OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

[NCHHSTP] National HIV Prevention Program Monitoring and Evaluation (NHM&E)

OMB 0920-0696 ยท HHS/CDC.

OMB 0920-0696

NHM&E data are a set of standardized variables that CDC uses to monitor and evaluate HIV prevention programs funded by the Division of HIV/AIDS Prevention (DHAP) at CDC. These data are used to report key program performance indicators to CDC to show whether the programs implemented or supported are efficient and effective in achieving their stated goals. NHM&E data also assist Health Departments and Community-Based Organizations (CBOs) in monitoring and evaluating their activities to help them develop, deliver, and refine successful HIV prevention interventions. Revision is requested to extend data collection for three years and to add/remove variables from existing information collection instruments. No change in burden is expected.

The latest form for [NCHHSTP] National HIV Prevention Program Monitoring and Evaluation (NHM&E) expires 2028-01-31 and is listed under ICR 202410-0920-022.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-26-0201 Att 3B_HIV Testing and Prevention Services Template- CBOForm
Form 0920-26-0201 Att 3A_HIV Testing and Prevention Services Template- CBOForm
Form 0920-26-0201 Att 3A_HIV Testing and Prevention Services Template- HDForm
Att 3C_Revisions to NHM&E Data Requirements for HDs and most CBOs_Revised.pdfSupplementary Document
Att 7B_Authority to Operate for 1-CDP.pdfSupplementary Document
Att 7A_ATO EvaluationWeb email expiration in 2027.pdfSupplementary Document
Att 6_Auth to Extend 308 d AofC Protection.pdfSupplementary Document
Att 4B_REDCap screenshots.docxSupplementary Document
Att 2B_Public Comment Response.pdfPublic Comments
Att 4A_EvaluationWeb screen shots.docxSupplementary Document
Att 2B_Public Comment Response.pdfPublic Comments
Privacy Act Checklist.docxSupplementary Document
Att 3C_Revisions-Data Requirements.pdfSupplementary Document
Att 1_Legislative Auth.pdfSupplementary Document
Att 4 Agencies and Persons Consulted 2024.docxSupplementary Document
Att 6 Data Security Guidelines.pdfSupplementary Document
Att 8 NHM&E Updated AoC Conditional approval 2027.docxSupplementary Document
Att 6 Data Security Guidelines.pdfSupplementary Document
Att 2 60-day FRN.pdfSupplementary Document
FRN_Publication_Request_Worksheet.pdfSupplementary Document
Project Determination_NHME.docxSupplementary Document
Att 1 Legislative Authority.pdfSupplementary Document
Supporting Statement B.docxSupporting Statement B
Supporting Statement A.docxSupporting Statement A
Att 3 NHME_EvaluationWeb screen shots.docxSupplementary Document
Att 11 Explanation of Revisions.docxSupplementary Document
Att 10 2016 EvalWeb PIA signed.pdfSupplementary Document
Att 9 2017 Final AoC docs NHM&E.pdfSupplementary Document
Att 8 Burden Calculations.docxSupplementary Document
Att 7 EvalWeb signed ATO.pdfSupplementary Document
Att 6 Data Security Guidelines.pdfSupplementary Document
Att 5B NHME Variables To Be Removed.pdfSupplementary Document
Att 4 Agencies and Persons Consulted 2021.docxSupplementary Document
Att 2 60-Day FRN Pub 11-02-2020.pdfSupplementary Document
Att 1 Legislative Authority.pdfSupplementary Document
HIV testing and prevention services template-CBO Form
HIV testing & prevention services template -Community-Based Organization Form
Health Department Report - NHME Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202605-0920-005 Revision of a currently approved collection 2026-06-03
202410-0920-022 Extension without change of a currently approved collection 2024-10-23
202105-0920-001 Revision of a currently approved collection 2021-05-14 Approved without change
201808-0920-014 Revision of a currently approved collection 2018-09-18 Approved without change
201805-0920-002 No material or nonsubstantive change to a currently approved collection 2018-05-22 Approved without change
201508-0920-003 Revision of a currently approved collection 2015-09-03 Approved with change
201301-0920-009 Revision of a currently approved collection 2013-01-30 Approved without change
201108-0920-006 No material or nonsubstantive change to a currently approved collection 2011-08-18 Approved with change
201103-0920-001 No material or nonsubstantive change to a currently approved collection 2011-03-06 Approved without change
201007-0920-002 Revision of a currently approved collection 2010-07-14 Approved without change
200901-0920-008 No material or nonsubstantive change to a currently approved collection 2009-01-26 Withdrawn and continue
200806-0920-001 No material or nonsubstantive change to a currently approved collection 2008-06-05 Approved without change
200711-0920-003 No material or nonsubstantive change to a currently approved collection 2007-11-06 Approved without change
200706-0920-006 Reinstatement with change of a previously approved collection 2007-06-12 Approved without change
200507-0920-001 New collection (Request for a new OMB Control Number) 2005-07-12 Approved with change

OMB Details

Health Department Report - NHME

Federal Enterprise Architecture: Health - Public Health Monitoring