HIV Risk Factor Questionnaire Blood donors Control Peripheral Sites

HIV Study in Blood Donors from Five Chinese Regions (NHLBI)

OMB: 0925-0596

IC ID: 213750

Information Collection (IC) Details

View Information Collection (IC)

HIV Risk Factor Questionnaire Blood donors Control Peripheral Sites
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 HIV Risk Factor Questionnaire English Attachment_1.1_HIV_Risk_Factor_Q_English_11_2014_V_8.0.docx Yes Yes Fillable Fileable
Form 2 HIV Questionaire Informed Consent Attachment_2_HIV_Questionaire_Informed Consent Form_11_2014_V_6.0.docx Yes Yes Fillable Printable

Health Consumer Health and Safety

 

420 0
   
Individuals or Households
 
   70 %

  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 420 0 420 0 0 0
Annual IC Time Burden (Hours) 140 0 140 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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