ICR Documents

Document Date Uploaded
Supporting Statement A_03092022.docx 03/21/2022

Document Date Uploaded
Supporting Statement B_03092022.docx 03/21/2022

Title Document Document Type Date Uploaded
Authorizing Legislation: PHSA Att 1_Sect 301 PHSA.PDF Supplementary Document 03/21/2022
60-day Federal Register Notice Att 2_60-day FRN 11 2 21.pdf Supplementary Document 03/21/2022
Summary of Public Comments Att 2a_Public Comments.docx Supplementary Document 03/21/2022
Summary of Changes to Data Collection Att 3_Summary of Changes to Data Collection.docx Supplementary Document 03/21/2022
Privacy Impact Assessment Att 6_PIA From NHBS-Trans.pdf Supplementary Document 03/21/2022
Assurance of Confidentiality Att 7_Assurance of Confidentiality.pdf Supplementary Document 03/21/2022
Agreement to Abide by Restrictions on Release of HIV Surveillance Data Att 8_Agreement to abide by restrictions.pdf Supplementary Document 03/21/2022
IT Authority to Operate Att 9_Auth to Operate for DCC.pdf Supplementary Document 03/21/2022
CDC Determination: IRB Approval is Not Required Att 10_Project Determination (Approved 9-13-21).pdf Supplementary Document 03/21/2022
Model Consent Form Att 11_ Model Consent Form for Survey Activities_rev 12192022.docx Supplementary Document 01/06/2023
Sample Analysis Tables Att 12_Sample analysis tables.pdf Supplementary Document 03/21/2022
List of Applicants PS22-2201 Att 13_List of PS22-2201 NHBS-Trans Applicants.docx Supplementary Document 03/21/2022
Model Recruitment Coupon Att 14_Model recruitment coupon.docx Supplementary Document 03/21/2022
Response Rate Calculations Att 15_Response rate calculations.docx Supplementary Document 03/21/2022
Justification for Change Barriers and Facilitators to Expanding the NHBS 0920-1262_Change_Request_12192022.docx Justification for No Material/Nonsubstantive Change 01/06/2023

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