Project PrIDE

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Att 7 Data Security Guidelines.pdf	Supplementary Document	Uploaded 2017-05-22	Available
Att 6 Project Determination.pdf	Supplementary Document	Uploaded 2017-05-22	Available
Att 2 60 Day FRN.pdf	Supplementary Document	Uploaded 2017-05-22	Available
Att 1 Authorizing Legislation.docx	Supplementary Document	Uploaded 2017-05-22	Available
SupSta B.docx	Supporting Statement B	Uploaded 2017-05-22	Available
SupStaA.docx	Supporting Statement A	Uploaded 2017-05-22	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
226968	Progress Report	Other-WORD	New
226967	Data Management	Instruction	New
226965	Client Data Elements	Other-WORD	New

ICR Details

OMB Control No: 0920-1201	ICR Reference No: 201705-0920-012
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-17BZ
Title: Project PrIDE
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: 10/27/2017
	Date Received in OIRA: 06/12/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved
Responses	2,436	0	0
Time Burden (Hours)	1,104	0	0
Cost Burden (Dollars)	25,737	0	0

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Abstract: Project PrIDE (PrEP implementation, Data to Care & Evaluation) is a 3-year demonstration project (2015-2018) that supports 12 health departments to implement pre exposure prophylaxis and Data to Care programs for HIV prevention and care. Health Departments will prioritize men who have sex with men and transgender persons at risk for HIV infection and those diagnosed with HIV infection. The goals of PrIDE are consistent with the White House National HIV/AIDS Strategy to reduce HIV incidence, increase access to HIV care and optimize health outcomes, and reduce HIV-related health disparities.

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Authorizing Statute(s): US Code: 42 USC Sec 301.[241] (a) Name of Law: Research and Investigation
  

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 76592	11/03/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 26931	06/12/2017
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Progress Report
Data Management
Client Data Elements

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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	2,436	0	0	2,436	0	0
Annual Time Burden (Hours)	1,104	0	0	1,104	0	0
Annual Cost Burden (Dollars)	25,737	0	0	25,737	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 information collection request

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Annual Cost to Federal Government: $77,037

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 06/12/2017

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