[NCHHSTP] Capacity Building Assistance Program: Data Management, Monitoring, and Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1322 TTAFS Telephone Script for Non-responders	Form	Modified	Repair queued
Form 0920-1322 Training and Technical Assistance Follow-up Survey	Form	Modified	Missing upstream
Form 0920-1322 Post-Technical Assistance Evaluation (PTAE)	Form	Modified	Repair queued
Form 0920-1322 Post Training Evaluation (PTE)	Form	Modified	Repair queued
Form 0920-1322 HIVCBA Learning Group Registration 2024 Update Evaluation	Form	Modified	Repair queued
Att 18 PIA CBO_Program_Data Mgmt_Monitoring_REVISED_06.26.2024.pdf	Supplementary Document	Uploaded 2024-08-01	Repair queued
Att 17_Project Determination - CBA.docx	Supplementary Document	Uploaded 2024-08-01	Repair queued
Att 16_Security Controls.docx	Supplementary Document	Uploaded 2024-08-01	Repair queued
Att 2 60 Day FRN Pub 2-5-2024.pdf	Supplementary Document	Uploaded 2024-08-01	Repair queued
Att 1_Sect 301 PHSA.pdf	Supplementary Document	Uploaded 2024-08-01	Repair queued
Supporting Statement B.docx	Supporting Statement B	Uploaded 2024-08-01	Repair queued
Supporting Statement A_rev 080924.docx	Supporting Statement A	Uploaded 2024-08-19	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
242741	TTAFS Telephone Script for Non-responders	Form	Modified
242740	Training and Technical Assistance Follow-up Survey	Form	Modified
242739	Post-Technical Assistance Evaluation (PTAE)	Form	Modified
242738	Post Training Evaluation (PTE)	Form	Modified
242737	HIVCBA Learning Group Registration 2024 Update Evaluation	Form	Modified

ICR Details

OMB Control No: 0920-1322	ICR Reference No: 202407-0920-005
Status: Received in OIRA	Previous ICR Reference No: 202007-0920-013
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1322
Title: [NCHHSTP] Capacity Building Assistance Program: Data Management, Monitoring, and Evaluation
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/21/2024

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	19,078	0
Time Burden (Hours)	1,671	0
Cost Burden (Dollars)	0	0

---

Abstract: The purpose of this project is to evaluate the CDC cooperative agreement program entitled CDC-RFA-PS19-1904: Capacity Building Assistance (CBA) for High Impact HIV Prevention Program Integration. Through PS19-1904, CDC funds the CBA Provider Network (CPN) to deliver capacity building services to CDC-funded health departments and community-based organizations (CBOs). The goals of the Data Management, Monitoring, and Evaluation project are to: 1) improve the evaluation design and methods used to capture PS19-1904 outcomes; and 2) increase access and use of PS19-1904 data for continuous quality improvement and performance reporting. The collection of this data addresses knowledge gaps regarding: 1) HIV prevention capacity building training and technical assistance (TA) outcomes for health departments and CBOs; and 2) emerging HIV prevention capacity building training and TA needs among health departments and CBOs. The information will be used to provide the CBA providers with critical feedback on the quality of their work and inform the Government on how to direct CBA program improvement. Outcome data collected and analyzed by this project increase accountability and improve program planning. Findings that are disseminated as a result of work performed on this project provides transparency and promotes collaboration.

---

Authorizing Statute(s): US Code: 42 USC 792 Name of Law: PHSA
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 7718	04/05/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 65352	08/09/2024
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
HIVCBA Learning Group Registration 2024 Update Evaluation	0920-1322, 0920-1322	'HIVCBA Learning Group Registration 2024 Update' Evaluation ,   Learning Group Registration Form
Post Training Evaluation (PTE)	0920-1322, 0920-1322	Post Training Evaluation (PTE) ,   Post-Training Evaluation (PTE)
Post-Technical Assistance Evaluation (PTAE)	0920-1322, 0920-1322	Post-Technical Assistance Evaluation (PTAE) ,   Post-Technical Assistance Evaluation (PTAE) - WORD
TTAFS Telephone Script for Non-responders	0920-1322	Training and Technical Assistance Follow-up Telephone Script for Non-responders
Training and Technical Assistance Follow-up Survey	0920-1322, 0920-1322	Training and Technical Assistance Follow-up Survey ,   Training and Technical Assistance Follow-up Survey - WORD

---

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	19,078	0	0	19,078	0	0
Annual Time Burden (Hours)	1,671	0	0	1,671	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 data collection has been enhanced with a new evaluation plan to fit the new CBA-service providers, incorporate lessons learned, and address the present goals of DHP. The survey tools and how the data are collected are different, but the tools and processes will continue assessing service delivery, identifying barriers, and determining status of implementation. This evaluation is intended to assess whether CBA services facilitate the implementation of interventions that (1) reduce new HIV infections; (2) increase access to care for people with HIV; (3) improve health outcomes and reduce mortality for people with HIV; and (4) reduce HIV-related disparities.

---

Annual Cost to Federal Government: $485,025

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

---

Common Form ICR:  No

---

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: 08/21/2024

---