NHBS Behavioral Assessment (MSM)

[NCHHSTP] National HIV Behavioral Surveillance System

OMB: 0920-0770

IC ID: 182203

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

NHBS Behavioral Assessment (MSM)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0770 Behavioral Assessment for MSM (English) Att 3b_Behavioral Assessmnet MSM_Eng.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0770 Behavioral Assessment for MSM (Spanish) Att 4b_Behavioral Assessment MSM_Span.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems. HHS/CDC  57 FR 62812

3,333 0
   
Individuals or Households
 
   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 3,333 0 -834 0 0 4,167
Annual IC Time Burden (Hours) 1,334 0 -333 0 0 1,667
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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