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Att 6: Intercept Interview Receipt Form

ICR 201701-0920-001 · OMB 0920-1169 · Object 70553301.

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Development of CDC’s Act Against AIDS Social Marketing Campaigns Targeting Consumers





Attachment 6: Intercept Interview Receipt Form



Attachment 6: Intercept Interview Receipt Form


Act Against AIDS Project


I acknowledge receiving $10 as a token of appreciation for participating in an interview for the Act Against AIDS project conducted by RTI.



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Participant Initials Date




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Interviewer Signature Date



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleSocial Marketing Websites Project
AuthorJennifer Uhrig
File Modified0000-00-00
File Created2021-01-23