RWHAP Best Practices Recipient Compilation

1. Please provide your contact information in case we have any questions on your submission.

Name *This question is required.

Affiliation (e.g., Organization, Agency, etc.) *This question is required.

Position/Role *This question is required.

Email Address *This question is required. This question requires a valid email address.

Phone Number (e.g., 1234567890) *This question is required. This question requires a valid number format.

HRSA HAB Project Officer/COR/Project Lead *This question is required.

Complete the four questions below to determine if your strategy is eligible for potential inclusion in the Best Practices Compilation.

2. 1. Has this strategy been implemented in a RWHAP setting for at least 12 months or is it in response to a public health emergency (for example the COVID-19 pandemic)? *This question is required.

3. 2. Does your strategy directly or indirectly affect an HIV care continuum outcome(s)? *This question is required.

4. 3. Have you published evaluation results from your strategy in a peer-reviewed journal or are any evaluation results (from your strategy) currently under review by a peer-reviewed journal for publication? Note that this does not include publication of descriptive or process evaluation (about your strategy) information, just evaluation outcomes. *This question is required.

5. 4. Are you interested in sharing your strategy with the RWHAP community on TargetHIV.org? *This question is required.

Public Burden Statement: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is 0906-0045 and expiration date is 12/31/2022. Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 14N136B, Rockville, Maryland, 20857.