National HIV Behavioral Surveillance System

Forms and Documents

Document Name	Status
Form 0920-0770 NHBS Behavioral Assessment Survey (HET) Form and Instruction	Unchanged
Form 0920-0770 NHBS Behavioral Assessment (IDU) Form and Instruction	Unchanged
Form 0920-0770 NHBS Recruiter Debriefing Form and Instruction	Unchanged
Form 0920-0770 NHBS Behavioral Assessment (MSM) Form and Instruction	Unchanged
Form 0920-0770 NHBS Screening (All Respondent Groups) Form and Instruction	Unchanged
Att 10_Model Consent Form-Clean.docx Supplementary Document	2020-10-28
Att 8_NHBS Cycle Overview-Revised.docx Supplementary Document	2020-10-28
Justification for Change 0920-0770 NHBS_10302020.docx Justification for No Material/Nonsubstantive Change	2020-11-04
Att 18_Auth to Operate for DCC.pdf Supplementary Document	2019-09-27
Att 17_References.docx Supplementary Document	2019-09-27
Att 16_Response rate calculations.docx Supplementary Document	2019-09-27
Att 14_Model recruitment coupon.docx Supplementary Document	2019-09-27
Att 13_Summary of Changes to Data Collection.docx Supplementary Document	2019-09-27
Att 12_Sample analysis tables.pdf Supplementary Document	2019-09-27
Att 11_CDC IRB determination.pdf Supplementary Document	2019-09-27
Att 10_Model Consent Form.docx Supplementary Document	2019-09-27
Att 9_Consultants.pdf Supplementary Document	2019-09-27
Att 8_NHBS cycle overview.pdf Supplementary Document	2019-09-27
Att 7_Agreement to abide by restrictions.docx Supplementary Document	2019-09-27
Att 6b_PIA Form NHBS.pdf Supplementary Document	2019-09-27
Att 6a_Assurance of Confidentiality.pdf Supplementary Document	2019-09-27
Att 5_NHBS Publications.docx Supplementary Document	2019-09-27
Att 2 60 Day FRN.pdf Supplementary Document	2019-09-27
Att 1_PHSA.pdf Supplementary Document	2019-09-27
Supporting Statement B final.docx Supporting Statement B	2019-09-27
Supporting Statement A final.docx Supporting Statement A	2019-09-27

IC Document Collections

IC ID	Document Title	Status
196958	NHBS Behavioral Assessment Survey (HET) Form and Instruction	Unchanged
196957	NHBS Behavioral Assessment (IDU) Form and Instruction	Unchanged
196956	NHBS Recruiter Debriefing Form and Instruction	Unchanged
182203	NHBS Behavioral Assessment (MSM) Form and Instruction	Unchanged
182201	NHBS Screening (All Respondent Groups) Form and Instruction	Unchanged

ICR Details

OMB Control No: 0920-0770	ICR Reference No: 202010-0920-017
Status: Active	Previous ICR Reference No: 201909-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0770-21AV
Title: National HIV Behavioral Surveillance System
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/11/2020
	Date Received in OIRA: 11/09/2020
Terms of Clearance: Previous terms continue: Approved with the understanding that NHBS will continue to consult with CDC/NCHS, as well as with other major surveillance systems within CDC and SAMHSA, in the development and adaptation of questions related to illicit behaviors and drug use.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2023	01/31/2023	01/31/2023
Responses	31,668	0	31,668
Time Burden (Hours)	8,195	0	8,195
Cost Burden (Dollars)	0	0	0

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Abstract: The Centers for Disease Control and Prevention requests a non-substantive change request to the National HIV Behavioral Surveillance System (NHBS) (0920-0770, expiration date January 31, 2023) to their method of information collection. Interview data collection instruments, project activities, and annual burden will remain the same as in the previously approved information collection request. The COVID-19 pandemic has impeded standard, in-person recruitment and interviewing during the implementation of the 2020 data collection and likely in future years as well. NHBS survey methods consist of recruitment, the interview, and HIV testing. Each component is important and has different challenges for implementation during COVID-19 pandemic. To address these challenges, we revised NHBS methods to include remote variants of our in-person methods. The underlying methods remain unchanged. For example, NHBS is still an interviewer administered one-on-one interview, however the interview may now occur via videoconference (with phone backup) or phone in addition to in-person. Similarly, NHBS will continue to utilize respondent-driven (RDS) and venue-based (VBS) recruitment methods, however these now include online venues and processes.

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Authorizing Statute(s): US Code: 42 USC 306 Name of Law: Public Health Service Act
   US Code: 42 USC 301 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:
	84 FR 32184	07/05/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 51586	09/30/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
NHBS Screening (All Respondent Groups)	0920-0770, 0920-0770	Eligibility Screener (English) ,   Eligibility Screener (Spanish)
NHBS Behavioral Assessment (MSM)	0920-0770, 0920-0770	Behavioral Assessment for MSM (English) ,   Behavioral Assessment for MSM (Spanish)
NHBS Recruiter Debriefing	0920-0770, 0920-0770	Recruiter Debriefing (English) ,   Recruiter Debriefing (Spanish)
NHBS Behavioral Assessment (IDU)	0920-0770, 0920-0770	Behavioral Assessment for IDU (English) ,   Behavioral Assessment for IDU (Spanish)
NHBS Behavioral Assessment Survey (HET)	0920-0770, 0920-0770	Behavioral Assessment for HET (English) ,   Behavioral Assessment for HET (Spanish)

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ICR Summary 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	31,668	31,668	0	0	0	0
Annual Time Burden (Hours)	8,195	8,195	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: No

Burden Reduction Due to:

Short Statement: Two sites were added however the overall burden decreased due to lower estimations of burden time for some of the instruments.

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Annual Cost to Federal Government: $12,058,565

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.     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? Yes

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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: 11/09/2020

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