Information Collection Request

Using Qualitative Methods to Understand Issues in HIV Prevention, Care and Treatment in the United States CHANGE REQUEST to Mitigate COVID-19 Risks: Using Qualitative Methods [...]

ICR 202010-0920-010 · OMB 0920-1091 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Survey for Participants Currently Not on PrEP Form and Instruction Unchanged Available
Survey for Participants Currently on PrEP Form and Instruction Unchanged Available
Focus Group Guide Form and Instruction Unchanged Available
In-depth Interview Guide Form and Instruction Unchanged Available
Contact Information Form Form and Instruction Unchanged Available
Screener Form and Instruction Unchanged Available
Demographic and behavioral questionnaire Form Unchanged Available
Contact information Form Unchanged Available
Screener Form Unchanged Available
Form 0920-1091 Deep South Staff Interview Guide Form and Instruction Unchanged Available
Form 0920-1091 Deep South CBO Client Interview Guide Form and Instruction Unchanged Available
Form 0920-1091 Deep South Client Screener (English) Form Unchanged Available
Contact Information Form Form Unchanged Repair queued
Staff and Stakeholder Screener Form Unchanged Available
Client Screener Form Unchanged Available
Summary of Proposed Changes in the GenIC for iQual 2PM_v2.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-10-15 Available
Att 5b_PrivacyImpactAssessApproval_ResSuppServ.pdf Supplementary Document Uploaded 2018-08-17 Available
Att 5a_PrivacyImpactAssessApproval_Atlas.pdf Supplementary Document Uploaded 2018-08-17 Available
Att 4_Sample Consent Form.docx Supplementary Document Uploaded 2018-08-17 Available
Att 3f_Sample Provider Interview Guide.docx Supplementary Document Uploaded 2018-08-17 Available
Att 3e_Sample Provider Demographic Survey.docx Supplementary Document Uploaded 2018-08-17 Available
Att 3d_Sample Interview Guide.docx Supplementary Document Uploaded 2018-08-17 Available
Att 3c_Sample Demographic Survey.docx Supplementary Document Uploaded 2018-08-17 Available
Att 3b_Sample Contact Information Form.docx Supplementary Document Uploaded 2018-08-17 Available
Att 3a_Sample Study Screener.docx Supplementary Document Uploaded 2018-08-17 Available
Att 2 60 Day FRN_Published.pdf Supplementary Document Uploaded 2018-08-17 Available
Att 1_Auth Legislation.pdf Supplementary Document Uploaded 2018-08-17 Available
Supporting Statement B.docx Supporting Statement B Uploaded 2018-08-17 Available
Supporting Statement A.docx Supporting Statement A Uploaded 2018-08-17 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
241844 Qualitative Research to Understand Consumer Opinions and Preferences for Emerging HIV Prevention Products among MSM in Atlanta, Houston, and Miami Form and Instruction UnchangedSurvey for Participants Currently Not on PrEP
241844 Qualitative Research to Understand Consumer Opinions and Preferences for Emerging HIV Prevention Products among MSM in Atlanta, Houston, and Miami Form and Instruction UnchangedSurvey for Participants Currently on PrEP
241844 Qualitative Research to Understand Consumer Opinions and Preferences for Emerging HIV Prevention Products among MSM in Atlanta, Houston, and Miami Form and Instruction UnchangedFocus Group Guide
241844 Qualitative Research to Understand Consumer Opinions and Preferences for Emerging HIV Prevention Products among MSM in Atlanta, Houston, and Miami Form and Instruction UnchangedIn-depth Interview Guide
241844 Qualitative Research to Understand Consumer Opinions and Preferences for Emerging HIV Prevention Products among MSM in Atlanta, Houston, and Miami Form and Instruction UnchangedContact Information Form
241844 Qualitative Research to Understand Consumer Opinions and Preferences for Emerging HIV Prevention Products among MSM in Atlanta, Houston, and Miami Form and Instruction UnchangedScreener
238087 Assessing the acceptability and adoptability of HIV-1 PrEP technologies among African American women in the SE US Form UnchangedDemographic and behavioral questionnaire
238087 Assessing the acceptability and adoptability of HIV-1 PrEP technologies among African American women in the SE US Other-Interview guide Unchanged
238087 Assessing the acceptability and adoptability of HIV-1 PrEP technologies among African American women in the SE US Form UnchangedContact information
238087 Assessing the acceptability and adoptability of HIV-1 PrEP technologies among African American women in the SE US Form UnchangedScreener
235907 HIV Prevention and Treatment Services among Young Men of Color who Have Sex with Men (YMSM of Color) and Young Transgender Persons of Color (YTG of Color) in the Deep South" Form and Instruction UnchangedDeep South Staff Interview Guide
235907 HIV Prevention and Treatment Services among Young Men of Color who Have Sex with Men (YMSM of Color) and Young Transgender Persons of Color (YTG of Color) in the Deep South" Form and Instruction UnchangedDeep South CBO Client Interview Guide
235907 HIV Prevention and Treatment Services among Young Men of Color who Have Sex with Men (YMSM of Color) and Young Transgender Persons of Color (YTG of Color) in the Deep South" Form UnchangedDeep South Client Screener (English)
233472 Syringe Service Programs' (SSP) User Experiences Other-Interview Guide Unchanged
233472 Syringe Service Programs' (SSP) User Experiences Form UnchangedContact Information Form
233472 Syringe Service Programs' (SSP) User Experiences Form UnchangedStaff and Stakeholder Screener
233472 Syringe Service Programs' (SSP) User Experiences Form UnchangedClient Screener

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2021 09/30/2021 09/30/2021
12,000 0 12,000
2,754 0 2,754
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Assessing the acceptability and adoptability of HIV-1 PrEP technologies among African American women in the SE US none, none, none ,   ,  
HIV Prevention and Treatment Services among Young Men of Color who Have Sex with Men (YMSM of Color) and Young Transgender Persons of Color (YTG of Color) in the Deep South" 0920-1091, 0920-1091, 0920-1091 ,   ,  
Qualitative Research to Understand Consumer Opinions and Preferences for Emerging HIV Prevention Products among MSM in Atlanta, Houston, and Miami n/a, n/a, n/a, n/a, n/a, n/a ,   ,   ,   ,   ,  
Syringe Service Programs' (SSP) User Experiences none, none, none ,   ,  

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 12,000 12,000 0 0 0 0
Annual Time Burden (Hours) 2,754 2,754 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No