National HIV Behavioral Surveillance System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
NHBS Survey (HET)	Form and Instruction	New	Available
NHBS Survey (MSM)	Form and Instruction	New	Available
NHBS Survey (IDU)	Form and Instruction	New	Available
NHBS Screening (All Respondent Groups)	Form and Instruction	New	Repair queued
Supporting Statement_PartB_july232007.doc	Supporting Statement B	Uploaded 2007-09-05	Repair queued
Att 14 References.pdf	Supplementary Document	Uploaded 2007-08-20	Available
Att 13 Response Rate Calcs.pdf	Supplementary Document	Uploaded 2007-08-20	Available
Att 11 Model Coupon.pdf	Supplementary Document	Uploaded 2007-08-20	Available
Att 10 Eligibility Criteria (July 30 2007).pdf	Supplementary Document	Uploaded 2007-08-20	Available
Att 8 Model Consent Form 073107.pdf	Supplementary Document	Uploaded 2007-08-20	Available
Att 9 Source of NHBS Questions (Aug2007).pdf	Supplementary Document	Uploaded 2007-08-20	Available
Att 7 Assurance of Confidentiality.pdf	Supplementary Document	Uploaded 2007-08-20	Repair queued
Att 6 Consultants.pdf	Supplementary Document	Uploaded 2007-08-20	Available
Att 5 Public Comments.pdf	Supplementary Document	Uploaded 2007-08-20	Repair queued
Att 4 60-day FRN.pdf	Supplementary Document	Uploaded 2007-08-20	Repair queued
Att 3 NHBS Cycle Overview.pdf	Supplementary Document	Uploaded 2007-08-20	Available
Att 1 PHSA.pdf	Supplementary Document	Uploaded 2007-08-20	Available
Supporting Statement_PartA_july232007.doc	Supporting Statement A	Uploaded 2007-09-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
182204	NHBS Survey (HET)	Form and Instruction	New
182203	NHBS Survey (MSM)	Form and Instruction	New
182202	NHBS Survey (IDU)	Form and Instruction	New
182201	NHBS Screening (All Respondent Groups)	Form and Instruction	New

ICR Details

OMB Control No: 0920-0770	ICR Reference No: 200710-0920-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: National HIV Behavioral Surveillance System
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: 03/05/2008
	Date Received in OIRA: 10/01/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2011	36 Months From Approved
Responses	82,500	0	0
Time Burden (Hours)	29,791	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The purpose of this data collection is to monitor behaviors related to Human Immunodeficiency Virus (HIV) infection among persons at high risk for infection in the United States. Surveillance of behaviors that are risk factors for infection or disease is an important public health activity. Behavioral data provide a way to monitor short-term changes in epidemics without having to wait for changes in disease outcomes. With conditions such as HIV infection, exposure and manifestation of the infection may be years apart. By measuring risk behaviors that are more proximate to the time of HIV infection, it is possible to identify and respond to trends in behaviors that anticipate trends in acquisition and transmission of HIV infection, which in turn would only be reflected years later in HIV/AIDS case report data. The primary objectives of the proposed system are to obtain data from samples of persons at risk to A. describe the prevalence and trends in risk behaviors, B. describe the prevalence of and trends in HIV testing and HIV infection, C. describe the prevalence of and trends in use of HIV prevention services, D. identify met and unmet needs for HIV prevention services. This project addresses the goals of the CDC HIV Prevention Strategic Plan, specifically the goal of strengthening the national capacity to monitor the HIV epidemic to better direct and evaluate prevention efforts. NHBS will be initiated to help state and local public health departments establish and maintain a surveillance system to monitor selected behaviors and access to prevention services among groups at highest risk for HIV infection. Findings from NHBS will be used to enhance understanding of risk and testing behaviors, and to develop and evaluate HIV prevention programs that provide services to persons at risk for infection. Data from NHBS also can be used to monitor progress towards other objectives of the Strategic Plan. In-person interviews will be conducted in 25 Metropolitan Statistical Areas (MSAs) throughout the United States. Persons at risk for infection to be interviewed for NHBS include men who have sex with men (MSM), injecting drug users (IDU), and heterosexuals living in census tracts that have high HIV/AIDS prevalence (HET). Potential respondents will complete a screener that will assess eligibility requirements of residence in the MSA, age, behavior, previous participation, and language (English or Spanish). NHBS activities will be implemented in multiple cycles. During the first cycle of data collection, surveillance activities focus on MSM. The focus of the second cycle is on IDU. The third will focus on HET. The long-term plan for NHBS is that these cycles will be repeated over time such that data are collected from each risk group every three years. These groups were chosen as the focus for NHBS based on HIV/AIDS case report data. In 2003, 45 percent of all diagnosed adult and adolescent HIV/AIDS cases reported by the 33 areas with confidential name-based HIV infection surveillance were attributed to male-to-male sexual contact, 15 percent to injection drug use, and 4 percent to male-to-male sexual contact and injection drug use, and 24 percent to heterosexual contact.

---

Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
   US Code: 42 USC 306 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 2529	01/19/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 45818	08/15/2007
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
NHBS Screening (All Respondent Groups)	None	NHBS Eligibility Screener
NHBS Survey (IDU)	None	NHBS Survey for IDU
NHBS Survey (MSM)	None	NHBS Survey for MSM
NHBS Survey (HET)	None	NHBS for HET

---

ICR Summary of Burden

table that charts list 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	82,500	0	0	82,500	0	0
Annual Time Burden (Hours)	29,791	0	0	29,791	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: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new data collection.

---

Annual Cost to Federal Government: $9,875,000

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

---

Common Form ICR:  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:

(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: 09/30/2007

---