[NCHHSTP] Medical Monitoring Project

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 latest form for [NCHHSTP] Medical Monitoring Project expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Model Patient Recruitment Script - Facility Form and Instruction
Interview Questionnaire Form and Instruction
Att 17 Sample sizes.docx Supplementary Document
Att 16 Agreement To Abide by Restrictions.docx Supplementary Document
Att 15 DCC ATO.pdf Supplementary Document
Att 14 Project Determination MMP.pdf Supplementary Document
Att 13 Assurance of Confidentiality.docx Supplementary Document
Att 12 WISMS PIA_signed.pdf Supplementary Document
Att 11 Consultations Conducted Before 2010.docx Supplementary Document
Att 10 MMP Bibliography.docx Supplementary Document
Att 9 MMP_CrossJuris_Agreement_MMP 2024_Cycle.docx Supplementary Document
Att 8d Recruitment Text E-mail.docx Supplementary Document
Att 8b Recruitment Script Project Staff.docx Supplementary Document
Att 8a Model Recruitment Letter.docx Supplementary Document
Att 7 References 2023 12 12 clean.docx Supplementary Document
Att 6 MMP MRA Data Structure _2024.docx Supplementary Document
Att 5d Summary of changes to questionnaire 2024 2023 07 25.docx Supplementary Document
Att 5c MMP 2021 Questionnaire English.pdf Supplementary Document
Att 4 MMP Minimum Dataset Elements.docx Supplementary Document
Att 3 MMP 2024-2026 Model Consent.docx Supplementary Document
Att 2_60-Day FRN.pdf Supplementary Document
Att 1_Sect 301 PHSA.PDF Supplementary Document
MMP-SSB_2023 12 12 clean.docx Supporting Statement B
MMP-SSA_2024 02 16 clean.docx Supporting Statement A
Pull Medical Records Instruction
Lookup Contact Information Instruction
Model Patient Recruitment Script - Facility Form and Instruction
Interview Questionnaire Form and Instruction

All Historical Document Collections

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

OMB Details

8a_MMP 2018 Questionnaire (English)

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 0920-0740	Medical Monitoring Project 2018 Questionnaire v.14.1.0	Fillable Printable	Form
Form 0920-0222	MMP 2015-2017 Questionnaire v 11.2.3	Paper Only	Form
Form 0920-0222	MMP 2018 Cuestionario v.14.0.7	Fillable Printable	Form

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