Webpage Study Details and DAIDS staff Informed Consent Screenshots

PROCESS ASSESSMENT REVIEW OF THE DIVISION OF ACQUIRED IMMUNODEFICIENCY SYNDROME (DAIDS) CRITICAL EVENTS POLICY IMPLEMENTATION (CEPI) PROGRAM (NIAID)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0712 can be found here:

Documents and Forms

Document Name Document Type
Form 3 Webpage Study Details and DAIDS staff Informed Consent Screenshots Form and Instruction
3 Webpage Study Details and DAIDS staff Informed Consent S Attachment 5b Webpage Study Details and Informed Consent DAIDS staff Screenshots.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Webpage Study Details and DAIDS staff Informed Consent Screenshots	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3	Webpage Study Details and DAIDS staff Informed Consent Screenshots	Attachment 5b Webpage Study Details and Informed Consent DAIDS staff Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.