OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Evaluation of Pharmacy Syringe Access Linked to HIV Testing for Injection Drug Users in New York City (Pharm-HIV)

OMB 0920-0837 · HHS/CDC.

OMB 0920-0837

Latest Forms, Documents, and Supporting Material

Document Name
09AF_SS_SectB_090209.doc Supporting Statement B
09AF_Att6a_CDC IRB Approval.pdf Supplementary Document
09AF_Att2_60 Day FRN.pdf Supplementary Document
09AF_Att1b_legislation Sect 308(d) .pdf Supplementary Document
09AF_Att1a_legislation Sect301.pdf Supplementary Document
09AF_Att4d_Syringe Customer Participant In-Pharmacy Testing Consent.doc Supplementary Document
09AF_Att4c_Syringe Customer Participant Referral Consent.doc Supplementary Document
09AF_Att4b_Pharmacy Staff Consent 0920-09XX.doc Supplementary Document
092009AF_att4a_Pharmacist Consent_121009.doc Supplementary Document
0920-09AF_SS_SectA_121009.doc Supporting Statement A
Evaluation of Pharmacy Syringe Access Linked to HIV Testing for Injection Drug Users in New York City (Pharm-HIV) - Pharmacy Telephone Screening and Enrollment Form Other-WORD
Evaluation of Pharmacy Syringe Access Linked to HIV Testing for Injection Drug Users in New York City (PHarm-HIV) Pharmlink Participant Baseline Survey (Syringe Customer) Other-WORD
Evaluation of Pharmacy Syringe Access Linked to HIV Testing for Injection Drug Users in New York City (PHarm-HIV) Pharmacy Staff Exit Surve (Pharmacists and Pharmacy Technicians) Other-WORD
Evaluation of Pharmacy Syringe Access Linked to HIV Testing for Injection Drug Users in New York City (PHarm-HIV) Syringe Transaction and Referral Log (Pharmacy Technicians) Other-WORD
Evaluation of Pharmacy Syringe Access Linked to HIV Testing for Injection Drug Users in New York City (PHarm-HIV) Pharmacy Staff Monthly Survey (Pharmacists) Other-WORD
Evaluation of Pharmacy Syringe Access Linked to HIV Testing for Injection Drug Users in New York City (Pharm-HIV) - Pharmacy Monthly Survey (Pharmacists) Other-WORD
"Evaluation of Pharmacy Syringe Access Linked to HIV Testing for Injection Drug Users in New York City (Pharm-HIV)" - Pharmacy Staff Baseline Survey (Pharmacist) Other-WORD

All Historical Document Collections

200909-0920-010

Approved without change

New collection (Request for a new OMB Control Number)

2009-09-17