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Federal forms, ICRs, and supporting documents

Information Collection

MSM AYA Stakeholder Analysis Survey

IC 217631 under ICR 201407-0920-003 · OMB 0920-1027.

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

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MSM AYA Stakeholder Analysis Survey 15AMC
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Stakeholder Analysis MSM Online Survey Att2 Stakeholder Analysis MSM Survey 23JUL2015.docx NA Yes Yes Fillable Fileable
Form and Instruction NA Stakeholder Analysis Adolescent Online Survey Revise Att1 Stakeholder Analysis Adolescent Survey.docx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

150 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 150 0 150 0 0 0
Annual IC Time Burden (Hours) 25 0 25 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for GenIC Approval 0920-1027 Request - MSM AYA Stakeholder Analysis Survey Generic Qualitative Feedback 23JUL2015.docx 07/29/2015
IRB Approval Study #1 IRB Approval MSM-AYA Study #1.pdf 07/29/2015
Recruitment Plan for MSM/AYA Stakeholder Survey Recruitment Plan for MSM and AYA Stakeholder Assessment Survey Updated 4.28.15.docx 07/29/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.