OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

[NCHHSTP] Medical Monitoring Project

OMB 0920-0740 · HHS/CDC.

OMB 0920-0740

The Medical Monitoring Project (MMP) was designed to address the need for a national behavioral and clinical surveillance system for HIV-infected persons, as articulated in CDC's HIV Prevention Strategic Plan. It is a supplemental surveillance project designed to describe the health-related behaviors, experiences and needs of adults diagnosed with HIV in the United States. It's intended use is to guide national and local HIV-related service organization and delivery and to monitor receipt of HIV treatment and prevention services and clinical outcomes. The changes proposed in this revision update the data collection system to meet prevailing information needs and enhance the value of MMP data, while remaining concordant with the project’s purpose. The burden is the same as the burden shown in the current inventory.

The latest form for [NCHHSTP] Medical Monitoring Project expires 2027-05-31 and is listed under ICR 202503-0920-027.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Recruitment scriptForm and Instruction
Model Patient Recruitment Script - FacilityForm and Instruction
Form 0920-25-0058 MMP Questionnaire _SPANISHForm
Form 0920-25-0058 MMP QuestionnaireForm
2024 Programming Questionnaire - EnglishForm and Instruction
Interview QuestionnaireForm and Instruction
Justification Memo for Nonsubstantive Change Req_MMP 0920-0740.docxJustification for No Material/Nonsubstantive Change
Justification Memo for Nonsubstantive Change Req_MMP 0920-0740.docx Justification for No Material/Nonsubstantive Change
Att 2b_MMP MRA Data Structure_clean.docxSupplementary Document
Att 2b_MMP MRA Data Structure_clean.docx Supplementary Document
Att 17 Sample sizes.docxSupplementary Document
Att 17 Sample sizes.docx Supplementary Document
Att 16 Agreement To Abide by Restrictions.docxSupplementary Document
Att 16 Agreement To Abide by Restrictions.docx Supplementary Document
Att 15 DCC ATO.pdfSupplementary Document
Att 15 DCC ATO.pdf Supplementary Document
Att 14 Project Determination MMP.pdfSupplementary Document
Att 14 Project Determination MMP.pdf Supplementary Document
Att 13 Assurance of Confidentiality.docxSupplementary Document
Att 13 Assurance of Confidentiality.docx Supplementary Document
Att 12 WISMS PIA_signed.pdfSupplementary Document
Att 12 WISMS PIA_signed.pdf Supplementary Document
Att 11 Consultations Conducted Before 2010.docxSupplementary Document
Att 11 Consultations Conducted Before 2010.docx Supplementary Document
Att 10 MMP Bibliography.docxSupplementary Document
Att 10 MMP Bibliography.docx Supplementary Document
Att 9 MMP_CrossJuris_Agreement_MMP 2024_Cycle.docxSupplementary Document
Att 9 MMP_CrossJuris_Agreement_MMP 2024_Cycle.docx Supplementary Document
Att 8d Recruitment Text E-mail.docxSupplementary Document
Att 8d Recruitment Text E-mail.docx Supplementary Document
Att 8b Recruitment Script Project Staff.docxSupplementary Document
Att 8b Recruitment Script Project Staff.docx Supplementary Document
Att 8a Model Recruitment Letter.docxSupplementary Document
Att 8a Model Recruitment Letter.docx Supplementary Document
Att 7 References 2023 12 12 clean.docxSupplementary Document
Att 7 References 2023 12 12 clean.docx Supplementary Document
Att 6 MMP MRA Data Structure _2024.docxSupplementary Document
Att 6 MMP MRA Data Structure _2024.docx Supplementary Document
Att 5d Summary of changes to questionnaire 2024 2023 07 25.docxSupplementary Document
Att 5d Summary of changes to questionnaire 2024 2023 07 25.docx Supplementary Document
Att 5c MMP 2021 Questionnaire English.pdfSupplementary Document
Att 5c MMP 2021 Questionnaire English.pdf Supplementary Document
Att 4 MMP Minimum Dataset Elements.docxSupplementary Document
Att 4 MMP Minimum Dataset Elements.docx Supplementary Document
Att 3 MMP 2024-2026 Model Consent.docxSupplementary Document
Att 3 MMP 2024-2026 Model Consent.docx Supplementary Document
Att 2_60-Day FRN.pdfSupplementary Document
Att 2_60-Day FRN.pdf Supplementary Document
Att 1_Sect 301 PHSA.PDFSupplementary Document
Att 1_Sect 301 PHSA.PDF Supplementary Document
MMP-SSB_2023 12 12 clean.docxSupporting Statement B
MMP-SSB_2023 12 12 clean.docxSupporting Statement B
MMP-SSA_2024 02 16 clean amended.docxSupporting Statement A
MMP-SSA_2024 02 16 clean amended.docxSupporting Statement A
Pull Medical Records Instruction
Lookup Contact Information Instruction
Model Patient Recruitment Script - Facility Form and Instruction
Model Patient Recruitment Script - Facility Form and Instruction
Interview Questionnaire Form
Interview Questionnaire Form
Interview Questionnaire Form and Instruction
Interview Questionnaire Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202503-0920-027 No material or nonsubstantive change to a currently approved collection 2025-05-01
202402-0920-006 Revision of a currently approved collection 2024-04-11 Approved with change
202101-0920-006 Revision of a currently approved collection 2021-03-26 Approved without change
201805-0920-003 Revision of a currently approved collection 2018-05-18 Approved with change
201503-0920-017 Revision of a currently approved collection 2015-04-10 Approved with change
201311-0920-014 No material or nonsubstantive change to a currently approved collection 2013-11-21 Approved without change
201302-0920-005 No material or nonsubstantive change to a currently approved collection 2013-02-06 Approved without change
201203-0920-011 Revision of a currently approved collection 2012-03-29 Approved without change
201107-0920-002 No material or nonsubstantive change to a currently approved collection 2011-07-06 Approved without change
201002-0920-010 No material or nonsubstantive change to a currently approved collection 2010-02-26 Approved without change
200904-0920-003 Revision of a currently approved collection 2009-04-02 Approved without change
200701-0920-006 New collection (Request for a new OMB Control Number) 2007-01-26 Approved with change

OMB Details

Interview Questionnaire

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form none2024 Programming Questionnaire - EnglishFillable FileableForm and instruction
Form 0920-25-0058MMP Questionnaire _SPANISHFillable FileableForm
Form 0920-25-0058MMP QuestionnaireFillable FileableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.