OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

[NCHHSTP] National HIV Behavioral Surveillance: Brief HIV Bio-behavioral Assessment (NHBS-BHBA)

OMB 0920-1398 ยท HHS/CDC.

OMB 0920-1398

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-1398 Model Qualitative Data Collection Instrument_Spanish_REVISED 27MAR2025Form and Instruction
Form 0920-1398 Model Qualitative Data Collection Instrument_English_REVISED 27MAR2025Form and Instruction
Qualitative Interviews (Spanish)Form and Instruction
Qualitative Interviews (English)Form and Instruction
Qualitative InterviewsForm and Instruction
Qualitative Eligibility Screener (Spanish)Form and Instruction
Qualitative Eligibility Screener (English)Form and Instruction
Qualitative Eligibility ScreenerForm and Instruction
Quantitative Population-specific Questions (Spanish)Form and Instruction
Quantitative Population-specific Questions (English)Form and Instruction
Quantitative Population-specific QuestionsForm and Instruction
Quantitative Core Survey (Spanish)Form and Instruction
Quantitative Core Survey (English)Form and Instruction
Quantitative Core SurveyForm and Instruction
Form 0920-1398 Quantitative Population Eligibility Screener_Spanish_REVISED 27MAR2025Form and Instruction
Form 0920-1398 Quantitative Population Eligibility Screener_English_REVISED 27MAR2025Form and Instruction
Quantitative Population Eligibility Screener (Spanish)Form and Instruction
Quantitative Population Eligibility Screener (English)Form and Instruction
Quantitative Population Eligibility ScreenerForm and Instruction
Quantitative Base Eligibility Screener (Spanish)Form and Instruction
Quantitative Base Eligibility Screener (English)Form and Instruction
Quantitative Base Eligibility ScreenerForm and Instruction
Justification Memo.docxJustification for No Material/Nonsubstantive Change
Justification Memo.docx Justification for No Material/Nonsubstantive Change
Att 11_Summary of NHBS-BHBA Data Collection_clean.docxSupplementary Document
Att 11_Summary of NHBS-BHBA Data Collection_clean.docx Supplementary Document
Att 11_Summary of NHBS-BHBA Data Collection_20230524_clean.docxSupplementary Document
Att 11_Summary of NHBS-BHBA Data Collection_20230524_clean.docx Supplementary Document
0920-1398_NHBS-BHBA_Change Request_20230524.docxJustification for No Material/Nonsubstantive Change
0920-1398_NHBS-BHBA_Change Request_20230524.docx Justification for No Material/Nonsubstantive Change
SSA HIV Behavioral Surveillance BHBA_09302022.docxSupporting Statement A
SSA HIV Behavioral Surveillance BHBA_09302022.docxSupporting Statement A
Att 11_Summary of NHBS-BHBA Data Collection_clean.docxSupplementary Document
Att 11_Summary of NHBS-BHBA Data Collection_clean.docx Supplementary Document
Att 10_Analysis Tables.docxSupplementary Document
Att 10_Analysis Tables.docx Supplementary Document
Att 9_Project Determination.pdfSupplementary Document
Att 9_Project Determination.pdf Supplementary Document
Att 8d_Model Qualitative FG Consent Form.docxSupplementary Document
Att 8d_Model Qualitative FG Consent Form.docx Supplementary Document
Att 8c_Model Qualitative CKI Consent Form.docxSupplementary Document
Att 8b_Model Qualitative PKI Consent Form.docxSupplementary Document
Att 8b_Model Qualitative PKI Consent Form.docx Supplementary Document
Att 8a_Model Survey Consent Form.pdfSupplementary Document
Att 8a_Model Survey Consent Form.pdf Supplementary Document
Att 7_BHBA cycle overview.docxSupplementary Document
Att 7_BHBA cycle overview.docx Supplementary Document
Att 6_Agreement to Abide by Restrictions_rev.docxSupplementary Document
Att 6_Agreement to Abide by Restrictions_rev.docx Supplementary Document
Att 5b_BHBA_PIA Form.pdfSupplementary Document
Att 5b_BHBA_PIA Form.pdf Supplementary Document
Att 5a_Assurance of Confidentiality.docxSupplementary Document
Att 5a_Assurance of Confidentiality.docx Supplementary Document
Att 2b_Memo in response to public comment on NHBS 60-day FRN 20220513.pdfSupplementary Document
Att 2b_Memo in response to public comment on NHBS 60-day FRN 20220513.pdf Supplementary Document
Att 2a_Public comments.pdfSupplementary Document
Att 2a_Public comments.pdf Supplementary Document
Att 2_60 Day FRN.pdfSupplementary Document
Att 2_60 Day FRN.pdf Supplementary Document
Att 1_PHSA.pdfSupplementary Document
Att 1_PHSA.pdf Supplementary Document
BHBA_Supporting Statement B.docxSupporting Statement B
BHBA_Supporting Statement B.docxSupporting Statement B
Qualitative Interviews Form and Instruction
Qualitative Interviews Form and Instruction
Qualitative Interviews Form and Instruction
Qualitative Interviews Form and Instruction
Qualitative Interviews Form and Instruction
Qualitative Eligibility Screener Form and Instruction
Qualitative Eligibility Screener Form and Instruction
Qualitative Eligibility Screener Form and Instruction
Quantitative Population-specific Questions Form and Instruction
Quantitative Population-specific Questions Form and Instruction
Quantitative Population-specific Questions Form and Instruction
Quantitative Core Survey Form and Instruction
Quantitative Core Survey Form and Instruction
Quantitative Core Survey Form and Instruction
Quantitative Population Eligibility Screener Form and Instruction
Quantitative Population Eligibility Screener Form and Instruction
Quantitative Population Eligibility Screener Form and Instruction
Quantitative Population Eligibility Screener Form and Instruction
Quantitative Population Eligibility Screener Form and Instruction
Quantitative Base Eligibility Screener Form and Instruction
Quantitative Base Eligibility Screener Form and Instruction
Quantitative Base Eligibility Screener Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202503-0920-034 No material or nonsubstantive change to a currently approved collection 2025-03-28
202305-0920-014 No material or nonsubstantive change to a currently approved collection 2023-06-01 Approved without change
202209-0920-004 New collection (Request for a new OMB Control Number) 2022-09-30 Approved with change