Adult Questionnaire

Monitoring Data Collection Tools for the Minority AIDS Initiative (MAI)

OMB: 0930-0357

IC ID: 234095

Information Collection (IC) Details

View Information Collection (IC)

Adult Questionnaire
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction MAI Adult Questionnaire 2024 MAI Adult Questionnaire 2024 MAIAdultQuestionnaire2024.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

10,000 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 20,000 0 0 0 0 20,000
Annual IC Time Burden (Hours) 4,000 0 0 0 0 4,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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