Evaluation of Enhancing HIV Prevention Communication and Mobilization Efforts through Strategic Partnerships

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Att 2 60 Day FRN.pdf	Supplementary Document	Uploaded 2016-06-20	Available
Att 1 Auth Leg.pdf	Supplementary Document	Uploaded 2016-06-20	Available
SSB.docx	Supporting Statement B	Uploaded 2016-06-20	Available
SSA-020217.docx	Supporting Statement A	Uploaded 2017-02-02	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
222052	Att. 3f_Partnership Activities Form	Other-WORD	New
222051	Att. 3e_ Partner Survey & Partner Survey Screener	Other-ORD	New
222050	Att. 3d_Interm Progress Report	Other-WORD	New
222049	Att. 3c_Key Informant Interview Guide	Other-WORD	New
222048	Att. 3a_Screenshots of Metrics Database	Other-Screenshots	New

ICR Details

OMB Control No: 0920-1161	ICR Reference No: 201606-0920-014
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 16LL
Title: Evaluation of Enhancing HIV Prevention Communication and Mobilization Efforts through Strategic Partnerships
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: 02/06/2017
	Date Received in OIRA: 06/29/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2020	36 Months From Approved
Responses	2,600	0	0
Time Burden (Hours)	5,083	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this study is to evaluate the extent to which the partnership activities implemented to increase HIV awareness among the general public, reduce new HIV infections among disproportionately impacted populations, and improve health outcomes for people living with HIV and AIDS in United States and its territories meet the overarching goals for dissemination and communication and implementation of national engagement efforts.

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Authorizing Statute(s): US Code: 42 USC 241a 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:
	81 FR 5125	02/01/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 41541	06/27/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Att. 3f_Partnership Activities Form
Att. 3a_Screenshots of Metrics Database
Att. 3c_Key Informant Interview Guide
Att. 3e_ Partner Survey & Partner Survey Screener
Att. 3d_Interm Progress Report

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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	2,600	0	0	2,600	0	0
Annual Time Burden (Hours)	5,083	0	0	5,083	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: New collection request for a new OMB Control Number.

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Annual Cost to Federal Government: $204,654

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: 06/29/2016

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