Medical Monitoring Project

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0222 MMP 2015-2017 Questionnaire v 11.2.3	Form	Modified	Available
Form 0920-0222 MMP 2018 Cuestionario v.14.0.7	Form	Modified	Available
Form 0920-0740 Medical Monitoring Project 2018 Questionnaire v.14.1.0	Form	Modified	Available
Att 17 PIA_ Signed.pdf	Supplementary Document	Uploaded 2018-05-17	Available
Att 16_Sample sizes.docx	Supplementary Document	Uploaded 2018-05-17	Available
Att 3b_MMP Model Consent 2015 2018 comparison.doc.docx	Supplementary Document	Uploaded 2018-05-17	Available
Att 15_AgreementToAbide by Restrictions.docx	Supplementary Document	Uploaded 2018-05-17	Available
Att 10_MMP project determination.pdf	Supplementary Document	Uploaded 2018-05-17	Available
Att 7_Consultants.doc	Supplementary Document	Uploaded 2018-05-17	Available
Att 9_Assurance of Confidentiality.docx	Supplementary Document	Uploaded 2018-05-17	Available
Att 14_ DCC ATO.pdf	Supplementary Document	Uploaded 2018-05-17	Available
Att 6_MMP Bibliography.rtf	Supplementary Document	Uploaded 2018-05-17	Available
Att 4_Minimum Dataset Elements.docx	Supplementary Document	Uploaded 2018-05-17	Available
Att 13_MMP MRA Data Structure.docx	Supplementary Document	Uploaded 2018-05-17	Available
Att 7_Consultants.doc	Supplementary Document	Uploaded 2018-05-14	Available
Att 12_MMP_CrossJ_Agreement.docx	Supplementary Document	Uploaded 2018-05-14	Available
Att 5_References.docx	Supplementary Document	Uploaded 2018-06-26	Available
Att 3a_MMP Model Consent 2018.doc	Supplementary Document	Uploaded 2018-05-17	Available
Att 8d_Summary of changes to questionnaire 2017 10 05.docx	Supplementary Document	Uploaded 2018-05-17	Available
Att 2_60 Day FRN.docx	Supplementary Document	Uploaded 2018-05-14	Available
Att 1_Sect 301 PHSA.pdf	Supplementary Document	Uploaded 2018-05-14	Available
SS B.doc	Supporting Statement B	Uploaded 2018-06-26	Available
SSA.doc	Supporting Statement A	Uploaded 2018-06-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
180569	Att 11c_Model Patient Recruitment Script - Facility	Instruction	Modified
180568	Att 11b_Model Patient recruitment Script-Area	Instruction	Modified
180566	Att 1db_Model Patient Recruitment Script-Tex and E-mail	Instruction	Modified
180565	8a_MMP 2018 Questionnaire (English)	Form	Modified	MMP 2015-2017 Questionnaire v 11.2.3
180565	8a_MMP 2018 Questionnaire (English)	Form	Modified	MMP 2018 Cuestionario v.14.0.7
180565	8a_MMP 2018 Questionnaire (English)	Form	Modified	Medical Monitoring Project 2018 Questionnaire v.14.1.0

ICR Details

OMB Control No: 0920-0740	ICR Reference No: 201805-0920-003
Status: Historical Active	Previous ICR Reference No: 201503-0920-017
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0740
Title: Medical Monitoring Project
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: 06/26/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/18/2018
Terms of Clearance: Previous terms continue: We strongly encourage CDC to streamline surveillance activities across the Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2021	36 Months From Approved	06/30/2018
Responses	18,430	0	20,710
Time Burden (Hours)	6,354	0	7,140
Cost Burden (Dollars)	140,018	0	157,341

---

Abstract: The Medical Monitoring Project (MMP) was designed to address the need for a national behavioral and clinical surveillance system for HIV-infected persons, as articulated in CDC's HIV Prevention Strategic Plan. It is a supplemental surveillance project designed to describe the health-related behaviors, experiences and needs of adults diagnosed with HIV in the United States. It's intended use is to guide national and local HIV-related service organization and delivery and to monitor receipt of HIV treatment and prevention services and clinical outcomes.

---

Authorizing Statute(s): PL: Pub.L. 111 - 241 301 Name of Law: Title III - General Powers and Duties of Public Health Service
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 39788	08/22/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 21778	05/10/2018
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Att 11b_Model Patient recruitment Script-Area
8a_MMP 2018 Questionnaire (English)	0920-0740, 0920-0222, 0920-0222	Medical Monitoring Project 2018 Questionnaire v.14.1.0 ,   MMP 2018 Cuestionario v.14.0.7 ,   MMP 2015-2017 Questionnaire v 11.2.3
Att 11c_Model Patient Recruitment Script - Facility
Att 1db_Model Patient Recruitment Script-Tex and E-mail

---

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	18,430	20,710	0	-2,280	0	0
Annual Time Burden (Hours)	6,354	7,140	0	-786	0	0
Annual Cost Burden (Dollars)	140,018	157,341	0	-17,323	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The proposed changes in this request updates the data collection system to meet prevailing information needs and enhance the value of MMP data, while remaining concordant with the project's purpose. The burden is less than the burden currently approved. The estimated burden hours for the proposed project decreased from 7,170 to 6,354 hours due to the removal of 3 unfunded project areas, which reduces the number op interviews and time spent on project activities.

---

Annual Cost to Federal Government: $17,838,614

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.     Yes

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.     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

---

Common Form ICR:  No

---

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: 05/18/2018

---