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Assessing Client Factors Associated with Detectable HIV Viral Loads; and Models of Care the Ryan White HIV/AIDS Program
Assessing Client Factors Associated with Detectable HIV Viral Loads; and Models of Care the Ryan White HIV/AIDS Program
OMB: 0906-0033
IC ID: 228991
OMB.report
HHS/HRSA
OMB 0906-0033
ICR 201711-0906-001
IC 228991
( )
Documents and Forms
Document Name
Document Type
Attachment A - Provider Interview Guide - Suppression.docx
Other-Interview
Attachment B - Client Survey.docx
Other-Interview
Attachment C - Client Interview.docx
Other-Interview
Attachment D - Provider Interview Guide - Models of Care.docx
Other-Interview
Attachment E - Client Focus Group Guide.docx
Other-Interview
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Assessing Client Factors Associated with Detectable HIV Viral Loads; and Models of Care the Ryan White HIV/AIDS Program
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Other-Interview
Attachment A - Provider Interview Guide - Suppression.docx
No
Printable Only
Other-Interview
Attachment B - Client Survey.docx
No
Printable Only
Other-Interview
Attachment C - Client Interview.docx
No
Printable Only
Other-Interview
Attachment D - Provider Interview Guide - Models of Care.docx
No
Printable Only
Other-Interview
Attachment E - Client Focus Group Guide.docx
No
Printable Only
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:
1,340
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
1,340
0
1,340
0
0
0
Annual IC Time Burden (Hours)
1,510
0
1,510
0
0
0
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.