Prenatal HIV Prevention Survey: Knowledge, Attitudes, and Practices of Health Care Providers Serving Pregnant Women Regarding HIV Counseling and Testing and Use of Zidovudine (ZDV)

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
6833	Prenatal HIV Prevention Survey: Knowledge, Attitudes, and Practices of Health Care Providers Serving Pregnant Women Regarding HIV Counseling and Testing and Use of Zidovudine (ZDV)	Migrated

ICR Details

OMB Control No: 0920-0422	ICR Reference No: 199709-0920-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Prenatal HIV Prevention Survey: Knowledge, Attitudes, and Practices of Health Care Providers Serving Pregnant Women Regarding HIV Counseling and Testing and Use of Zidovudine (ZDV)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/12/1997
	Date Received in OIRA: 09/26/1997
Terms of Clearance: Total budren hours has changed from 649 to 685 based on conversation with Seleda Perryman. Future data collection efforts will be more closely coordinated, across the Department to ensure that burdens are not imposed duplicatively or unnecessarily, and that information needs are met effectively. To the extent possible, the CDC and HRSA surveys should enable responses to be categorized by the same basic types of facility, provider, and patient characteristics. To that end, the following modifications to the survey questions are suggested: a) HRSA survey: section 1, question 1: add option to distinguish betweed Medicaid and non-Medicaid HMO; b) HRSA survey : revise category choices in section 1, if necessary to ensure that respondents can also be clearly categorized by type of care setting as defined in CDC survey; c) CDC survey: for the set of questions addressed to private practices , add question to identify whether respondents represent a solo practice or group practice; d) CDC survey: add question characterizing in more detail the nature of facility in terms of the types of services that are offered/provided (see HRSA survey questions 1,2 and 5): e) CDC survey: where applicable, add additional category options for payment sources of the patients served (See HRSA question 4). f) HRSA Survey: add question in section 10 to determine whether the facility is aware of and/or follows the CDC guidelines on a)HIV counseling and testing and b) on the use of antiretroviral therapies. To the extent the survey samples may result in both questionnaires requesting data covering the same provider and/or patients (e.g.Brooklyn), a) a note should be included with the survey request, or potential responders should be otherwise be made aware that a different survey on the same general topic is also being conducted, with an explanation of how these surveys are related and complement each other, and b) potential item or general non-response effects as a result of including the same respondent in both survey samples should be reflected in any statistical analyses. Prior to fielding these instruments, HRSA and CDC must submit for OMB review 1) the revied questionnaires, 2) the cover note for the Brooklyn sample, and 3)an implementation schedule/plan for the Brooklyn respondents.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2000	12/31/2000
Responses	5,023	0	0
Time Burden (Hours)	685	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is a mail survey that will be conducted among physicians and nurse-midwives who serve pregnant women in the States of Connecticut and North Carolina, the borough of Brooklyn, New York, and Dade County, Florida. The purpose of this study includes: Describing providers' current practices in offering counseling and testing to pregnant women and in offering ZDV to HIV-infected pregnant women; describing providers' knowledge of ACTG 076 results, PHS guidelines on counseling and testing pregnant women, and PHS guidelines; and describing providers' attitudes regarding counseling and testing of pregnant women.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Prenatal HIV Prevention Survey: Knowledge, Attitudes, and Practices of Health Care Providers Serving Pregnant Women Regarding HIV Counseling and Testing and Use of Zidovudine (ZDV)

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	5,023	0	0	5,023	0	0
Annual Time Burden (Hours)	685	0	0	685	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/26/1997

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