View Information Collection Request (ICR) Package
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Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-0696
ICR Reference No:
201007-0920-002
Status:
Historical Active
Previous ICR Reference No:
200806-0920-001
Agency/Subagency:
HHS/CDC
Agency Tracking No:
Title:
HIV Prevention Program Evaluation and Monitoring System for Health Departments and Community-Based Organizations (PEMS)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
08/18/2010
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/14/2010
Terms of Clearance:
Approved with the understanding that additional modifications to the collection may be made in light of the recently published National HIV/AIDS Strategy.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2013
36 Months From Approved
08/31/2010
Responses
3,580
0
2,268
Time Burden (Hours)
298,660
0
181,512
Cost Burden (Dollars)
0
0
0
Abstract:
CDC requests a revision to the HIV Prevention Program Evaluation and Monitoring System (PEMS) for standardized HIV prevention program data from health departments and community-based organizations. The data are used to monitor the delivery of prevention services data to clients and report on required program performance indicators.
Authorizing Statute(s):
US Code:
42 USC 306
Name of Law: Public Health Service Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
75 FR 18502
04/12/2010
30-day Notice:
Federal Register Citation:
Citation Date:
75 FR 35817
06/23/2010
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
7
IC Title
Form No.
Form Name
Counseling, Testing and Referral for Community-Based Organizations
none, none, none, none
HIV test form - page 1
,
HIV test form - page 2
,
HIV test form - page 3
,
HIV test form - Pacific Islands
Counseling, Testing and Referral for Health Jurisdictions (CTR scan)
none, none, none, none
HIV test scan form - page 3
,
HIV test scan form - page 1
,
HIV test scan form - page 2
,
HIV test scan form - Pacific Islands
PEMS Data Collection for Community-Based Organizations
PEMS Data Collection for Community-Based Organizations (Training)
PEMS Data Collection for Health Jurisdictions
PEMS Data Collection for Health Jurisdictions (HIV testing non-scan)
PEMS Data Collection for Health Jurisdictions (Training)
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
3,580
2,268
0
1,312
0
0
Annual Time Burden (Hours)
298,660
181,512
0
117,148
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Increases in burden are based on additional funding for HIV testing, studies that require collection of data at multiple times, and additional grantees reporting data. The increase in prevention activities, not an increase in reporting requirements, cause the increase in burden.
Annual Cost to Federal Government:
$439,666
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Maryam Daneshvar 4046394604
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
07/14/2010
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