GenIC Request Template

Request for GenIC Approval
Performance Measures Project
OMB Control Number 0920-1282
Date: November 21, 2024

CIO: National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
PROJECT TITLE: Centers for Disease Control and Prevention CDC-RFA-PS-24-0003 Support
and Scale-Up of HIV Prevention Services in Sexual Health Clinics (or SHIPS) Performance
Measures
PURPOSE AND USE OF COLLECTION:
PS24-0003 Support and Scale-Up of HIV Prevention Services in Sexual Health Clinics (or
SHIPS) provides funding to 15 recipients located in priority jurisdictions identified in the national
Ending the HIV Epidemic (EHE) Initiative.
This NOFO supports the Ending the HIV Epidemic in the U.S. (EHE) initiative by scaling up HIV
prevention and care services in sexual health clinics. Recipients funded years 1-5 under this
NOFO will execute the following required strategies: A) strengthen clinic infrastructure and
improve service delivery to address the syndemic of HIV and other sexually transmitted
infections (STIs), and B) foster strategic partnerships in support of EHE. NOFO outcomes
include enhanced adoption of optimal sexual health services and clinic models for provision of
quality STI-related clinical care, increased understanding of and responsiveness to patients’
needs, increased identification of new HIV and STI infections, increased persons eligible for HIV
preexposure prophylaxis (PrEP) who are prescribed PrEP, increased collaboration and
engagement with local partners and community members to inform sexual health service
delivery, increased rapid linkage to HIV medical care for persons newly diagnosed with HIV,
increased receipt of recommended, timely STI prevention & treatment, sustained community
partnerships to inform strategic EHE planning and implementation, and increased clinic capacity
to provide affirming, stigma-and discrimination-free HIV prevention and linkage to care services.
The purpose of this collection is to assess recipients’ individual and collective progress towards
implementing the strategies and achieving the outcomes outlined in the cooperative agreement
(CoAg), direct technical assistance to recipients, and obtain information needed to help assess
the cooperative agreement’s public health impact. The resulting data will be used to generate
reports/dashboards and other products that summarize recipients’ progress toward the NOFO’s
intended outcomes. Findings will be disseminated to all funded recipients and key CDC staff
working to support these recipients.
NUMBER AND TITLE OF NOFOs: CDC-RFA-PS24-0003 Support and Scale-Up of HIV
Prevention Services in Sexual Health Clinics (or SHIPS)
NUMBER OF PARTICIPATING RECIPIENTS: 15
• 15 recipients will be funded August 1, 2024, for a five-year period of performance.
ESTIMATED ANNUAL FUNDING: The average one-year award will be $600,000 total for both
strategies. The award amount is dependent on the amount of funding available.
DESCRIPTION OF NOFO (check all that apply):
__
Funds all 50 states
__
Has budget higher than $10 million per year
_X_ Has significant stakeholder interest (e.g. partners, Congress)

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PERFORMANCE METRICS USED & JUSTIFICATIONS:
Based on information provided in their applications, lessons learned from PS20:2010, and
additional consultation with recipients, CDC developed a set of cross-jurisdiction performance
measures to monitor progress in achieving the stated NOFO goals.
All measures will be reported in aggregate to CDC by the recipients using the schedule
identified in Table 1 below. The reporting schedule highlighted below is needed for CDC to
identify program performance issues that might result in costly program inefficiencies and
provide timely assistance to recipients being funded to end the HIV epidemic. Additionally,
because SHIPS is a high-profile NOFO, more frequent reporting is expected to an expanded set
of stakeholders within CDC and outside of CDC who are interested in monitoring progress.
Table 1: PS24-0003 (SHIPS) Instrument Reporting Schedule

Note: If the reporting deadline falls on a weekend, slight adjustments may be made and communicated to
recipients as needed.

Instrument

Frequency of
Reporting to the
CDC

STD-QCS
Assessment

Collected annually
with the first
submission being
the most
extensive to
complete.
Collected
annually.

Annual
Performance
Measures
Biannual
Performance
Measures

Annual
Partnerships

Collected
biannually.

Collected
annually, as
needed.

Platform to
be Used to
Report to
CDC
REDCap

When Report Due to
CDC

Reporting Note

Due at application
submission and 9/1
annually beginning
9/1/25.

Recipients will receive a
copy of their previous
year’s submission to aid
in data entry for the
current year.

REDCap

Due annually
beginning 9/1/25.

Look-back period of one
year.

REDCap

First biannual
collection to occur
3/1/25 with
subsequent
submissions due 9/1
and 3/1 of each year.

9/1 submissions will use
a look-back period of
January 1 to June 30.

REDCap

9/1 annually if
changes are present
beginning 9/1/25.

3/1 submissions will use
a look-back period of July
1 to December 31 (with
the exception of the first
submission occurring on
3/1/25).
Collection only triggered
if recipients indicate a
change in partnerships.

PS24-0003 Measures
SHIPS performance measures link directly to select high-priority outcomes (see SHIPS logic
model in Attachment 1). The SHIPS data collection concept comprises select, aggregate
patient-level outcomes reported routinely by collaborating sexual health clinics to the CDC
through consensus protocols and standardized reporting mechanisms. No individual, patientlevel records will be made available to CDC.
There are a total of 20 performance measures for STD clinics funded by PS24-0003 (See
Attachment 1). Of the 20 measures, 1 measure is associated with the STD-QCS instrument, 2
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with the Partnership instrument(s), 6 with the Annual Performance Measures instrument, and 11
with the Biannual Performance Measure instrument. A high-level justification for each
instrument and associated measures is summarized here below.
• The Recommendations for Providing Quality Sexual health clinical Services (or STD
QCS) is the roadmap that bolsters SHIPS. The STD-QCS highlights the services
healthcare settings can offer to provide the highest-quality STD care to their patients.
• The measures associated with the Annual Performance Measure instrument are largely
qualitative in nature. These performance measures provide both meaningful context and
a narrative summary of the impact of strategies and activities pursued by recipients. This
information is an extension of the recipients’ work plans.
• The measures associated with the Biannual Performance Measure instrument are
largely quantitative. These measures monitor the progress made by clinics with their
prevention interventions.
See Attachment 2 for screenshots of each reporting instrument for SHIPS.
Although the respondents are collecting data at a client level for these variables, they will be
reporting to CDC in the aggregate to reduce the potential for small cell sizes that could identify
an individual client. Race and ethnicity are to be collected at the local level in accordance with
OMB standards (Federal Register :: Revisions to OMB's Statistical Policy Directive No. 15:
Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity).
Minimizing the burden of reporting was an active consideration throughout the process of
identifying performance measures for this cooperative agreement. Each measure is drafted to
ensure relevance with the program strategies and outcomes. Further, recipients will have the
option to identify performance measures that they are unable to collect and/or extract and/or
disaggregate. Providing this option to recipients shall provide flexibility to recipients where
needed (for example if their electronic medical records have limitations) while also providing
greater information to the CDC as we evaluate data for accuracy and completeness.
Performance measure data will be systematically reviewed by CDC to (a) identify challenges
encountered by recipients, (b) identify capacity-building assistance needs and actions needed to
improve overall project performance, (c) compare methods and outcomes across recipients to
identify promising or innovative practices for dissemination during the project period, (d)
demonstrate the value of the NOFO (e.g., improved public health outcomes, effectiveness of
key prevention strategies and activities), and (f) contribute to the evidence base for NOFO
strategies and activities, taking into account which strategies are scalable and effective.
This Generic IC request matches the intent of this ICR by being directly related to performance
measurement for CDC cooperative agreements, to cover the submission of select, aggregate
data points from recipients to CDC for performance measurement purposes. In this way, the
data collection templates are fully in alignment with this Generic IC, in terms of the intent,
format, type, and level of data to be collected.
CERTIFICATION:
I certify the following to be true:
1. The collection is non-controversial and does not raise issues of concern to other federal
agencies.
2. Information gathered is meant primarily for program improvement and accountability; it is not
intended to be used as the principal basis for policy decisions

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Name:

12/04/24

________________________________________________
To assist review, please answer the following questions:
ANNUALIZED BURDEN HOURS
This table calculates the total estimated burden per year for all recipients.
Type of
Respondents

Form Name

No. of
Respond
ents

State/Local
Government
State/Local
Government
State/Local
Government

STD-QCS
(Annual)
Partnerships
(Annual)
Annual
Performance
Measures
Biannual
Performance
Measures

9

State/Local
Government
Subtotal
State/Local
NonGovernmental
Organizations
NonGovernmental
Organizations
NonGovernmental
Organizations
NonGovernmental
Organizations
Subtotal NonGovernmenta;
Totals

No.
Responses
per
Respondent
1

Average
Burden per
Response
(in hours)
60/60

Total
Burden
(in hours)
9

9

1

15/60

2

9

1

30/60

5

9

2

60/60

18

9

5

45/60

34

STD-QCS
(Annual)

6

1

60/60

6

Partnerships
(Annual)

6

1

60/60

2

Annual
Performance
Measures
Biannual
Performance
Measures

6

1

30/60

3

6

2

60/60

12

6

5

45/60

23

15

5

45/60

57

TOTAL BURDEN HOURS FOR THIS GENIC:
This table specifies the calendar years in which information will be collected and calculates the
total burden hours requested over the approved timeframe of the generic.
Data Collection Timeframe (List up to 3
No. Years
Annualized
Total Burden Hours
for this GENIC
Years)
Requested
Burden Hours
2025, 2026, 2027
3
57
171
FEDERAL COST: The estimated annual cost to the Federal government is $88,520.
The cost is based on providing technical assistance to jurisdictions on the Data Collection Tools
and review, analysis, and reporting of the submitted data by two (4) GS-13, Step 1 staff at .50
FTE. GS-13, Step 1 annual salary is $88,520 (https://www.opm.gov/policy-data-oversight/pay-

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leave/salaries-wages/salary-tables/pdf/2024/GS.pdf). $88,520 x 0.50 = $44,260 x 2 persons =
$88,520.
Administration of the Instrument
1. How will you collect the information? (Check all that apply)
[ X ] Web-based: REDCap
[ ] Email
[ ] Postal Mail
[ ] Other, Explain

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List of PS24-0003 Recipients:
Recipient Name

Baltimore City Health Department: Baltimore, Maryland
Chicago Department of Public Health: Chicago, Illinois
City of Philadelphia: Philadelphia, Pennsylvania
County of Hamilton: Cincinnati, Ohio
County of Sacramento: Sacramento, California
Maryland Department of Health: Baltimore, Maryland
Matthew 25 AIDS Services: Henderson, Kentucky
NYC Health and Hospitals Corp: New York, New York
Positive Impact Health Centers: Atlanta, Georgia
South Carolina Department of Health: Columbia, South
Carolina
Southwest Center for HIV/AIDS Inc: Phoenix, Arizona
Wright House Wellness (ASHWELL): Austin, Texas
Health and Hospital Corp of Marion County:
Indianapolis, Indiana
City & County of San Francisco: San Francisco,
California
King County: Seattle, Washington

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Recipient
Type
State/Local
Government
State/Local
Government
State/Local
Government
State/Local
Government
State/Local
Government
State/Local
Government
NonGovernmenta
l Organization
NonGovernmenta
l Organization
NonGovernmenta
l Organization
State/Local
Government
NonGovernmenta
l Organization
NonGovernmenta
l Organization
NonGovernmenta
l Organization
State/Local
Government
State/Local
Government

Grant Number
NH25PS005253
NH25PS005247
NH25PS005246
NH25PS005240
NH25PS005249
NH25PS005252
NH25PS005245
NH25PS005248
NH25PS005244
NH25PS005239
NH25PS005250
NH25PS005251
NH25PS005242
NH25PS005243
NH25PS005241