View Information Collection Request (ICR) Package
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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:
201301-0920-009
Status:
Historical Active
Previous ICR Reference No:
201108-0920-006
Agency/Subagency:
HHS/CDC
Agency Tracking No:
18378
Title:
National HIV Prevention Program Monitoring and Evaluation (NHM&E)
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:
03/20/2013
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/30/2013
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2016
36 Months From Approved
08/31/2013
Responses
1,338
0
3,580
Time Burden (Hours)
206,226
0
301,208
Cost Burden (Dollars)
0
0
0
Abstract:
CDC is requesting approval for a 3 year REVISION of a previously approved project. The initial PEMS OMB request was approved in 2005, for one year; reinstated 2007, for three years; and revised 2010 for three years. The purpose of this revision is to continue collecting standardized HIV prevention program evaluation data from health departments and community-based organizations (CBOs) who receive federal funds for HIVE prevention activities. The previous reporting system PEMS has been replaced by a more efficient reporting software National HIV Prevention Program Monitoring and Evaluation (NHM&E).
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:
77 FR 163
08/22/2012
30-day Notice:
Federal Register Citation:
Citation Date:
78 FR 307
01/03/2013
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
4
IC Title
Form No.
Form Name
Community Based Organization HE/RR Data
Community Based Organizations: NH&E Data Training
Community-Based Organizations - Agency Data
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
Health Department Data
PEMS Data Collection for Community-Based Organizations (Training)
none
NHM&E variables
PEMS Data Collection for Health Jurisdictions (HIV testing non-scan)
none
NHM&E variables
PEMS Data Collection for Health Jurisdictions (Training)
none
NHM&E variables
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
1,338
3,580
0
-2,242
0
0
Annual Time Burden (Hours)
206,226
301,208
0
-94,982
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
This is a Revision there has been a significant decrease in burden which is caused by a significant reduction in the number of required and optional reported variables. The change from quarterly to semiannual reporting also reduced the burden. In addition, the switch to more efficient reporting software has provided a reduction in the actual data entry burden.
Annual Cost to Federal Government:
$788,424
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]?
No
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:
Thelma Sims 4046394771
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:
01/30/2013
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