OMB control number
Rapid HIV Testing Clinical Information Form for Minority AIDS Initiative (MAI) for Ethnic Racial Minorities at Risk for Substance Use and HIV/AIDS
OMB 0930-0295 · HHS/SAMHSA.
OMB 0930-0295
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form Attachment A - HIV HIV/AID Rapid Testing Clinical Information Form | Form and Instruction |
 0295-SS-B-10 18 12 Final doc.doc | Supporting Statement B |
| Attachment D- RHT Consent Form.doc | Supplementary Document |
| Attachment C - List of MAITCE Grantees.doc | Supplementary Document |
| Attachment B-List of RHT Grantees.pdf | Supplementary Document |
| 0295-SS-A-10_18_12_Final_doc[1].doc | Supporting Statement A |
 HIV/AID Rapid Testing Clinical Information Form |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201206-0930-001 | Revision of a currently approved collection | 2012-06-22 | Approved with change | |
| 200906-0930-004 | Reinstatement with change of a previously approved collection | 2009-06-29 | Approved without change | |
| 200807-0930-002 | New collection (Request for a new OMB Control Number) | 2008-07-29 | Approved without change |