Transgender HIV Behavioral Survey

Forms and Documents

Document Name	Status
SSsection PART B.docx Supporting Statement B	2011-08-22
Att 11 Model coupon.docx Supplementary Document	2011-08-22
Att 10 Changes made to the behavioral assessment.docx Supplementary Document	2011-08-22
Att 9 Changes made to the eligibility screener.doc Supplementary Document	2011-08-22
Att 8 Project Determination Approval.pdf Supplementary Document	2011-08-22
Att 6 Assurance of Confidentiality.doc Supplementary Document	2011-08-22
Att 5 DHAP Security and Confidentiality forms for HIV Surveillance data.docx Supplementary Document	2011-08-22
Att 4 Public comments and responses.pdf Supplementary Document	2011-08-22
Att 2 -- 60 day FRN published Nov 2 2010.pdf Supplementary Document	2011-08-22
Att 1 Legislation PHSA.pdf Supplementary Document	2011-08-22
Att 3D -- Flashcards.docx Supplementary Document	2011-08-22
Att 3E -- Spanish Translation.doc Supplementary Document	2011-08-22
SS PART A_081511.docx Supporting Statement A	2011-08-22

IC Document Collections

IC ID	Document Title	Status
199036	Survey Recruiting Debriefing Other-WORD	New
186175	Eligibility Screener Other-Eligibility screener	Modified
186174	Core Questionnaire Other-WORD	Modified

ICR Details

OMB Control No: 0920-0794	ICR Reference No: 201108-0920-010
Status: Historical Inactive	Previous ICR Reference No: 200808-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Transgender HIV Behavioral Survey
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 10/03/2011
	Date Received in OIRA: 08/29/2011
Terms of Clearance: Submitted documents must be updated and finalized before they are reviewed for approval. This includes attaching all relevant documents in an updated and finalized format, attaching all relevant Spanish language documentation, and making sure that issues raised by commenters are appropriately addressed.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: persons to assess prevalence of and trends in: risk behaviors for HIV infection, testing behaviors, and use of prevention services. The results of this data collection will be used to assess progress toward CDC's goals to increase the proportion of people who consistently engage in behaviors that reduce HIV transmission or acquisition. For the proposed data collection, the questionnaire used for the previously approved pilot was shortened and a recruiter debriefing instrument added. The project activities and methods will remain the same as those used in the previously approved pilot. All data will be collected through in-person, computer-assisted interviews conducted by trained interviewers in 5 Metropolitan Statistical Areas (MSA) or MSA Divisions in the United States. MSA chosen will be among those participating in the National HIV Behavioral Surveillance system. Respondent Driven Sampling will be used to recruit participants. Except for a few initial recruits, persons will be recruited by peers for participation in THBS. In one year, about 1,100 individuals will be screened for eligibility to participate using a 5-minute screening interview. About 1,000 individuals are expected to be eligible and participate in the 40-minute behavioral assessment each year. At the end of the behavioral assessment, the interviewer will train the respondent to recruit up to five of her peers. About 600 respondents are expected to participate by recruiting a peer. Of these 600, about 500 will return to the field site and be debriefed through a 2-minute recruiter debriefing interview. Information about the number of coupons distributed, whether anyone refused a coupon, and reasons for refusing coupons is collected in the debriefing to improve response rates. Participation of respondents is voluntary and there is no cost to the respondents other than their time.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: General Powers and Duties of Public Health Service
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 67375	11/02/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 53135	08/25/2011
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Survey Recruiting Debriefing
Core Questionnaire
Eligibility Screener

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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 reinstatement with change, the burden increased because the number of respondents increased, and the addition of a data collection form, however their was a reduction in burden per respondent from the modification of the behavioral assessment form.

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Annual Cost to Federal Government: $1,198,250

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? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 08/29/2011

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