Surveys of Past HIV Prevention Technology Transfer Efforts

ICR 200510-0920-004

OMB: 0920-0708

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0920-0708 200510-0920-004
Historical Active
HHS/CDC
Surveys of Past HIV Prevention Technology Transfer Efforts
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 01/23/2006
Retrieve Notice of Action (NOA) 10/31/2005
Approved consistent with revisions to the proposed incentive structure and the submission of instructions for observational collection of data. Particpants in the intervention will have the option to request that CDC investigators do not observe sessions in which they are involved prior to the start of each session.
  Inventory as of this Action Requested Previously Approved
01/31/2007 01/31/2007
61 0 0
105 0 0
0 0 0

The purpose of this data collection is to determine the effectiveness of providing HIV prevention agencies with an intervention package, technical assistance, and training in ensuring the agencies' maintenance of the intervention and fidelity to the intervention's core elements.

None
None


No

1
IC Title Form No. Form Name
Surveys of Past HIV Prevention Technology Transfer Efforts

  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 61 0 0 61 0 0
Annual Time Burden (Hours) 105 0 0 105 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/31/2005


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