This information
collection request is approved in concept as a coordinated effort
of DOD and HHS. Before actually collecting information, the
Department must obtain approval for the specific survey.
Inventory as of this Action
Requested
Previously Approved
07/31/1989
07/31/1989
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1
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QUESTIONNAIRE TO DETERMIN PROVIOUS
RISK FACTORS FOR HIV INFECTION IN RECRUITING APPLICANTS TO TH U.S.
MILITARY. INFORMATION WILL ADD TO THE NECESSARY BODY OF KNOWLEDG
REQUIRED TO COMBAT THE HIV EPIDEMIC. RESPONDENTS WILL BE VOLUNTEERS
IDENTIFIED THROUGH THE RECRUIT APPLICANT SCREENING
PROGRAM.
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.