CleverCap App Setup

[NCHHSTP] mChoice: Improving PrEP Uptake and Adherence among Minority MSM through Tailored Provider Training and Adherence Assistance in Two High Priority Settings

OMB: 0920-1428

IC ID: 263490

Information Collection (IC) Details

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CleverCap App Setup 0920-1428-24DB
 
Yes Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Att 4e_CleverCap App Setup English Att 4e_CleverCap App Setup _CLEAN.docx Yes Yes Fillable Fileable
Form and Instruction n/a Att 4e_CleverCap App Setup Spanish Att 4e_CleverCap App Setup Spanish_CLEAN.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

134 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 134 0 0 0 0 134
Annual IC Time Burden (Hours) 23 0 0 0 0 23
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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