Information Collection Request

HIV Outpatient Study (HOPS)

ICR 202011-0920-013 · OMB 0920-1080 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Behavioral Survey Form and Instruction Modified Repair queued
HOPS SS A_01072021.docx Supporting Statement A Uploaded 2021-01-07 Repair queued
Att 8_List of study publications_rev.docx Supplementary Document Uploaded 2021-01-06 Repair queued
Att 9_PIA_HOPS-1080.pdf Supplementary Document Uploaded 2020-12-21 Repair queued
Att 7_CDC IRB approval.pdf Supplementary Document Uploaded 2020-12-21 Missing upstream
Att 2_60-day FRN pub 9-12-2020.pdf Supplementary Document Uploaded 2020-12-21 Repair queued
Att 1_Auth Legislation.docx Supplementary Document Uploaded 2020-12-21 Available
HOPS SS B_12152020.docx Supporting Statement B Uploaded 2020-12-21 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
216378 Informed Consent Other-Consent for HOPS Data Abstraction from Medical Chart Modified
216377 Behavioral Survey Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 09/30/2021
3,150 2,950
428 405
10,994 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Behavioral Survey n/a Behavioral Survey (screenshots)
Informed Consent

table that charts list of burden
  Total Request 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 3,150 2,950 0 200 0 0
Annual Time Burden (Hours) 428 405 0 23 0 0
Annual Cost Burden (Dollars) 10,994 0 0 10,994 0 0


Reginfo record details
  No