Partner Services Study Screener

Formative Research to Develop Social Marketing Campaigns-Routine HIV Testing For Emergency Medicine Physicians, Prevention Is Care, and Partner Services

OMB: 0920-0775

IC ID: 183187

Information Collection (IC) Details

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Partner Services Study Screener
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Patner Services Screener A6c Screening Instruments-Partner Services.docx Yes No Fillable Printable

Health Illness Prevention

 

39 0
   
Individuals or Households
 
   0 %

  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 39 0 -48 0 0 87
Annual IC Time Burden (Hours) 7 0 -8 0 0 15
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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