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:
0920-1402
ICR Reference No:
202503-0920-026
Status:
Historical Active
Previous ICR Reference No:
202403-0920-003
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-25-0056
Title:
[NCHHSTP] Surveillance of HIV-related service barriers among Individuals with Early or Late HIV Diagnoses (SHIELD)
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
06/06/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/28/2025
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2027
05/31/2027
05/31/2027
Responses
7,700
0
7,700
Time Burden (Hours)
3,074
0
3,074
Cost Burden (Dollars)
0
0
0
Abstract:
Project SHIELD (Surveillance of HIV-related service barriers among individuals with early or late HIV diagnoses) is a project to assess barriers and facilitators to HIV testing and HIV prevention strategies, including PrEP, with the goal of prioritizing interventions and efforts to prevent infections and facilitate early diagnosis and linkage to care. The enhanced surveillance will be conducted in collaboration with four US health departments who will use their HIV surveillance data to generate lists of potentially eligible participants. Eligible participants will be interviewed by a contractor funded by CDC. This change request complies with recent executive orders.
Authorizing Statute(s):
US Code:
42 USC 241
Name of Law: U.S. PHSA
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:
88 FR 69640
10/06/2023
30-day Notice:
Federal Register Citation:
Citation Date:
89 FR 7711
02/05/2024
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
10
IC Title
Form No.
Form Name
Consent for qualitative interview - Spanish (Att 5d)
0920-1402
Attachment 5D SHIELD QUAL Model Consent (Spanish)
Consent for qualitative interview– English (Att 5c)
0920-1402
Attachment 5c SHIELD Model Qual Consent (English)
In-depth Interview – English (Att 6c)
0920-1402
Attachment 6C SHIELD Qualitative IDI Guide (English)
In-depth Interview – Spanish (Att 6d)
0920-1402
Attachment 6D SHIELD Qualitative IDI Guide (Spanish)
SHIELD Model Consent (English)
0920-1402
Attachment 5A SHIELD Model and Actual Consent (English)
SHIELD Model Consent (Spanish)
0920-1402
Attachment 5B SHIELD Model Consent (Spanish)
SHIELD Model Recruitment Script (Spanish)
0920-1402
Attachment 4b SHIELD Quantitative Recruitment Script (Spanish)
SHIELD Recruitment Script (English)
0920-1402
Attachment 4a SHIELD Quantitative Recruitment Script (English)
SHIELD Survey (English)
0920-1402
Attachment 6A SHIELD Survey (English)
SHIELD Survey (Spanish)
0920-1402
Attachment 6B SHIELD Survey SPANISH
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
7,700
7,700
0
0
0
0
Annual Time Burden (Hours)
3,074
3,074
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The purpose of this data collection is to describe the health-related behaviors, experiences, and needs of adults diagnosed with HIV in the United States. CDC is requesting approval for 3,074 burden hours and three years of approval.
Annual Cost to Federal Government:
$2,370,027
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
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?
No
Agency Contact:
Kevin Joyce 404 639-1944 kdj7@cdc.gov
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:
05/28/2025
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