Community-Based Organizations’ Changes in Preparedness and Resources for Support of Biomedical HIV Prevention

Forms and Documents

Document Name	Status
Form 0920-20HR Community-Based Organization HIV Prevention Survey Form and Instruction	New
Att 7_PIA CBO ChangesPreparedness.pdf Supplementary Document	2020-08-25
Att 6_opy3_CBO Survey_Project Determination and Approval.docx Supplementary Document	2020-08-25
Att 4_Email Script.docx Supplementary Document	2020-08-25
Att 3_Telephone Script.docx Supplementary Document	2020-08-25
Att 2_60 Day FRN.pdf Supplementary Document	2020-08-25
Att 1_Authorizing Legislation.docx Supplementary Document	2020-08-25
SS A final.docx Supporting Statement A	2020-08-25
SS B.docx Supporting Statement B	2020-08-21

IC Document Collections

IC ID	Document Title	Status
243303	Community-Based Organization HIV Prevention Survey Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202008-0920-007
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-20HR
Title: Community-Based Organizations’ Changes in Preparedness and Resources for Support of Biomedical HIV Prevention
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/25/2020

	Requested	Previously Approved
Expiration Date	24 Months From Approved
Responses	330	0
Time Burden (Hours)	165	0
Cost Burden (Dollars)	0	0

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Abstract: We will assess current capacity and provision of non-occupational post-exposure prophylaxis (nPEP), pre-exposure prophylaxis (PrEP), and treatment as prevention (TasP) among community based-organizations (CBOs) providing HIV services. This project will employ a cross-sectional survey and recruit respondents from clinical and non-clinical CBOs. Data from this survey will be compared to data from a previous survey to assess differences in awareness, capacity, and provision of biomedical HIV prevention interventions.

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Authorizing Statute(s): US Code: 42 USC A.2 Name of Law: Public Health Services Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 13656	03/09/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 51438	08/20/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Community-Based Organization HIV Prevention Survey	0920-20HR	CBO HIV Prevention Survey

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ICR Summary of Burden

	Total Request	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	330	0	0	330	0	0
Annual Time Burden (Hours)	165	0	0	165	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: This is a new collection.

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Annual Cost to Federal Government: $18,115

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

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Common Form ICR:  No

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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: 08/25/2020

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