OMB.report

Federal forms, ICRs, and supporting documents

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 Name
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All Historical Document Collections

201206-0930-001 Approved with change	Revision of a currently approved collection	2012-06-22
200906-0930-004 Approved without change	Reinstatement with change of a previously approved collection	2009-06-29
200807-0930-002 Approved without change	New collection (Request for a new OMB Control Number)	2008-07-29