Variables No Longer Required

Att 5C NHM&E Variables No Longer Required.docx

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

Variables No Longer Required

OMB: 0920-0696

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Attachment 5C. NHM&E Variables No Longer Required

Budget Allocation

Shape1

Table: BT Budget Allocation Variables


This table is completed annually by grantees. It is used to provide their budget allocation information to the CDC. Budget allocation information is required for grantees receiving PS12-1201 Category A, Category B and Category C funds which support HIV prevention activities.


Num Variable Name

BT100a Budget allocation reporting year



XSD (Schema) Name: budgetAllocationYear


Value Option: N/A Format Type: Number Min Length: 4 Max Length: 4


Definition: Budget allocation reporting year refers to the 12-month calendar year (January-December) for which the budget allocation is being reported.


Instructions: Indicate the year for which the budget allocation data are being provided.


Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT101a Amount of PS12-1201 Category A funds allocated for HIV testing in healthcare settings

XSD (Schema) Name: amountHIVtestRoutineCateA

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 8


Definition: For PS12-1201 Category A award (HIV Prevention Programs for Health Departments), this value represents the allocation associated with HIV testing in healthcare settings. HIV testing in healthcare settings is a testing strategy that involves testing persons regardless of whether they have a recognized behavioral risk or presence of signs or symptoms of HIV infection.


CDC provides the amount of awarded PS12-1201 Category A funds annually to each grantee.


Instructions: Indicate the amount of PS12-1201 Category A funds awarded to your agency that have been allocated for routine HIV testing or screening. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable


Num Variable Name

BT101b Amount of PS12-1201 Category B funds allocated for HIV testing in healthcare settings



XSD (Schema) Name: amountHIVtestRoutineCateB

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category B award (Expanded HIV Testing for Disproportionately Affected Populations), this value represents the allocation associated with HIV testing in healthcare settings performed using Category B funds. HIV testing in healthcare settings is a testing strategy that involves testing persons regardless of whether they have a recognized behavioral risk or presence of signs or symptoms of HIV infection.


CDC provides the amount of awarded PS12-1201 Category B funds annually to each grantee.


Instructions: Indicate the amount of PS12-1201 Category B funds awarded to your agency that have been allocated for HIV testing in healthcare settings. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT101c Amount of PS12-1201 Category C funds allocated for HIV testing in healthcare settings

XSD (Schema) Name: amountHIVtestRoutineCateC

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category C award (Demonstration Projects), this value represents the funds allocated from your Category C award that are for HIV testing in healthcare settings. HIV testing in healthcare settings is a testing strategy that

involves testing persons regardless of whether they have a recognized behavioral risk or presence of signs or symptoms of HIV infection.


CDC provides the amount of awarded PS12-1201 Category C funds annually to each grantee.


Instructions: Indicate the amount of PS12-1201 Category C funds awarded to your agency that have been allocated for HIV testing in healthcare settings. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable


Num Variable Name

BT102a Amount of PS12-1201 Category A funds allocated for HIV testing in non-healthcare settings



XSD (Schema) Name: amountHIVtestTargetedCateA

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 8


Definition: For PS12-1201 Category A award (HIV Prevention Programs for Health Departments), this value represents the allocation associated with HIV testing in non-healthcare settings. HIV testing in non-healthcare settings is a testing strategy that involves testing persons based on characteristics that increase their likelihood of being infected with HIV. These characteristics can include the presence of sexually transmitted diseases, behavioral risks, or attendance at venues frequented by high-risk persons.


Instructions: Indicate the amount of PS12-1201 Category A funds awarded to your agency that have been allocated for HIV testing in non-healthcare settings. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT102b Amount of PS12-1201 Category B funds allocated for HIV testing in non-healthcare settings

XSD (Schema) Name: amountHIVtestTargetedCateB

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 8


Definition: For PS12-1201 Category B award (Expanded HIV Testing for Disproportionately Affected Populations), this value represents the allocation associated with HIV testing in non-healthcare settings. HIV testing in non-healthcare settings is a testing strategy that involves testing persons based on characteristics that increase their likelihood of being infected with HIV. These characteristics can include the presence of sexually transmitted diseases, behavioral risks, or attendance at venues frequented by high-risk persons.


Instructions: Indicate the amount of PS12-1201 Category B funds awarded to your agency that have been allocated for HIV testing in non-healthcare settings, if implemented or applicable. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable


Num Variable Name

BT102c Amount of PS12-1201 Category C funds allocated for HIV testing in non-healthcare settings



XSD (Schema) Name: amountHIVtestTargetedCateC

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 8


Definition: For PS12-1201 Category C award (Demonstration Projects), this value represents the allocation associated with HIV testing in non-healthcare settings. HIV testing in non-healthcare settings is a testing strategy that involves testing persons based on characteristics that increase their likelihood of being infected with HIV. These characteristics can include the presence of sexually transmitted diseases, behavioral risks, or attendance at venues frequented by high-risk


Instructions: Indicate the amount of PS12-1201 Category C funds awarded to your agency that have been allocated for HIV testing in non-healthcare settings, if implemented or applicable. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT102m Open-ended question 2 for HIV testing in non- healthcare settings

XSD (Schema) Name: questionHIVtestTargeted2

Value Option: N/A Format Type: Alpha-Numeric Min Length: 1 Max Length: 650


Definition: Please provide any additional information to explain funding allocation limitations or caveats for HIV testing in non- healthcare settings that may be a concern to you, if applicable.


Instructions: Please answer the question in 100 words or less.


Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Allowed but not required

CBO Aggregate: Not applicable

BT103a Amount of PS12-1201 Category A funds allocated for comprehensive prevention with positives

XSD (Schema) Name: amountCPPCateA

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category A award (HIV Prevention Programs for Health Departments); this value represents the funding allocation associated with comprehensive prevention with positives (CPP) programs and services. CPP covers a range of prevention activities including Partner Services, continuum of care (linkage, retention, re-engagement in care, and treatment adherence), risk-reduction EBIs with HIV-positive people and other prevention programs that are targeted to HIV-diagnosed individuals and their partners.


Instructions: Indicate the amount of your PS 12-1201 Category A award that your agency allocated for comprehensive prevention with positives activities. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable


Num Variable Name

BT103b Amount of PS12-1201 Category B funds allocated for comprehensive prevention with positives



XSD (Schema) Name: amountCPPCateB

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category B award (Expanded HIV Testing for Disproportionately Affected Populations); this value represents the funding allocation associated with comprehensive prevention with positives (CPP) programs and services. CPP covers a range of prevention activities including Partner Services, continuum of care (linkage, retention, re- engagement in care, and treatment adherence), risk-reduction EBIs with HIV-positives and other prevention programs that are targeted to HIV-diagnosed individuals and their partners.


Instructions: Indicate the amount of your PS 12-1201Category B award that your agency allocated for comprehensive prevention with positives activities. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT103c Amount of PS12-1201 Category C funds allocated for comprehensive prevention with positives

XSD (Schema) Name: amountCPPCateC

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category C award (Demonstration Projects); this value represents the funding allocation associated with comprehensive prevention with positives (CPP) programs and services. CPP covers a range of prevention activities including Partner Services, continuum of care (linkage, retention, re-engagement in care, and treatment adherence), risk- reduction EBIs with HIV-positive people and other prevention programs that are targeted to HIV-diagnosed individuals and their partners.


Instructions: Indicate the amount of your PS12-1201 Category C award that your agency allocated for comprehensive prevention with positives activities. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable


Num Variable Name

BT103i Open-ended question 1 for comprehensive prevention with positives



XSD (Schema) Name: questionCPP1

Value Option: N/A Format Type: Alpha-Numeric Min Length: 1 Max Length: 650 Definition: Please identify the specific prevention activities included in the allocations to “other CPP” activities category. Instructions: Please answer the question in 100 words or less.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Allowed but not required

CBO Aggregate: Not applicable


Open ended question, free text field, may be left blank.

BT103k Amount of PS12-1201 Category A funding allocated for partner services



XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category A, this value represents the allocation associated with Partner Services.


Instructions: Indicate the amount of PS12-1201 Category A funding that your agency allocated for PartnerServcies. If no funds were allocated, enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT103l Amount of PS12-1201 Category B funding allocated for partner services

XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category B, this value represents the allocation associated with Partner Services.


Instructions: Indicate the amount of PS12-1201 Category B funding that your agency allocated for Partner Services. If no funds were allocated, enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable


Num Variable Name

BT103m Amount of PS12-1201 Category C funding allocated for partner services



XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category C, this value represents the allocation associated with Partner Services.


Instructions: Indicate the amount of PS12-1201 Category C funding that your agency allocated for Partner Services. If no funds were allocated, enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT103n Amount of PS12-1201 Category A funding allocated for HIV continuum of care which includes linkage, retention, and re-engagement in care, and HIV medication adherence support

XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category A, this value represents the allocation associated with HIV continuum of care which includes linkage, retention, and re-engagement in care, and HIV medication adherence support.


Instructions: Indicate the amount of PS12-1201 Category A funding that your agency allocated for HIV continuum of care which includes linkage, retention, and re-engagement in care, and HIV medication adherence support. If no funds were allocated, enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable


Num Variable Name

BT103o Amount of PS12-1201 Category B funding allocated for HIV continuum of care which includes linkage, retention, and re-engagement in care, and HIV medication adherence support.



XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category B, this value represents the allocation associated with HIV continuum of care which includes, linkage, retention, and re-engagement in care, and HIV medication adherence support.


Instructions: Indicate the amount of PS12-1201 Category B funding that your agency allocated for HIV continuum of care which includes linkage, retention, and re-engagement in care, and HIV medication adherence support. If no funds were allocated, enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT103p Amount of PS12-1201 Category C funding allocated for HIV continuum of care which includes linkage, retention, and re-engagement in care, and HIV medication adherence support

XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category C, this value represents the allocation associated with HIV continuum of care which includes linkage, retention, and re-engagement in care, and HIV medication adherence support.


Instructions: Indicate the amount of PS12-1201 Category C funding that your agency allocated for HIV continuum of care which includes linkage, retention, and re-engagement in care, and HIV medication adherence support. If no funuds were allocated, enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable


Num Variable Name

BT103q Amount of PS12-1201 Category A funding allocated for risk-reduction EBIs with HIV-positive persons



XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category A, this value represents the allocation associated with risk-reduction EBIs with HIV-positive persons.


Instructions: Indicate the amount of PS12-1201 Category A funding that your agency allocated for risk-reduction EBIs with HIV- positive persons. If no funds were allocated, enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT103r Amount of PS12-1201 Category B funding allocated for risk-reduction EBIs with HIV-positive persons

XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category B, this value represents the allocation associated with risk-reduction EBIs with HIV-positive persons.


Instructions: Indicate the amount of PS12-1201 Category B funding that your agency allocated for risk-reduction EBIs with HIV- positive persons. If no funds were allocated, enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT103s Amount of PS12-1201 Category C funding allocated for risk-reduction EBIs with HIV-positive persons

XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category C, this value represents the allocation associated with risk-reduction EBIs for HIV-positive persons.


Instructions: Indicate the amount of PS12-1201 Category C funding that your agency allocated for risk-reduction EBIs with HIV- positive persons. If no funds were allocated, enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable


Num Variable Name

BT103t Amount of PS12-1201 Category A funding allocated for other comprehensive prevention activities with HIV-positive persons



XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category A, this value represents the allocation associated with other comprehensive prevention activities with HIV-positive persons.


Instructions: Indicate the amount of PS12-1201 Category A funding that your agency allocated for other comprehensive prevention activities with HIV-positive persons. If no funds were allocated, enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT103u Amount of PS12-1201 Category B funding allocated for other comprehensive prevention activities with HIV-positive persons

XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category B, this value represents the allocation associated with other comprehensive prevention activities with HIV-positive persons.


Instructions: Indicate the amount of PS12-1201 Category B funding that our agency allocated for other comprehensive prevention activities with HIV-positive persons. If no funds were allocated, enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT103v Amount of PS12-1201 Category C funding allocated for other comprehensive prevention activities with HIV-positive persons

XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS2-1201 Category C, this value represents the allocation associated with other comprehensive activities with HIV- positive persons.


Instructions: Indicate the amount of PS12-1201 Category C funding that your agency allocated for other comprehensive activities with HIV-positive persons. If no funds were allocated, enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable


Num Variable Name

BT104a Amount of PS12-1201 Category A funding allocated for condom distribution



XSD (Schema) Name: amountCondomCateA

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category A award (HIV Prevention Programs for Health Departments), this value represents the funding allocation associated with condom distribution.


Instructions: Indicate the amount of PS12-1201 Category A funds your agency allocated for condom distribution. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT104g Open-ended question 2 for condom distribution XSD (Schema) Name: questionCondom2


Value Option: N/A Format Type: Alpha-Numeric Min Length: 1 Max Length: 650


Definition: Please provide any additional information to explain condom distribution-related funding allocation limitations or caveats that may be a concern to you, if applicable.


Instructions: Please answer the question in 100 words or less.


Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Allowed but not required

CBO Aggregate: Not applicable

BT104h Amount of PS12-1201 Category C funding allocated for condom distribution

XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category C, this value represents the allocation associated with condom distribution.


Instructions: Indicate the amount of PS12-1201 Category C funding that your agency allocated for condom distribution. If no funds were allcoated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable


Num Variable Name

BT104i Amount of PS12-1201 Category B funding allocated for condom distribution



XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category B, this value represents the allocation associated with condom distribution.


Instructions: Indicate the amount of PS12-1201 funding that your agency allocated for condom distribution. If no funds were allocated, enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT105a Amount of PS12-1201 Category A allocated for Policy Initiatives

XSD (Schema) Name: amountPolicyCateA

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category A award (HIV Prevention Programs for Health Departments), this value represents the allocation associated with policy initiatives.


Instructions: Indicate the amount of PS12-1201 Category A funds your agency allocated for policy initiatives. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT106b Amount of PS12-1201 Category B allocated for service integration (optional)

XSD (Schema) Name: amountRoutineCateB

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201Category B award (Expanded HIV Testing for Disproportionately Affected Populations), this value represents the allocation associated with the optional services integration component.


Instructions: Indicate the amount of PS12-1201 Category B funds your agency allocated for the integration of testing programs for HIV, hepatitis B virus, hepatitis C virus, other STDs and tuberculosis, if implemented. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable


Num Variable Name

BT106e Open-ended question for PS12-1201 Category B funds allocated for service integration



XSD (Schema) Name: question121201RCCateB

Value Option: N/A Format Type: Alpha-Numeric Min Length: 1 Max Length: 650


Definition: If you have allocated PS12-1201 Category B funds to other components, please list the programs or activities that you are going to implement or have implemented.


Instructions: Please answer the question in 100 words or less.


Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Allowed but not required

CBO Aggregate: Not applicable

BT106g Amount of PS12-1201 Category A funding allocated for other components

XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category A, this value represents the allocation associated with other non-required prevention activities, excluding support services.


Instructions: Indicate the amount of PS12-1201 Category A funding that your agency allocated for other components (non-required prevention activities excluding support services). If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT106h Open-ended question for PS12-1201 Category A funds allocated for other components

XSD (Schema) Name:

Value Option: N/A Format Type: Alpha-Numeric Min Length: 1 Max Length: 650


Definition: If you have allocated PS12-1201 Category A funds to other components, please list the program or activities that you are going to implement or have implemented.


Instructions: Please answer the question in 100 words or less.


Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Allowed but not required

CBO Aggregate: Not applicable


Num Variable Name

BT106i Amount of PS12-1201 Category B funding allocated for other components



XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category B, this value represents the allocation associated with other non-required prevention activities excluding service integration and support services.


Instructions: Indicate the amount of PS12-1201 Category B funding that your agency allocated for other components (non-required prevention activities excluding service integration and support services). If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT106j Amount of PS12-1201 Category C funding allocated for other components

XSD (Schema) Name:

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category C, this value represents the allocation associated with other non-required prevention activities excluding support services.


Instructions: Indicate the amount of PS12-1201 Category C funding that your agency allocated for other components (non-required prevention activities excluding support services). If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT106k Open-ended question for PS12-1201 Category B funds allocated for recommended and other components

XSD (Schema) Name:

Value Option: N/A Format Type: Alpha-Numeric Min Length: 1 Max Length: 650


Definition: If you have allocated PS12-1201 Category B funds to other components, please list the program or activities that you are going to implement or have implemented.


Instructions: Please answer the question in 100 words or less.


Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Allowed but not required

CBO Aggregate: Not applicable


Num Variable Name

BT106l Open-ended question for PS12-1201 Category C funds allocated for recommended and other components



XSD (Schema) Name:

Value Option: N/A Format Type: Alpha-Numeric Min Length: 1 Max Length: 650


Definition: If you have allocated PS12-1201 Category C funds ot other components, please list the program or activities that you are going to implement or have implemented.


Instructions: Please answer the question in 100 words or less.


Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Allowed but not required

CBO Aggregate: Not applicable

BT107c Amount of PS12-1201 Category A funds allocated for HIV prevention program monitoring and evaluation

XSD (Schema) Name: amountMandE121201CateA

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category A, this value represents the allocation associated with program monitoring and evaluation.


Instructions: Indicate the amount of PS12-1201 Category A funding that your agency allocated for program monitoring and evaluation.

If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT107d Amount of PS12-1201 Category B funds alloacted for HIV prevention program monitoring and evaluation

XSD (Schema) Name: amountMandE121201CateB

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category B, this value represents the allocation associated with program monitoring and evaluation.


Instructions: Indicate the amount of PS12-1201 Category B funding that your agency allocated for program monitoring and evaluation.

If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable


Num Variable Name

BT107e Amount of PS12-1201 Category C funds allocated for HIV prevention program monitoring and evaluation



XSD (Schema) Name: amountMandE121201CateC

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category C, this value represents the allocation associated with program monitoring and evaluation.


Instructions: Indicate the amount of PS12-1201 Category C funding that your agency allocated for program monitoring and evaluation.

If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT108c Amount of PS12-1201 Cateogry A funds allocated for Jurisdictional HIV Prevention Planning

XSD (Schema) Name: amountPlanning121201CateA

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category A, this value represents the allocation associated with jurisdictional HIV prevention planning.


Instructions: Indicate the amount of PS12-1201 Category A funding that your agency allocated for jurisdictional HIV prevention planning. If no funds were allocated then enter 0

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT109c Amount of PS12-1201 Category A funds allocated for Capacity Building and Technical Assistance

XSD (Schema) Name: amountCBTA121201CateA

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category A, this value represents the allocation associated with capacity building and technical assistance


Instructions: Indicate the amount of PS12-1201 Category A funding that your agency allocated for capacity building and technical assistance. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable


Num Variable Name

BT109d Amount of PS12-1201 Category B funds allocated for Capacity Building, Technical Assistance, and systems for third party reimbursement for HIV testing and and other related co-infections



XSD (Schema) Name: amountCBTA121201CateB

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category B, this value represents the allocation associated with capacity building, technical assistance, and systems for third party reimbursement for HIV testing and other related co-infections.


Instructions: Indicate the amount of PS12-1201 Category B funding that your agency allocated for capacity building, technical assistance, and systems for third party reimbursement for HIV testing and other related co-infections. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT109e Amount of PS12-1201 Category C funds allocated for Capacity Building and Technical Assistance

XSD (Schema) Name: amountCBTA121201CateC

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category C, this value represents the allocation associated with capacity building and technical assistance.


Instructions: Indicate the amount of PS12-1201 Category C funding that your agency allocated for capacity building and technical assistance. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT110c Amount of PS12-1201 Category A funds allocated for agency's general operations or admin activities

XSD (Schema) Name: amountAdmin121201CateA

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category A, this value represents the allocation associated with agency's general operations or administrative activities.


Instructions: Indicate the amount of PS12-1201 Category A funding that your agency allocated for agency's general operations or administrative activities. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable


Num Variable Name

BT110d Amount of PS12-1201 Category B funds allocated for agency's general operations or admin activities



XSD (Schema) Name: amountAdmin121201CateB

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category B, this value represents the allocation associated with agency's general operations or administrative activities.


Instructions: Indicate the amount of PS12-1201 Category B funding that your agency allocated for agency's general operations or administrative activities. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT110e Amount of PS12-1201 Category C funds allocated for agency's general operations or admin activities

XSD (Schema) Name: amountAdmin121201CateC

Value Option: N/A Format Type: Currency Min Length: 1 Max Length: 12


Definition: For PS12-1201 Category C, this value represents the allocation associated with agency's general operations or administrative activities.


Instructions: Indicate the amount of PS12-1201 Category B funding that your agency allocated for agency's general operations or administrative activities. If no funds were allocated then enter 0.

Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Required

CBO Aggregate: Not applicable

BT111 Open-ended question for overall budget allocation XSD (Schema) Name: questionOverallBT


Value Option: N/A Format Type: Alpha-Numeric Min Length: 1 Max Length: 650


Definition: Please provide any additional information to explain funding allocation limitations or caveats that may be a concern to you, if applicable, for any of the budget allocation variables.


Instructions: Please answer the question in 100 words or less.


Business rule HIV Testing: Not applicable

Partner Services: Not applicable

HD Risk Reduction Activities: Not applicable CBO Risk Reduction Activities: Not applicable HD Aggregate: Allowed but not required

Shape55
CBO Aggregate: Not applicable


Num Variable Name


Num Variable Name

XML Specific Fields

Shape58

Table: Z1 XML Specific Fields


This table contains the variables and the XML values to be used for records to identify updated and modified records. This table is only required for jurisdictions that upload XML files to EvaluationWeb. These fields apply to all XML formats, with the exception of the now obsolete CTv1 format. (Some variable may have had different XSD (Schema) Names in older formats. See the individual variables for details.


Num Variable Name

Z01 Status



XSD (Schema) Name: @status


Value Option: Enter one value only Format Type: Alpha-Numeric Min Length: 1 Max Length: 1


Definition: The indicator to define the status of the record. This status indicator is used by a number of different records (Site, HivForm, aggregateData. Etc.). This indicator is always an attribute (for example <HivForm status=”N”>…). Check the relevant XSD to determine which elements can be modified with a status, and which element must be modified with a status.


Instructions: Indicate if the records are new, updated, should be deleted, are re-submitted but unchanged from a previous submission, or, for aggregate data, should be added to existing totals.

Business rule Applicable only for XML uploads




Code

Value Description

Value Definition

A

Added Record

Applies only to Aggregate Data. This record should be added to the



totals for the period for the variable reported.

D

Deleted Record

This record is marked for deletion and should be deleted for the



database for this agency.

N

New Record

This record is a new record and has not been previously submitted to



EvaluationWeb. If the record is in the system from a previous



submission and is not exactly identical to the submitted record, the



system will report an error.

R

Resubmitted Record

This record has been submitted previously and is not changed in this



submission.

U

Updated Record

This record is an updated record; the record has been previously



submitted to EvaluationWeb and contains updated information. If the



record is not currently in the system, the system will report an error.


Num Variable Name

Z02 Last Modified Date



XSD (Schema) Name: @lastModifiedDate


Value Option: N/A Format Type: MM/DD/YYYY Min Length: 8 Max Length: 10


Definition: An indicator to denote the date on which the record was modified based on the last time the record was modified This indicator is always an attribute in the XML. (<HivForm lastModifiedDate=”01/01/2013”>). See the relevant XSD to determine which elements may contain a last modified date.


Instructions: Indicate the date the record was last modified.

If the record is added, the date should be the date the record was added.

If the record should be deleted, the date should be the date when the status changed to a deleted record. If this is a new record, the date of data entry should be entered.

If the record is resubmitted but unchanged from a previous submission, the date should be the same date as the last upload/submission.

If the record is an update, the date should be date the record was last modified.

If, for aggregate data, the record is to be added to previous data, the date should be when the record was added.

Business rule Applicable only for XML uploads

Z03a CT Schema Version Number XSD (Schema) Name: CTSchemaVersion


Value Option: Enter one value only Format Type: Number Min Length: 1 Max Length: 10


Definition: Specifies the version of the XSD which has been used to validate the XML file.


Instructions: This value will be hard coded within the schema.


The number should exactly match the version number specified in the appropriate XSD - for 2012 CT data, use 2.1, CT schema 1.0 does not contain this field.

Business rule Applicable only for XML uploads of CT data.

Z03b PS Schema Version Number XSD (Schema) Name: psSchemaVersionNumber


Value Option: Enter one value only Format Type: Number Min Length: 1 Max Length: 10


Definition: Specifies the version of the XSD which has been used to validate the XML file.


Instructions: This value will be hard coded within the schema.


The number should exactly match the version number specified in the appropriate XSD - for Partner Services use 1.0 or

2.0 depending on which format is being submitted.

Business rule Applicable only for XML uploads of PS data.


Num Variable Name


Z04 Agency ID Sending File XSD (Schema) Name: senderAgencyID


Value Option: N/A Format Type: Alpha-Numeric Min Length: 1 Max Length: 12


Definition: The agency which sent the XML data file. This field allows for better CDC management of multiple files from multiple entities.


Instructions: Enter the ID of the agency sending the file to CDC


Business rule Applicable only for XML uploads.

Z05a First Date of Data Included in File XSD (Schema) Name: firstDate


Value Option: N/A Format Type: MM/DD/YYYY Min Length: 8 Max Length: 10


Definition: Specifies the first date of data included in the file and allows for better data management (duplicate identification). This helps to identify the correct data receiving process necessary to handle the XML message.


Instructions: Enter the first date of data submitted in the current file.


Business rule Applicable only for XML uploads

Z05b Last Date of Data Included in File XSD (Schema) Name: lastDate


Value Option: N/A Format Type: MM/DD/YYYY Min Length: 8 Max Length: 10


Definition: Specifies the last date of data included in the file and allows for better data management (duplicate identification). This helps to identify the correct data receiving process necessary to handle the XML message.


Instructions: Enter the last date of data submitted in the current file.


Business rule Applicable only for XML uploads



Z07 Contact Person Information XSD (Schema) Name: contactPersonInformation


Value Option: N/A Format Type: Alpha-Numeric Min Length: 1 Max Length: 100


Definition: Contact information of the person who manages the packaging and sending of the data.


Instructions: Provide the contact information of the person who manages the packaging and submission of the data in the current file.

At a minimum, this should include the name and email address.

Business rule Applicable only for XML uploads

Z08 Collection of Agency IDs Included in File XSD (Schema) Name: agencyIDs


Value Option: TBD Format Type: Alpha-Numeric Min Length: 1 Max Length: 1500


Definition: The IDs of each agency for which data are being transmitted in the file.


Instructions: List the IDs of each unique agency for whom data are represented in the file. This field should draw from the variables' Agency ID' and 'CBO Agency ID'. It should reflect all agencies directly-funded by CDC under any program announcement for whom data are included in the file.

Business rule Applicable only for XML uploads


Num Variable Name

Z09 Date File Was Created



XSD (Schema) Name: dateCreated


Value Option: N/A Format Type: MM/DD/YYYY Min Length: 8 Max Length: 19


Definition: The date (and optionally, the time) the XML file was created.


Instructions: Enter the date the current XML file was created. There should be sufficient precision to uniquely identify a file.


Business rule Applicable only for XML uploads

Z10 Date File Last Modified XSD (Schema) Name: fileLastModifiedDate


Value Option: N/A Format Type: MM/DD/YYYY Min Length: 8 Max Length: 19


Definition: If the file has been modified, the date (and optionally, the time) the XML file was last modified.


Instructions: Enter the date the current XML file was modified. There should be sufficient precision to uniquely identify a file submission.

Business rule Applicable only for XML uploads

Z11 Special Instructions XSD (Schema) Name: specialInstructions


Value Option: N/A Format Type: Alpha-Numeric Min Length: 1 Max Length: 50


Definition: Special instructions about XML file, if any.


Instructions: Indicate any special instructions or notes about the XML file. This might include reasons the file was modified or updated, or the name of the software that generated the file.

Business rule Applicable only for XML uploads

Z12 Agency Name of Data Owner XSD (Schema) Name: dataOwnerAgencyName


Value Option: N/A Format Type: Alpha-Numeric Min Length: 1 Max Length: 50


Shape74 Definition: The actual agency owner of the submitted XML file. Instructions: Enter the agency name op the actual owner of the XML file. Business rule Applicable only for XML uploads


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorHeitgerd, Janet (CDC/OID/NCHHSTP)
File Modified0000-00-00
File Created2021-01-20

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