OMB
.report
Search
Aim 2a Cohort Blood Collection Instructions (English/Spanish)
[NCHHSTP] Expanding PrEP in Communities of Color (EPICC)
OMB: 0920-1423
IC ID: 263130
OMB.report
HHS/CDC
OMB 0920-1423
ICR 202412-0920-015
IC 263130
( )
Documents and Forms
Document Name
Document Type
Form 0920-22GA
Aim 2a Cohort Blood Collection Instructions (English/Spanish)
Form and Instruction
0920-22GA Att 4l_Aim2a Cohort Blood Collection Instructions Englis
Att_4l_Aim2aCohortBloodCollectionInstructionsEnglish[1].docx
Form and Instruction
0920-1423 Aim 2a Cohort Blood Collection Instructions_English
Att_4l_Aim2aCohortBloodCollectionInstructionsEnglish_clean.docx
Form and Instruction
0920-1423 Aim 2a Cohort Blood Collection Instructions_Spanish
Att 4l_Aim2aCohortBloodCollectionInstructionsSpanish_clean.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Aim 2a Cohort Blood Collection Instructions (English/Spanish)
Agency IC Tracking Number:
0920-22GA
Is this a Common Form?
No
IC Status:
Modified
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
0920-22GA
Att 4l_Aim2a Cohort Blood Collection Instructions English
Att_4l_Aim2aCohortBloodCollectionInstructionsEnglish[1].docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1423
Aim 2a Cohort Blood Collection Instructions_English
Att_4l_Aim2aCohortBloodCollectionInstructionsEnglish_clean.docx
N/A
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1423
Aim 2a Cohort Blood Collection Instructions_Spanish
Att 4l_Aim2aCohortBloodCollectionInstructionsSpanish_clean.docx
N/A
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
134
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
134
0
0
0
0
134
Annual IC Time Burden (Hours)
134
0
0
0
0
134
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.