National HIV Prevention Program Monitoring and Evaluation (NHM&E)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Att 11 Explanation of Revisions.docx	Supplementary Document	Uploaded 2018-08-20	Available
Att 10 2016 EvalWeb PIA signed.pdf	Supplementary Document	Uploaded 2018-08-20	Available
Att 9 2017 Final AoC docs NHM&E.pdf	Supplementary Document	Uploaded 2018-08-20	Available
Att 8 Burden Calculations.docx	Supplementary Document	Uploaded 2018-08-20	Available
Att 7 2016 EvalWeb ATO signed 6-29-16 Exp 5-17-19.pdf	Supplementary Document	Uploaded 2018-08-20	Available
Att 6 Data Security Guidelines.pdf	Supplementary Document	Uploaded 2018-08-20	Available
Att 5C NHM&E Variables No Longer Required.docx	Supplementary Document	Uploaded 2018-08-20	Available
Att 4 Agencies and Persons Consulted.doc	Supplementary Document	Uploaded 2018-08-20	Available
Att 3B 2017 version NHME_EvaluationWeb screen shots.docx	Supplementary Document	Uploaded 2018-08-20	Available
Att 3A 2018 version NHME_EvaluationWeb screen shots.docx	Supplementary Document	Uploaded 2018-08-20	Available
Att 2 60 Day FRN.pdf	Supplementary Document	Uploaded 2018-08-20	Available
Att 1 Legislative Authority.pdf	Supplementary Document	Uploaded 2018-08-20	Available
Supporting Statement B.docx	Supporting Statement B	Uploaded 2018-08-20	Available
Supporting Statement A.docx	Supporting Statement A	Uploaded 2018-08-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
217851	Community-Based Organization Report - NHME	Other-Data Elements	Modified
217850	Health Department Report - NHME	Other-Data Elements	Modified

ICR Details

OMB Control No: 0920-0696	ICR Reference No: 201808-0920-014
Status: Active	Previous ICR Reference No: 201805-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0696
Title: National HIV Prevention Program Monitoring and Evaluation (NHM&E)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/19/2018
	Date Received in OIRA: 09/18/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2021	36 Months From Approved	02/28/2019
Responses	432	0	538
Time Burden (Hours)	204,498	0	206,226
Cost Burden (Dollars)	5,427,806	0	0

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Abstract: NHM&E data are a set of standardized variables that CDC uses to monitor and evaluate HIV prevention programs funded by the Division of HIV/AIDS Prevention (DHAP) at CDC. These data are used to report key program performance indicators to CDC to show whether the programs implemented or supported are efficient and effective in achieving their stated goals. NHM&E data also assist Health Departments and Community-Based Organizations (CBOs) in monitoring and evaluating their activities to help them develop, deliver, and refine successful HIV prevention interventions.

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Authorizing Statute(s): US Code: 42 USC 241 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:
	83 FR 17662	04/23/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 47168	09/18/2018
Did the Agency receive public comments on this ICR? No

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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
Health Department Report - NHME
Community-Based Organization Report - NHME

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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	432	538	0	-106	0	0
Annual Time Burden (Hours)	204,498	206,226	0	-1,728	0	0
Annual Cost Burden (Dollars)	5,427,806	0	0	5,427,806	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: Program changes include the removal and addition of various variables as well as a reduction in the estimated number of respondents due to changes in cooperative agreement funding decisions.

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Annual Cost to Federal Government: $844,958

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: 09/18/2018

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