Informed Consent

HIV Outpatient Study (HOPS)

OMB: 0920-1080

IC ID: 216378

Information Collection (IC) Details

View Information Collection (IC)

Informed Consent 0920-1080
 
No Modified
 
Voluntary
 
3 CFR 301.241(a)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1080 Consent to Participate in a Research Study Att 4 Informed Consent Forms.docx No   Paper Only

Health Illness Prevention

 

450 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 450 0 0 0 0 450
Annual IC Time Burden (Hours) 113 0 0 0 0 113
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 6_Screenshots _Data Abstraction Elements Att 6 Screen Shots_Data Abstract Elements.pdf 08/09/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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