OMB control number
[NCHHSTP] TRANSCEND: Transgender Status-neutral Community-to-clinic Models to End the HIV Epidemic
OMB 0920-1410 ยท HHS/CDC.
OMB 0920-1410
The TRANSCEND demonstration project supports activities involving 4 transgender-serving clinics plus collaborating community-based organizations (CBOs) to provide an integrated range of client healthcare and support services aimed at ending the HIV epidemic. Data will be collected primarily from electronic health and services records and supplemented with information obtained through client surveys. Data managers will compile and report information to CDC for the purpose of TRANSCEND program monitoring and evaluation.
The latest form for [NCHHSTP] TRANSCEND: Transgender Status-neutral Community-to-clinic Models to End the HIV Epidemic expires 2026-07-31 and is listed under ICR 202305-0920-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Client Satisfaction Survey (data manager) | Form and Instruction |
| Client Satisfaction Survey (client) | Form and Instruction |
 Client Intake Form (client) | Form and Instruction |
| Client Intake Form (data manager) | Form and Instruction |
| Att4_PD_TRANSCEND_combined.pdf | Supplementary Document |
| Att2 60 Day FRN Pub 11-16-2022.pdf | Supplementary Document |
 Att 1_Authorizing Legislation.docx | Supplementary Document |
| Supporting Statement B.docx | Supporting Statement B |
| Supporting Statement A.docx | Supporting Statement A |
 Client Satisfaction Survey (data manager) |
Form and Instruction |
| Client Satisfaction Survey (client) |
Form and Instruction |
| Client Intake Form (client) |
Form and Instruction |
| Client Intake Form (data manager) |
Form and Instruction |
| Electronic Health Record Data |
Other-Specification of Data Elements for Electronic Transfer |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202305-0920-002 | New collection (Request for a new OMB Control Number) | 2023-05-26 | Approved with change |
OMB Details
Electronic Health Record Data
Federal Enterprise Architecture: Health - Illness Prevention