Medical Monitoring Project

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Recruitment script	Form and Instruction	Modified	Available
Recruitment	Form and Instruction	Modified	Available
MMP Questionnaire - Spanish	Form and Instruction	Modified	Repair queued
MMP Questionnaire 2021 - English	Form and Instruction	Modified	Available
2021 Questionnaire	Form and Instruction	Modified	Repair queued
Att 17 SampleSizes.docx	Supplementary Document	Uploaded 2021-01-13	Repair queued
Att 16 Agreement To Abide by Restrictions.docx	Supplementary Document	Uploaded 2021-01-13	Available
Att 15 2018 DCC ATO.pdf	Supplementary Document	Uploaded 2021-01-13	Repair queued
Att 14 MMP project determination.pdf	Supplementary Document	Uploaded 2021-01-13	Repair queued
Att 13 Assurance of Confidentiality.docx	Supplementary Document	Uploaded 2021-01-13	Repair queued
Att 12_PrivacyImpactAssessment 2020 11 30.pdf	Supplementary Document	Uploaded 2021-01-13	Repair queued
Att 11 Consultations Conducted Before 2010.docx	Supplementary Document	Uploaded 2021-01-13	Repair queued
Att 10 MMP Bibliography 2020_07_18.rtf	Supplementary Document	Uploaded 2021-01-13	Repair queued
Att 9 MMP_CrossJuris_Agreement_MMP 2020_Cycle.docx	Supplementary Document	Uploaded 2021-01-13	Repair queued
Att 8d Recruitment Text E-mail.docx	Supplementary Document	Uploaded 2021-01-13	Repair queued
Att 7 References.docx	Supplementary Document	Uploaded 2021-01-13	Available
Att 6 MMP MRA Data Structure 2020 06 15.docx	Supplementary Document	Uploaded 2021-01-13	Repair queued
Att 5d Summary of changes to questionnaire.docx	Supplementary Document	Uploaded 2021-01-13	Repair queued
Att 4 MMP Minimum Dataset Elements.docx	Supplementary Document	Uploaded 2021-01-13	Repair queued
Att 3b MMP Model Consent 2018.docx	Supplementary Document	Uploaded 2021-01-13	Repair queued
Att 3a MMP 2021-2023 Model Consent.docx	Supplementary Document	Uploaded 2021-01-13	Repair queued
Att 2_60-Day FRN.pdf	Supplementary Document	Uploaded 2021-01-13	Repair queued
Att 1_Sect 301 PHSA.PDF	Supplementary Document	Uploaded 2021-01-13	Repair queued
MMP-SSB_2020 12 01 clean.docx	Supporting Statement B	Uploaded 2021-01-13	Repair queued
MMP-SSA_2021-01-11.docx	Supporting Statement A	Uploaded 2021-01-13	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
180569	Pull medical records	Instruction	Modified
180568	Contact information look-up	Instruction	Modified
180566	Recruitment	Form and Instruction	Modified	Recruitment script
180566	Recruitment	Form and Instruction	Modified
180565	2021 Questionnaire	Form and Instruction	Modified	MMP Questionnaire - Spanish
180565	2021 Questionnaire	Form and Instruction	Modified	MMP Questionnaire 2021 - English
180565	2021 Questionnaire	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0740	ICR Reference No: 202101-0920-006
Status: Historical Active	Previous ICR Reference No: 201805-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0740
Title: Medical Monitoring Project
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: 05/08/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/26/2021
Terms of Clearance: Previous terms continue: We strongly encourage CDC to streamline surveillance activities across the Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. At the next revision, OMB will request evidence of such streamlining.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2024	36 Months From Approved	06/30/2021
Responses	18,430	0	18,430
Time Burden (Hours)	5,707	0	6,354
Cost Burden (Dollars)	147,364	0	140,018

---

Abstract: The Medical Monitoring Project (MMP) was designed to address the need for a national behavioral and clinical surveillance system for HIV-infected persons, as articulated in CDC's HIV Prevention Strategic Plan. It is a supplemental surveillance project designed to describe the health-related behaviors, experiences and needs of adults diagnosed with HIV in the United States. It's intended use is to guide national and local HIV-related service organization and delivery and to monitor receipt of HIV treatment and prevention services and clinical outcomes.

---

Authorizing Statute(s): US Code: 42 USC 301 Name of Law: PHSA
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 55457	09/08/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 16215	03/26/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
2021 Questionnaire	none, none	MMP Questionnaire 2021 - English ,   MMP Questionnaire - Spanish
Contact information look-up
Pull medical records
Recruitment	none	Recruitment script

---

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	18,430	18,430	0	0	0	0
Annual Time Burden (Hours)	5,707	6,354	0	-647	0	0
Annual Cost Burden (Dollars)	147,364	140,018	0	7,346	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This revision includes changes to the questionnaire, consent forms, and estimated burden based on past experience with the project. The overall burden has been reduced.

---

Annual Cost to Federal Government: $18,843,644

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.     Yes

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? No

---

Common Form ICR:  No

---

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: 03/26/2021

---