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Quantitative Base Eligibility Screener
[NCHHSTP] National HIV Behavioral Surveillance: Brief HIV Bio-behavioral Assessment (NHBS-BHBA)
OMB: 0920-1398
IC ID: 255843
OMB.report
HHS/CDC
OMB 0920-1398
ICR 202503-0920-034
IC 255843
( )
Documents and Forms
Document Name
Document Type
Quantitative Base Eligibility Screener
Form and Instruction
Quantitative Base Eligibility Screener (English)
Att 3a_Quantitative Base Eligibility Screener_Eng_20230426_clean.docx
Form and Instruction
Quantitative Base Eligibility Screener (Spanish)
Att 4a_Quantitative Base Eligibility Screener_Spa_20230427_clean.docx
Form and Instruction
Information Collection (IC) Details
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