OMB control number

Evaluation of Free Rapid HIV at-home Testing

OMB 0920-1018 · HHS/CDC.

OMB 0920-1018

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Registration	Form
Form form Eligibility Screener	Form
Individual in-depth Interview Guide	Form
Focus Group Discussion Guide	Form
Reporting Home Test Results completion	Form and Instruction
Follow-up Survey	Form
Follow-up Survey	Form
Reporting Home Test Results	Form and Instruction
Baseline Survey	Form
Baseline Survey	Form
Consent	Form
Consent	Form
Consent	Form
Att 6 Screenshots All Forms.pdf	Supplementary Document
SS Part B.docx	Supporting Statement B
Att 5b Center PD approval for 3.4.pdf	Supplementary Document
Att 5a IRB approval.pdf	Supplementary Document
Att 2b Public Comment.docx	Supplementary Document
Att 2_60 day FRN.docx	Supplementary Document
Att 1 Auth legislation.docx	Supplementary Document
Att 3b Study Registration.docx	Supplementary Document
Att 3a Eligibility Screener.docx	Supplementary Document
Att 3h Reporting of Self-Test results at completion.docx	Supplementary Document
Att 3g Follow up-HIV positive group.docx	Supplementary Document
Att 3f Follow up-Intervention Comparison Arms.docx	Supplementary Document
Att 3e Reporting of Self-Test Results.docx	Supplementary Document
Att 3d Baseline Survey_HIV Positive.docx	Supplementary Document
Att 3c Baseline Survey.docx	Supplementary Document
Att 4c In-depth Interview consent.docx	Supplementary Document
Att 4b Focus group consent.docx	Supplementary Document
Att 4a RCT consent form.docx	Supplementary Document
SS Part A.docx	Supporting Statement A
Study Registration	Form
Eligibility Screener	Form
In-depth Interview	Form
Focus Group Discussion	Form
Reportng Test Results (completion of study)	Form and Instruction
Follow-up Survey for HIV Positive Group	Form
Follow-up Survey for RCT	Form
Reporting of Test Results (during study)	Form and Instruction
Baseline Survey for HIV-Positive Group	Form
Baseline Survey for RCT	Form
In-depth Interview Consent	Form
Focus Group Consent	Form
Consent	Form

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
201403-0920-017	New collection (Request for a new OMB Control Number)	2014-03-31		Approved with change