Information Collection Request

[NCHHSTP] Understanding HIV/STD Risk and Enhancing PrEP Implementation Messaging in a Diverse Community-Based Sample of Gay, Bisexual, and Other Men Who Have Sex with Men in a Transformational Era

ICR 202310-0920-002 · OMB 0920-1421 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
In-Depth Interview Form and Instruction New Repair queued
Focus Group Guide Form and Instruction New Repair queued
STI Sample Collection Form and Instruction New Repair queued
HIV sample collection Form and Instruction New Repair queued
SMaRT App Install Form and Instruction New Repair queued
Quarterly Assessment Form and Instruction New Repair queued
Registration Contact Information Form Form and Instruction New Missing upstream
Eligibility Screener Form and Instruction New Available
Att 8_Privacy Impact Assessment.pdf Supplementary Document Uploaded 2023-10-04 Repair queued
Att 7_Data Use Agreement.docx Supplementary Document Uploaded 2023-10-04 Repair queued
Att 6d_San Diego State University IRB reliance agreement.pdf Supplementary Document Uploaded 2023-10-04 Repair queued
Att 6c_University of Chicago IRB reliance agreement.pdf Supplementary Document Uploaded 2023-10-04 Repair queued
Att 6b_Emory University IRB reliance agreement.pdf Supplementary Document Uploaded 2023-10-04 Repair queued
Att 6a_WCG IRB Letter of Approval.pdf Supplementary Document Uploaded 2023-10-04 Missing upstream
Att 5c_In-Depth Interview Consent Spanish.docx Supplementary Document Uploaded 2023-10-04 Repair queued
Att 5c_In-Depth Interview Consent English.docx Supplementary Document Uploaded 2023-10-04 Repair queued
Att 5b_Focus Group Consent Spanish.docx Supplementary Document Uploaded 2023-10-04 Repair queued
Att 5b_Focus Group Consent English.docx Supplementary Document Uploaded 2023-10-04 Repair queued
Att 5a_Consent to Participate Spanish.docx Supplementary Document Uploaded 2023-10-04 Repair queued
Att 5a_Consent to Participate English.docx Supplementary Document Uploaded 2023-10-04 Repair queued
Att 3_Recruitment Materials Spanish.pdf Supplementary Document Uploaded 2023-10-04 Missing upstream
Att 3_Recruitment Materials English.pdf Supplementary Document Uploaded 2023-10-04 Repair queued
Att 2a_60 Day FRN Pub11-16-2022.pdf Supplementary Document Uploaded 2023-10-04 Repair queued
Att 1_Auth Legislation.docx Supplementary Document Uploaded 2023-10-04 Repair queued
SSB_MIC-DROP_29Aug2023.docx Supporting Statement B Uploaded 2023-10-04 Repair queued
SSA MIC DROP 29Aug2023_final.docx Supporting Statement A Uploaded 2023-10-04 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
262656 In-Depth Interview Form and Instruction New
262655 Focus Group Guide Form and Instruction New
262654 STI Sample Collection Form and Instruction New
262653 HIV sample collection Form and Instruction New
262652 SMaRT App Install Form and Instruction New
262651 Quarterly Assessment Form and Instruction New
262650 Registration Contact Information Form Form and Instruction New
262642 Eligibility Screener Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
9,443 0
4,332 0
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 9,443 0 0 9,443 0 0
Annual Time Burden (Hours) 4,332 0 0 4,332 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No