Monitoring Outcomes of the Enhanced Comprehensive HIV Prevention Plan (ECHPP) Project

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SEES_Participant Recruitment Protocol.docx	Supplementary Document	Uploaded 2012-02-15	Available
SEES_Data Management Plan.docx	Supplementary Document	Uploaded 2012-02-15	Available
SEES_Data Collection Protocol.docx	Supplementary Document	Uploaded 2012-02-15	Available
Rev Supporting Statement B - ECHPP[1].doc	Supporting Statement B	Uploaded 2012-02-14	Source copy available
Attach 10 Consultant List.docx	Supplementary Document	Uploaded 2011-12-20	Available
Attachment 6d Contractor Pledge Form for 308d Confidentiality.docx	Supplementary Document	Uploaded 2011-12-20	Available
Rev Attachment 6c_Contractor Pledge Form for 308d Confidentiality.docx	Supplementary Document	Uploaded 2012-02-15	Available
Rev Attachment 6b_Rules of Behavior for CDC Staff and Contractors.doc	Supplementary Document	Uploaded 2012-02-15	Repair queued
Rev Attachment 6a_Guidelines_for_HIV_AIDS_Surveillance.pdf	Supplementary Document	Uploaded 2012-02-15	Available
Attachment 5b Clinic Survey Consent Script.docx	Supplementary Document	Uploaded 2011-12-20	Available
Attachment 5a Community Survey Consent Script.docx	Supplementary Document	Uploaded 2011-12-20	Available
Attachment 4 Information Sheet.doc	Supplementary Document	Uploaded 2011-12-20	Available
Attach 1a_Public Health Service Act 301.docx	Supplementary Document	Uploaded 2011-12-20	Available
Attach 1b_Public Health Service Act 308.docx	Supplementary Document	Uploaded 2011-12-20	Available
Attach 7b _Venue Owner_Manager Script.doc	Supplementary Document	Uploaded 2012-02-15	Available
Attach 7a _Clinic Director Script.doc	Supplementary Document	Uploaded 2011-12-20	Available
Rev Attach 9b Clinic Survey Interviewer Script.docx	Supplementary Document	Uploaded 2012-02-15	Available
Rev Supporting Statement A - ECHPP1.docx	Supporting Statement A	Uploaded 2012-02-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
200569	Community Survey - Eligible High-Risk Heterosexual Individuals	Instruction	New
200568	Community Survey - Eligible Injection Drug Users	Instruction	New
200567	Community Screener - Screened Injection Drug Users and High-risk heterosexual individuals	Instruction	New
200566	Clinic Survey - Eligible HIV-positive Individuals	Instruction	New
200565	Clinic Screener - HIV Positive Screened Individuals	Instruction	New
200564	Clinic Staff Script - Approaching Clients	Instruction	New
200563	Clinic Staff Provision Patient of Loads	Instruction	New
200562	Project Orientation - Clinic Staff	Instruction	New

ICR Details

OMB Control No: 0920-0922	ICR Reference No: 201112-0920-015
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Monitoring Outcomes of the Enhanced Comprehensive HIV Prevention Plan (ECHPP) Project
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 with change	Conclusion Date: 02/15/2012
	Date Received in OIRA: 12/21/2011
Terms of Clearance: CDC understands that the limitations in the study design must be discussed whenever results of this collection are presented.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2015	36 Months From Approved
Responses	7,040	0	0
Time Burden (Hours)	1,704	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This data collection activity will assist with the ECHPP evaluation. This data collection activity will occur in six of the 12 ECHPP MSAs. This activity is designed to monitor community-level outcomes of ECHPP in these MSAs and supplement existing HIV surveillance data that are already being collected via CDC data systems in these cities.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

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:
	76 FR 18554	04/04/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 78924	12/20/2011
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
Project Orientation - Clinic Staff
Clinic Staff Provision Patient of Loads
Clinic Staff Script - Approaching Clients
Clinic Screener - HIV Positive Screened Individuals
Clinic Survey - Eligible HIV-positive Individuals
Community Screener - Screened Injection Drug Users and High-risk heterosexual individuals
Community Survey - Eligible Injection Drug Users
Community Survey - Eligible High-Risk Heterosexual Individuals

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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	7,040	0	0	7,040	0	0
Annual Time Burden (Hours)	1,704	0	0	1,704	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

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Annual Cost to Federal Government: $3,633,362

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: 12/21/2011

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