HRSA AIDS Education and Training Centers (AETCs) Evaluation Activities

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Participant Information Form	Form	Removed	Available
Form 2 HRSA AETC PIF 2016	Form	New	Available
Form 1 HRSA AETC ER 2016	Form	New	Available
Form 1 Event Record	Form	Removed	Repair queued
Attach B_60 Day Notice 2015.pdf	Supplementary Document	Uploaded 2016-05-20	Available
Attach A_Changes to the PIF and ER Forms_2015.docx	Supplementary Document	Uploaded 2016-05-20	Available
FFINALAETC OMB 2015_Supporting Statement_05112016 OIRA Comments 2.docx	Supporting Statement A	Uploaded 2016-07-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6534	AIDS Education and Training Centers Participation Information Form (PIF)	Form	Removed	Participant Information Form
6534	AIDS Education and Training Centers Participation Information Form (PIF)	Instruction	Removed
221598	Participant Information Form (PIF)	Form	New	HRSA AETC PIF 2016
221597	Event Record (ER) Form	Form	New	HRSA AETC ER 2016
178732	AIDS Education Training Centers Event Record (ER)	Form	Removed	Event Record
178732	AIDS Education Training Centers Event Record (ER)	Instruction	Removed

ICR Details

OMB Control No: 0915-0281	ICR Reference No: 201605-0915-002
Status: Historical Active	Previous ICR Reference No: 201306-0915-005
Agency/Subagency: HHS/HSA	Agency Tracking No: 19770
Title: HRSA AIDS Education and Training Centers (AETCs) Evaluation Activities
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/25/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/24/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2019	36 Months From Approved	09/30/2016
Responses	128,868	0	128,868
Time Burden (Hours)	10,032	0	9,949
Cost Burden (Dollars)	0	0	0

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Abstract: Information collection is needed to evaluate AETC training sessions, consultations, and technical assistance activities. This information allows HRSA and HAB to provide information on the number and types of training activities provided to Ryan White HIV/AIDS Program Grantees as well as resource allocation and capacity expansion. Trainees complete the Participant Information Form (PIF) and trainers complete an Event Record (ER).

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Authorizing Statute(s): PL: Pub.L. 111 - 87 000 Name of Law: Ryan White HIV/AIDS Treatment Extension Act of 2009
  

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:
	80 FR 191	10/02/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 81	04/27/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
AIDS Education Training Centers Event Record (ER)	1	Event Record
AIDS Education and Training Centers Participation Information Form (PIF)	1	Participant Information Form
Event Record (ER) Form	1	HRSA AETC ER 2016
Participant Information Form (PIF)	2	HRSA AETC PIF 2016

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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	128,868	128,868	0	0	0	0
Annual Time Burden (Hours)	10,032	9,949	0	83	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: The actual time required to complete the Participant Information Form remains the same while the Event Record has increased slightly due to new questions that require more response time. The ER has 6 new data elements that reflect changes in the National AETC program guidance and 4 deleted data elements that were mainly incorporated into the new data elements. The PIF instrument will now be completed once a year (rather than per event) since data collected will likely not change much within the course of a year. There are 4 new data elements to the PIF to better capture the reach of the AETC trainings and the background of the providers.

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Annual Cost to Federal Government: $207,500

Does this IC contain surveys, censuses, or employ statistical methods? No

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]? 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: 05/24/2016

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