Information Collection Request

Enhancing HIV Care of Women, Infants, Children and Youth Building Capacity through Communities of Practice

ICR 202305-0915-004 · OMB 0915-0391 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0915-0391 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form 6 Foundational TA Assessment	Form and Instruction	New	Repair queued
Form 5 Targeted and Intensive TA Assessment	Form and Instruction	New	Repair queued
Form 3 Community of Practice Post-Assessment	Form and Instruction	New	Repair queued
Form 4 Community of Practice Session Assessment	Form and Instruction	New	Repair queued
Form 2 Community of Practice Pre-Assessment Instrument	Form and Instruction	New	Repair queued
Form 1 Pre-Conception Counseling Community of Practice Retrospective Pre-Post-Assessment Instrument	Form and Instruction	New	Repair queued
OMB Supporting Statement B 5.24.23.docx	Supporting Statement B	Uploaded 2023-05-24	Repair queued
OMB Part A Supporting Statement 05122023.docx	Supporting Statement A	Uploaded 2023-05-12	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
260190	Foundational TA Assessment	Form and Instruction	New
260189	Targeted and Intensive TA Assessment	Form and Instruction	New
260188	Community of Practice Post-Assessment	Form and Instruction	New
260187	Community of Practice Session Assessment	Form and Instruction	New
260186	Community of Practice Pre-Assessment Instrument	Form and Instruction	New
260185	Pre-Conception Counseling Community of Practice Retrospective Pre-Post-Assessment Instrument	Form and Instruction	New

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/HSA
OMB Control No	0915-0391
Type of Information Collection	New collection (Request for a new OMB Control Number)
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31