Barriers and Facilitators to Expanding the NHBS to Conduct HIV Behavioral Surveillance Among Transgender Women (NHBS-Trans)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Recruiter Debriefing Form (Spanish)	Form and Instruction	Modified	Available
Recruiter Debriefing Form (English)	Form and Instruction	Modified	Available
Peer Recruiters - Recruiter Debriefing Form	Form and Instruction	Modified	Available
Behavioral Assessment (Spanish)	Form and Instruction	Modified	Available
Behavioral Assessment (English)	Form and Instruction	Modified	Available
Eligible and consenting participants - Behavioral Assessment Interview	Form and Instruction	Modified	Repair queued
Eligibility Screener (Spanish)	Form and Instruction	Modified	Available
Eligibility Screener (English)	Form and Instruction	Modified	Available
18 years old - Eligibility Screener	Form and Instruction	Modified	Repair queued
Att 15_Response rate calculations.docx	Supplementary Document	Uploaded 2022-03-21	Repair queued
Att 14_Model recruitment coupon.docx	Supplementary Document	Uploaded 2022-03-21	Repair queued
Att 13_List of PS22-2201 NHBS-Trans Applicants.docx	Supplementary Document	Uploaded 2022-03-21	Repair queued
Att 12_Sample analysis tables.pdf	Supplementary Document	Uploaded 2022-03-21	Available
Att 11_Model Consent Form for Survey Activities 9 23.docx	Supplementary Document	Uploaded 2022-03-21	Available
Att 10_Project Determination (Approved 9-13-21).pdf	Supplementary Document	Uploaded 2022-03-21	Repair queued
Att 9_Auth to Operate for DCC.pdf	Supplementary Document	Uploaded 2022-03-21	Repair queued
Att 8_Agreement to abide by restrictions.pdf	Supplementary Document	Uploaded 2022-03-21	Repair queued
Att 7_Assurance of Confidentiality.pdf	Supplementary Document	Uploaded 2022-03-21	Repair queued
Att 6_PIA From NHBS-Trans.pdf	Supplementary Document	Uploaded 2022-03-21	Repair queued
Att 3_Summary of Changes to Data Collection.docx	Supplementary Document	Uploaded 2022-03-21	Repair queued
Att 2a_Public Comments.docx	Supplementary Document	Uploaded 2022-03-21	Repair queued
Att 2_60-day FRN 11 2 21.pdf	Supplementary Document	Uploaded 2022-03-21	Repair queued
Att 1_Sect 301 PHSA.PDF	Supplementary Document	Uploaded 2022-03-21	Repair queued
Supporting Statement B_03092022.docx	Supporting Statement B	Uploaded 2022-03-21	Repair queued
Supporting Statement A_03092022.docx	Supporting Statement A	Uploaded 2022-03-21	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
234908	Peer Recruiters - Recruiter Debriefing Form	Form and Instruction	Modified	Recruiter Debriefing Form (Spanish)
234908	Peer Recruiters - Recruiter Debriefing Form	Form and Instruction	Modified	Recruiter Debriefing Form (English)
234908	Peer Recruiters - Recruiter Debriefing Form	Form and Instruction	Modified
234907	Eligible and consenting participants - Behavioral Assessment Interview	Form and Instruction	Modified	Behavioral Assessment (Spanish)
234907	Eligible and consenting participants - Behavioral Assessment Interview	Form and Instruction	Modified	Behavioral Assessment (English)
234907	Eligible and consenting participants - Behavioral Assessment Interview	Form and Instruction	Modified
234906	Transgender Women > 18 years old - Eligibility Screener	Form and Instruction	Modified	Eligibility Screener (Spanish)
234906	Transgender Women > 18 years old - Eligibility Screener	Form and Instruction	Modified	Eligibility Screener (English)
234906	18 years old - Eligibility Screener	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1262	ICR Reference No: 202202-0920-014
Status: Historical Active	Previous ICR Reference No: 201902-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-18AAE
Title: Barriers and Facilitators to Expanding the NHBS to Conduct HIV Behavioral Surveillance Among Transgender Women (NHBS-Trans)
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: 10/12/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/28/2022
Terms of Clearance: OMB is approving this pilot study for a period of three years during which time CDC will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action. Should CDC seek to revise or change the methodology, incentives structure, questions, or sampling design at any or all of the participating sites, CDC will work with their desk officer to submit a nonsubstantive change request.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2025	36 Months From Approved	10/31/2022
Responses	4,340	0	2,790
Time Burden (Hours)	1,108	0	713
Cost Burden (Dollars)	0	0	0

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Abstract: The National HIV Behavioral Surveillance System among Transgender Women (NHBS-Trans) is a formative needs assessment regarding HIV risk behaviors, gaps and barriers to services, and other experiences of transgender women within racial and ethnic minority populations. This project seeks to improve our understanding of how to best measure HIV risk behaviors, gaps and barriers to services, and other experiences of transgender women by field-testing interviews and rapid HIV testing among minority transgender women living in up to 14 U.S. cities with high burden of HIV.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: U.S. PHSA
  

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:
	86 FR 60463	11/02/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 15430	03/18/2022
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Eligible and consenting participants - Behavioral Assessment Interview	None, None	Behavioral Assessment (English) ,   Behavioral Assessment (Spanish)
Peer Recruiters - Recruiter Debriefing Form	None, None	Recruiter Debriefing Form (English) ,   Recruiter Debriefing Form (Spanish)
Transgender Women > 18 years old - Eligibility Screener	None, None	Eligibility Screener (English) ,   Eligibility Screener (Spanish)

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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	4,340	2,790	0	1,550	0	0
Annual Time Burden (Hours)	1,108	713	0	395	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: No

Burden Reduction Due to:

Short Statement: The number of participating sites will increase from 9 to up to 14. The annual target number of interviews per site will increase from 200 to 300.

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Annual Cost to Federal Government: $2,772,886

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? No

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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: 03/28/2022

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