 0920-1446 Sexual Contact Interview Form_04DEC2024 Att. 7 Sexual Contact Interview_Clean_29Nov2024.docx N/A Yes Yes Fillable Fileable

Health Public Health Monitoring

 

150 0
   
Individuals or Households
 
   100 %

  Approved 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 150 0 0 0 0 150
Annual IC Time Burden (Hours) 38 0 0 0 0 38
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.