HIV sample collection

[NCHHSTP] Understanding HIV/STD Risk and Enhancing PrEP Implementation Messaging in a Diverse Community-Based Sample of Gay, Bisexual, and Other Men Who Have Sex with Men in a Transformational Era

Documents and Forms

Document Name Document Type
HIV sample collection Form and Instruction
HIV Sample Collection Att 4e_HIV sample collection English.docx Form and Instruction
HIV Sample Collection Att 4e_HIV sample collection English.docx Form and Instruction
HIV Sample Collection (Spanish) Att 4e_HIV sample collection Spanish.docx Form and Instruction
HIV Sample Collection (Spanish) Att 4e_HIV sample collection Spanish.docx Form and Instruction

Information Collection (IC) Details

IC Title:	HIV sample collection	Agency IC Tracking Number:	0920-23AQ

Is this a Common Form? No		IC Status: Unchanged

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
Form and Instruction	n/a	HIV Sample Collection	Att 4e_HIV sample collection English.docx		No		Paper Only
Form and Instruction	n/a	HIV Sample Collection (Spanish)	Att 4e_HIV sample collection Spanish.docx		No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 850	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,700	1,700
Annual IC Time Burden (Hours)	567	567
Annual IC Cost Burden (Dollars)	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.