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Webpage Study Details and DAIDS staff Informed Consent Screenshots
PROCESS ASSESSMENT REVIEW OF THE DIVISION OF ACQUIRED IMMUNODEFICIENCY SYNDROME (DAIDS) CRITICAL EVENTS POLICY IMPLEMENTATION (CEPI) PROGRAM (NIAID)
OMB: 0925-0712
IC ID: 213286
OMB.report
HHS/NIH
OMB 0925-0712
ICR 201601-0925-001
IC 213286
( )
Documents and Forms
Document Name
Document Type
Form 3
Webpage Study Details and DAIDS staff Informed Consent Screenshots
Form and Instruction
3 Webpage Study Details and DAIDS staff Informed Consent S
Attachment 5b Webpage Study Details and Informed Consent DAIDS staff Screenshots.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Webpage Study Details and DAIDS staff Informed Consent Screenshots
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
3
Webpage Study Details and DAIDS staff Informed Consent Screenshots
Attachment 5b Webpage Study Details and Informed Consent DAIDS staff Screenshots.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
400
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
400
0
0
0
0
400
Annual IC Time Burden (Hours)
33
0
0
0
0
33
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.