Building Futures: Supporting Youth Living with HIV

Documents and Forms

Document Name Document Type
Form 1 Building Futures: Supporting Youth Living with HIV Form and Instruction
Instrument_3_Program_Manager_and_Clinical_Director_Interview_Guide_Specialized.docx Other-Interview
Instrument_4_Program_Manager_and_Clinical_Director_Interview_Guide_PI.docx Other-Interview
Instrument_5_Program_and_Administrative_Staff_Interview_Guide_Specialized.docx Other-Interview
Instrument_6_Program_and_Administrative_Staff_Interview_Guide_PI.docx Other-Interview
Instrument_7_Youth_Focus_Group.docx Other-Interview
Instrument_8_Youth_Interview.docx Other-Interview
Instrument_9_Panel_Advisory_Board.docx Other-Interview
1 Online_Questionnaire_for_Pre-Work_Profile_of_RWHAP Instrument_1_Online_Questionnaire_for_Pre-Work_Profile_of_RWHAP.docx Form and Instruction
2 Onsite_Observational_Tool Instrument_2_Onsite_Observational_Tool.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Building Futures: Supporting Youth Living with HIV	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Online_Questionnaire_for_Pre-Work_Profile_of_RWHAP	Instrument_1_Online_Questionnaire_for_Pre-Work_Profile_of_RWHAP.docx	Yes	Yes	Fillable Fileable
Form and Instruction	2	Onsite_Observational_Tool	Instrument_2_Onsite_Observational_Tool.docx	Yes	Yes	Fillable Fileable
Other-Interview			Instrument_3_Program_Manager_and_Clinical_Director_Interview_Guide_Specialized.docx	No		Paper Only
Other-Interview			Instrument_4_Program_Manager_and_Clinical_Director_Interview_Guide_PI.docx	No		Paper Only
Other-Interview			Instrument_5_Program_and_Administrative_Staff_Interview_Guide_Specialized.docx	No		Paper Only
Other-Interview			Instrument_6_Program_and_Administrative_Staff_Interview_Guide_PI.docx	No		Paper Only
Other-Interview			Instrument_7_Youth_Focus_Group.docx	No		Paper Only
Other-Interview			Instrument_8_Youth_Interview.docx	No		Paper Only
Other-Interview			Instrument_9_Panel_Advisory_Board.docx	No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 496	Number of Respondents for Small Entity: 96

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	496	496
Annual IC Time Burden (Hours)	523	523
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.