Community-Based Organizations’ Changes in Preparedness and Resources for Support of Biomedical HIV Prevention

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Community-Based Organization HIV Prevention Survey	Form and Instruction	Modified	Repair queued
Attn OMB-PRA 0920-1321 CBO Survey OMB Change Justifications.xlsx	Supplementary Document	Uploaded 2022-10-17	Repair queued
Memo_Non-Substantive Change Request_Attn OMB-PRA 0920-1321.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-10-17	Missing upstream
Att 7_PIA CBO ChangesPreparedness.pdf	Supplementary Document	Uploaded 2020-08-25	Repair queued
Att 6_opy3_CBO Survey_Project Determination and Approval.docx	Supplementary Document	Uploaded 2020-08-25	Missing upstream
Att 4_Email Script.docx	Supplementary Document	Uploaded 2020-08-25	Repair queued
Att 3_Telephone Script.docx	Supplementary Document	Uploaded 2020-08-25	Available
Att 2_60 Day FRN.pdf	Supplementary Document	Uploaded 2020-08-25	Repair queued
Att 1_Authorizing Legislation.docx	Supplementary Document	Uploaded 2020-08-25	Repair queued
SS A final.docx	Supporting Statement A	Uploaded 2020-08-25	Repair queued
SS B.docx	Supporting Statement B	Uploaded 2020-08-21	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
243303	Community-Based Organization HIV Prevention Survey	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1321	ICR Reference No: 202210-0920-004
Status: Received in OIRA	Previous ICR Reference No: 202008-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-20HR
Title: Community-Based Organizations’ Changes in Preparedness and Resources for Support of Biomedical HIV Prevention
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/19/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	02/28/2023	02/28/2023
Responses	330	330
Time Burden (Hours)	193	165
Cost Burden (Dollars)	0	0

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Abstract: We will assess current capacity and provision of non-occupational post-exposure prophylaxis (nPEP), pre-exposure prophylaxis (PrEP), and treatment as prevention (TasP) among community based-organizations (CBOs) providing HIV services. This project will employ a cross-sectional survey and recruit respondents from clinical and non-clinical CBOs. Data from this survey will be compared to data from a previous survey to assess differences in awareness, capacity, and provision of biomedical HIV prevention interventions.

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Authorizing Statute(s): US Code: 42 USC A.2 Name of Law: Public Health Services 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:
	85 FR 13656	03/09/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 51438	08/20/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Community-Based Organization HIV Prevention Survey	None	CBO HIV Prevention Survey

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ICR Summary of Burden

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	330	330	0	0	0	0
Annual Time Burden (Hours)	193	165	0	28	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: This is a new collection. In October 2022 CDC proposed additional, new Monkeypox questions which are relevant to the target population and aims described in the original ICR.

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Annual Cost to Federal Government: $18,115

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: 10/19/2022

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