Request for change

CHANGE_REQUEST_201408-0920-1058_April.docx

Clinic Context Matters Study

Request for change

OMB: 0920-1058

Document [docx]
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Nonmaterial/non-substantive change to an OMB approved information collection


Four non-substantive changes are requested to 201408-0920-1058, the Clinic Context Matters Study



  1. Change in the number of clinician respondents due to the addition of a second study clinic in a different part of Chicago to increase the racial/ethnic diversity of the clinic population. This results in 5 clinics rather than the original 4. Therefore the total annual number of clinicians surveyed increases from 175 to 200.

  2. Change in the study sites because 2 of the original clinics (in Newark and Houston) did not provide PrEP (the clinical intervention being studied) and they were replaced by clinics in 2 new cities (Washington DC and Jackson MS).

  3. The total annual burden hours would increase from 88 to 100.

  4. Minor change to interview form to change clinic site of clinician respondent.


Form

Current Question/Item

Requested Change

Clinician Interview

Attachment 4


Please enter the city in which your clinic is located

Chicago

Houston

Newark

Philadelphia

Please enter the city in which your clinic is located

Chicago

Jackson

Washington, DC

Philadelphia


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSteinberg, Shari (CDC/OD/OADS)
File Modified0000-00-00
File Created2021-01-23

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