2024-15965. Agency Forms Undergoing Paperwork Reduction Act Review

Estimated Annualized Burden Hours

Type of respondents	Form name	Number of respondents	Number of responses per respondent	Average burden per response (in hours)
Primary care providers	Provider survey	40	1	10/60
Men ages 55-69	Patient eligibility screener	900	1	8/60
Men ages 55-69	Pre-exposure survey	900	1	20/60
Men ages 55-69	Post-exposure survey	900	1	20/60
Men ages 55-69	Usability survey	300	1	18/60
Men ages 55-69	User experience interview	30	1	20/60
Men ages 55-69	Post-clinic survey	900	1	20/60
Clinic coordinators	Clinic coordinator interview	4	1	30/60