Reportng Test Results (completion of study)

Evaluation of Free Rapid HIV at-home Testing

OMB: 0920-1018

IC ID: 211024

Information Collection (IC) Details

View Information Collection (IC)

Reportng Test Results (completion of study)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Reporting Home Test Results completion Reporting of Home Test Results at completion_Screenshot.docx Yes Yes Fillable Fileable

Health Immunization Management

 

3,200 0
   
Individuals or Households
 
   100 %

  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 3,200 0 3,200 0 0 0
Annual IC Time Burden (Hours) 267 0 267 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Self-test Completion Att 3h Reporting of Self-Test completion.docx 03/27/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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