The Data to Care (D2C) Public Health Strategy: Successes, Challenges, and Lessons Learned in Identifying, Linking, and Reengaging Persons Diagnosed with HIV to Medical Care

Using Qualitative Methods to Understand Issues in HIV Prevention, Care and Treatment in the United States

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1091 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1091 The Data to Care (D2C) Public Health Strategy: Successes, Challenges, and Lessons Learned in Identifying, Linking, and Reengaging Persons Diagnosed with HIV to Medical Care Form and Instruction
0920-1091 D2C Client Screener Att 3a D2C Client Screener.docx Form and Instruction
0920-1091 D2C Client Interview Guide Att 3b D2C Client Interview Guide - Revised 12MAR2018 - Clean.DOCX Form and Instruction
0920-1091 D2C Program Staff Interview Guide Att 3c D2C Program Staff Interview Guide.DOCX Form and Instruction
Att 1 D2C Recruitment Flyers.pdf D2C Recruitment Flyers IC Document
Att 2 D2C Informed Consent Forms.docx Informed Consent Forms IC Document
Att 4a CDC IRB Approval 7072 New Approval Protocol_.pdf CDC IRB Approval IC Document
Att 4b Emory U IRB determination.pdf Emory IRB Approval IC Document
Att 5 D2C Data Use Plan.doc D2C Data Use Plan IC Document
Att 6 Privacy Impact Assessment.pdf Privacy Impact Assessment IC Document
SSA_Revised 13MAR2018.docx Supporting Statement A IC Document
SSB.docx Supporting Statement B IC Document

Information Collection (IC) Details

IC Title:	The Data to Care (D2C) Public Health Strategy: Successes, Challenges, and Lessons Learned in Identifying, Linking, and Reengaging Persons Diagnosed with HIV to Medical Care	Agency IC Tracking Number:	0920-1091-18QE

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Electronic Capability
Form and Instruction	0920-1091	D2C Client Screener	Att 3a D2C Client Screener.docx	NA	No	Paper Only
Form and Instruction	0920-1091	D2C Client Interview Guide	Att 3b D2C Client Interview Guide - Revised 12MAR2018 - Clean.DOCX	NA	No	Paper Only
Form and Instruction	0920-1091	D2C Program Staff Interview Guide	Att 3c D2C Program Staff Interview Guide.DOCX	NA	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 210	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	210	210
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
D2C Recruitment Flyers	Att 1 D2C Recruitment Flyers.pdf	03/14/2018
Informed Consent Forms	Att 2 D2C Informed Consent Forms.docx	03/14/2018
CDC IRB Approval	Att 4a CDC IRB Approval 7072 New Approval Protocol_.pdf	03/14/2018
Emory IRB Approval	Att 4b Emory U IRB determination.pdf	03/14/2018
D2C Data Use Plan	Att 5 D2C Data Use Plan.doc	03/14/2018
Privacy Impact Assessment	Att 6 Privacy Impact Assessment.pdf	03/14/2018
Supporting Statement A	SSA_Revised 13MAR2018.docx	03/14/2018
Supporting Statement B	SSB.docx	03/14/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.