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HIV-negative Patients Seeking HIV Testing - Study Visit Survey

IC 247950 under ICR 202512-0920-007 · OMB 0920-1357.

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

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HIV-negative Patients Seeking HIV Testing - Study Visit Survey 0920-1357-24AQ
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1357 Study Visit Survey (SCREENSHOTS) Att 11_GAIN study visit survey_screenshots_11-18-21.pdf Yes Yes Printable Only
Form 0920-1357 GAIN Study Visit Survey - Revised 09SEP2022 (SCREENSHOTS) Att 11_GAIN study visit survey_screenshots_changes accepted_082922.docx NA Yes Yes Printable Only

Health Health Care Services

 

50 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 0 0 0 -50 50 0
Annual IC Time Burden (Hours) 0 0 0 -13 13 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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