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:
0920-1398
ICR Reference No:
202503-0920-034
Status:
Historical Inactive
Previous ICR Reference No:
202305-0920-014
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-1398-25-0075
Title:
[NCHHSTP] National HIV Behavioral Surveillance: Brief HIV Bio-behavioral Assessment (NHBS-BHBA)
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:
Disapproved and continue
Conclusion Date:
06/06/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/28/2025
Terms of Clearance:
Please review and revise for compliance with EO 14168 and administration policy. Including the SSA.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2026
05/31/2026
06/30/2025
Responses
4,718
0
4,718
Time Burden (Hours)
494
0
494
Cost Burden (Dollars)
0
0
0
Abstract:
The primary objective of NHBS-BHBA is to conduct mixed-methods behavioral surveillance among populations at high risk for HIV in selected geographic areas of interest to assess: 1) risk behaviors and social determinants of health for HIV infection, 2) HIV testing behaviors and treatment, 3) HIV seroprevalence and incidence, and 4) exposure to, use of, and impact of HIV prevention services. Through this project, funded state health departments for NHBS-BHBA will work with local entities to collect surveillance data to understand HIV risk, especially in areas or populations with limited information. Non-Substantive Change Request submitted to modify package documents for compliance with recently issued EOs. There is no change anticipated to the burden hours.
Authorizing Statute(s):
US Code:
42 USC 241
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:
87 FR 29316
05/13/2022
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 59430
09/30/2022
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
Qualitative Eligibility Screener
None, None
Qualitative Eligibility Screener (English)
,
Qualitative Eligibility Screener (Spanish)
Qualitative Interviews
None, None, 0920-1398, 0920-1398
Qualitative Interviews (English)
,
Qualitative Interviews (Spanish)
,
Model Qualitative Data Collection Instrument_English_REVISED 27MAR2025
,
Model Qualitative Data Collection Instrument_Spanish_REVISED 27MAR2025
Quantitative Base Eligibility Screener
None, None
Quantitative Base Eligibility Screener (English)
,
Quantitative Base Eligibility Screener (Spanish)
Quantitative Core Survey
None, None
Quantitative Core Survey (English)
,
Quantitative Core Survey (Spanish)
Quantitative Population Eligibility Screener
None, None, 0920-1398, 0920-1398
Quantitative Population Eligibility Screener (English)
,
Quantitative Population Eligibility Screener (Spanish)
,
Quantitative Population Eligibility Screener_English_REVISED 27MAR2025
,
Quantitative Population Eligibility Screener_Spanish_REVISED 27MAR2025
Quantitative Population-specific Questions
None, None
Quantitative Population-specific Questions (English)
,
Quantitative Population-specific Questions (Spanish)
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:
Annual Cost to Federal Government:
$1,239,795
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.
Yes
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:
Jeffrey Zirger 404 639-7118 wtj5@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:
03/28/2025
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