OMB control number

Evaluating Locally-Developed HIV Prevention Interventions for African-American MSM in Los Angeles

OMB 0920-0913 · HHS/CDC.

OMB 0920-0913

Latest forms, documents, and information collections
Document	Type
Success Case Study Consent	Form
RCT Consent	Form
Success Case Study Interview	Form
6-Month Follow-up Questionnaire	Form
3-Month Follow-up Questionnaire	Form
Client Satisfaction Survey	Form
Participant Contact Information Form	Form
Baseline Questionnaire	Form
Limited Locator Form	Form
Outreach Recruitment Assessment	Form
SS A Clean.docx	Supporting Statement A
Att 5b_Project Determination approval.pdf	Supplementary Document
Att 5a_MLMS IRB approval.pdf	Supplementary Document
Att 3k_Follow-up interview log.docx	Supplementary Document
Att 3j_Participant Contact Log.docx	Supplementary Document
Att 3a_Data Collection Flowchart.docx	Supplementary Document
Att 2a_Public Comment.docx	Supplementary Document
Att 2_60 Day FRN.pdf	Supplementary Document
Att 1_Public Health Service Act.docx	Supplementary Document
SS B Clean.docx	Supporting Statement B
Success Case Study Consent	Form
RCT Consent	Form
Success Case Study Interview	Form
6-Month Follow-up Questionnaire	Form
3-Month Follow-up Questionnaire	Form
Client Satisfaction Survey	Form
Participant Contact Information Form	Form
Baseline Questionnaire	Form
Limited Locator Form	Form
Outreach Recruitment Assessment	Form

Historical document collections
Reference	Filing	Received	Action
201411-0920-009	Extension without change of a currently approved collection	2014-12-04	Approved without change
201204-0920-004	No material or nonsubstantive change to a currently approved collection	2012-04-23	Approved without change
201110-0920-008	New collection (Request for a new OMB Control Number)	2011-10-18	Approved without change