OMB control number

Evaluating Locally-Developed HIV Prevention Interventions for African-American MSM in Los Angeles

OMB 0920-0913 · HHS/CDC.

OMB 0920-0913

Latest Forms, Documents, and Supporting Material

Document Name
Success Case Study Consent Form
RCT Consent Form
Success Case Study Interview Form
6-Month Follow-up Questionnaire Form
3-Month Follow-up Questionnaire Form
Client Satisfaction Survey Form
Participant Contact Information Form Form
Baseline Questionnaire Form
Limited Locator Form Form
Outreach Recruitment Assessment Form
SS A Clean.docx Supporting Statement A
Att 5b_Project Determination approval.pdf Supplementary Document
Att 5a_MLMS IRB approval.pdf Supplementary Document
Att 3k_Follow-up interview log.docx Supplementary Document
Att 3j_Participant Contact Log.docx Supplementary Document
Att 3a_Data Collection Flowchart.docx Supplementary Document
Att 2a_Public Comment.docx Supplementary Document
Att 2_60 Day FRN.pdf Supplementary Document
Att 1_Public Health Service Act.docx Supplementary Document
SS B Clean.docx Supporting Statement B
Success Case Study Consent Form
RCT Consent Form
Success Case Study Interview Form
6-Month Follow-up Questionnaire Form
3-Month Follow-up Questionnaire Form
Client Satisfaction Survey Form
Participant Contact Information Form Form
Baseline Questionnaire Form
Limited Locator Form Form
Outreach Recruitment Assessment Form

All Historical Document Collections

201411-0920-009 Approved without change	Extension without change of a currently approved collection	2014-12-04
201204-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2012-04-23
201110-0920-008 Approved without change	New collection (Request for a new OMB Control Number)	2011-10-18