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Federal forms, ICRs, and supporting documents

Information Collection

National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP) Usability Study

IC 220867 under ICR 201407-0920-003 · OMB 0920-1027.

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

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National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP) Usability Study 16ZT
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP) Usability Study Att1_ ScreenshotstNCHHSTPUsabilityTestQuest.docx NA Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

200 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 200 0 200 0 0 0
Annual IC Time Burden (Hours) 100 0 100 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Request RequestTemplate NCHHSTP Website Redesign.docx 04/04/2016
GenIC Checiklist Survey Service DeliveryChecklist.docx 04/04/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.