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Att. 3c_Key Informant Interview Guide
Evaluation of Enhancing HIV Prevention Communication and Mobilization Efforts through Strategic Partnerships
OMB: 0920-1161
IC ID: 222049
OMB.report
HHS/CDC
OMB 0920-1161
ICR 202012-0920-011
IC 222049
( )
Documents and Forms
Document Name
Document Type
Att 3c Key Informant Interview Guide.doc
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Att. 3c_Key Informant Interview Guide
Agency IC Tracking Number:
16LL
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Att 3c Key Informant Interview Guide.doc
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
25
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
50
0
50
0
0
0
Annual IC Time Burden (Hours)
50
0
50
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.