Information Collection Request

Identification of Behavioral and Clinical Predictors of Early HIV Infection (Project DETECT)

ICR 202112-0920-002 · OMB 0920-1100 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-1100 Phase 2 Consent Form Modified Missing upstream
Form 0920-1100 Phase 1 Consent Form Modified Available
Form 0920-1100 Phase 2 Behavioral Survey Form and Instruction Modified Repair queued
Form 0920-1100 Phase 2 HIV Symptom and Care Survey Form and Instruction Modified Available
Form 0920-1100 Phase 1 Enrollment Survey Form and Instruction Modified Repair queued
Att 13 Project Determination.pdf Supplementary Document Uploaded 2021-12-07 Missing upstream
Privacy Act Checklist.docx Supplementary Document Uploaded 2021-12-07 Missing upstream
Att 4 IRB approval (JHU_Hamill).pdf Supplementary Document Uploaded 2021-12-07 Repair queued
Att 3_References.docx Supplementary Document Uploaded 2021-12-07 Repair queued
Att 1_Auth Legislation.docx Supplementary Document Uploaded 2021-12-07 Repair queued
Summary of changes to questionnaire - DETECT 2.0 - 03.11.2021.xlsx Supplementary Document Uploaded 2021-03-25 Repair queued
Justification for Change for 0920-1100_DETECT clean_final.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-03-25 Missing upstream
Att 15_PIA.pdf Supplementary Document Uploaded 2018-11-16 Repair queued
Att 14_Project Determination.pdf Supplementary Document Uploaded 2018-11-16 Repair queued
Att 13_Supplemental Study Information.docx Supplementary Document Uploaded 2018-11-16 Repair queued
Att 5_IRB Approval.pdf Supplementary Document Uploaded 2018-11-16 Repair queued
Att 4_Certificate of Confidentiality.pdf Supplementary Document Uploaded 2018-11-16 Missing upstream
Att 3_References.docx Supplementary Document Uploaded 2018-11-16 Repair queued
Att 2_60-Day FRN Published.pdf Supplementary Document Uploaded 2018-11-16 Repair queued
Att 1_Auth Legislation.docx Supplementary Document Uploaded 2018-11-16 Repair queued
Supporting Statement B.docx Supporting Statement B Uploaded 2021-12-07 Available
Supporting Statement A.docx Supporting Statement A Uploaded 2021-12-07 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
218949 Phase 2 Consent Form Modified
218948 Phase 1 Consent Form Modified
218947 Phase 2 Behavioral Survey Form and Instruction Modified
218946 Phase 2 HIV Symptom and Care Survey Form and Instruction Modified
218945 Phase 1 Enrollment Survey Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 01/31/2022
4,751 4,751
1,594 1,594
0 0





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 4,751 4,751 0 0 0 0
Annual Time Burden (Hours) 1,594 1,594 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No