Approved consistent with the understanding that any incentives offered to respondents will be provided conditional to completion of the survey (i.e., after the survey is completed).
Inventory as of this Action
Requested
Previously Approved
02/28/2018
12 Months From Approved
2,741
0
0
1,219
0
0
0
0
0
The purpose of the project is to address disparities and missed opportunities for HIV prevention between primary providers and their clients by assessing the knowledge, beliefs, attitudes, and practices of primary health care providers according to HIV prevention domains in 6 MSAs in the Southeast US.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Provider Follow-up Survey
Att8_Altarium Secured Network_27jan2017.docx
Att2_60 Day FRN.pdf
Provider Follow-up Survey