[NCHHSTP] Needle Exchange Utilization Survey (NEXUS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-24FS NEXUS Survey Spanish	Form	New	Repair queued
Form 0920-24FS NEXUS Survey Spanish	Form	New	Repair queued
Form 0920-24FS NEXUS Survey English	Form	New	Repair queued
Form 0920-24FS NEXUS Survey English	Form	New	Repair queued
Form 0920-24FS Model Project Permission Form Spanish	Form	New	Repair queued
Form 0920-24FS Model Project Permission Form Spanish	Form	New	Repair queued
Form 0920-24FS Model English Consent	Form	New	Available
Form 0920-24FS Model Project Consent Form English	Form	New	Available
Form 0920-24FS Eligibility Screener Spanish	Form	New	Repair queued
Form 0920-24FS Screening Form Spanish	Form	New	Repair queued
Form 0920-24FS Eligibility Screener English	Form	New	Repair queued
Form 0920-24FS Eligibility Screening Form _ English	Form	New	Repair queued
Att 13_PD.docx	Supplementary Document	Uploaded 2025-01-16	Repair queued
Att 13_PD.docx	Supplementary Document	Uploaded 2025-01-16	Repair queued
Att 1_Authorizing Legislation.pdf	Supplementary Document	Uploaded 2025-01-16	Repair queued
Att 1_Authorizing Legislation.pdf	Supplementary Document	Uploaded 2025-01-16	Repair queued
Att 11_Agreement To Abide.docx	Supplementary Document	Uploaded 2025-01-16	Repair queued
Att 11_Agreement To Abide.docx	Supplementary Document	Uploaded 2025-01-16	Repair queued
Att 10_AoC.docx	Supplementary Document	Uploaded 2025-01-16	Repair queued
Att 10_AoC.docx	Supplementary Document	Uploaded 2025-01-16	Repair queued
Att 8_External Consultants.docx	Supplementary Document	Uploaded 2025-01-16	Repair queued
Att 8_External Consultants.docx	Supplementary Document	Uploaded 2025-01-16	Repair queued
Att 9_Privacy Act Checklist.docx	Supplementary Document	Uploaded 2025-01-16	Repair queued
Att 9_Privacy Act Checklist.docx	Supplementary Document	Uploaded 2025-01-16	Repair queued
Att 3_References.docx	Supplementary Document	Uploaded 2025-01-16	Repair queued
Att 3_References.docx	Supplementary Document	Uploaded 2025-01-16	Repair queued
Att 2a_Public Comments.docx	Public Comments	Uploaded 2025-01-16	Repair queued
SSB.docx	Supporting Statement B	Uploaded 2025-01-16	Repair queued
SSB.docx	Supporting Statement B	Uploaded 2025-01-16	Repair queued
SSA NEXUS_CLEAN.docx	Supporting Statement A	Uploaded 2025-03-18	Repair queued
SSA.docx	Supporting Statement A	Uploaded 2025-01-16	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
273727	NEXUS Survey Spanish	Form	New	NEXUS Survey Spanish
273727	NEXUS Survey Spanish	Form	New
273726	NEXUS Survey English	Form	New	NEXUS Survey English
273726	NEXUS Survey English	Form	New
273725	Model Project Permission Form Spanish	Form	New	Model Project Permission Form Spanish
273725	Model Project Permission Form Spanish	Form	New
273724	Model Project Consent Form English	Form	New	Model English Consent
273724	Model Project Consent Form English	Form	New
273723	Screening Form Spanish	Form	New	Eligibility Screener Spanish
273723	Screening Form Spanish	Form	New
273722	Eligibility Screening Form _ English	Form	New	Eligibility Screener English
273722	Eligibility Screening Form _ English	Form	New

ICR Details

OMB Control No: 0920-1457	ICR Reference No: 202501-0920-005
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-24FS
Title: [NCHHSTP] Needle Exchange Utilization Survey (NEXUS)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/18/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/17/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2028	36 Months From Approved
Responses	15,000	0	0
Time Burden (Hours)	3,126	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The primary purpose of the Needle Exchange Utilization Survey (NEXUS) is to provide ongoing, systematic collection of data to monitor drug use, prevention behaviors, and the infectious disease consequences of drug use in 6-15 select urban and non-urban areas of the United States that the opioid crisis has impacted. Such a surveillance system is urgently needed to develop prevention efforts and policy.

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Authorizing Statute(s): None

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:
	89 FR 45119	05/28/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 1499	01/08/2025
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Eligibility Screening Form _ English	0920-24FS	Eligibility Screener English
Model Project Consent Form English	0920-24FS	Model English Consent
Model Project Permission Form Spanish	0920-24FS	Model Project Permission Form Spanish
NEXUS Survey English	0920-24FS	NEXUS Survey English
NEXUS Survey Spanish	0920-24FS	NEXUS Survey Spanish
Screening Form Spanish	0920-24FS	Eligibility Screener Spanish

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	15,000	0	0	15,000	0	0
Annual Time Burden (Hours)	3,126	0	0	3,126	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 seeking 3 years of approval and 3126 hours.

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Annual Cost to Federal Government: $9,632,952

Does this IC contain surveys, censuses, or employ statistical methods? No

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.     No

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: 01/17/2025

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