Information Collection Request

[NCHHSTP] Barriers and Facilitators to Expanding the NHBS to Conduct HIV Behavioral Surveillance Among Transgender Women (NHBS-Trans)

ICR 202301-0920-002 · OMB 0920-1262 · Received in OIRA

Forms and Documents

Document Name	Status
Peer Recruiters - Recruiter Debriefing Form Form and Instruction	Unchanged
Form 0920-1262 Eligible and consenting participants - Behavioral Assessment Interview Form and Instruction	Modified
18 years old - Eligibility Screener Form and Instruction	Unchanged
0920-1262_Change_Request_12192022.docx Justification for No Material/Nonsubstantive Change	2023-01-06
Att 15_Response rate calculations.docx Supplementary Document	2022-03-21
Att 14_Model recruitment coupon.docx Supplementary Document	2022-03-21
Att 13_List of PS22-2201 NHBS-Trans Applicants.docx Supplementary Document	2022-03-21
Att 12_Sample analysis tables.pdf Supplementary Document	2022-03-21
Att 11_ Model Consent Form for Survey Activities_rev 12192022.docx Supplementary Document	2023-01-06
Att 10_Project Determination (Approved 9-13-21).pdf Supplementary Document	2022-03-21
Att 9_Auth to Operate for DCC.pdf Supplementary Document	2022-03-21
Att 8_Agreement to abide by restrictions.pdf Supplementary Document	2022-03-21
Att 7_Assurance of Confidentiality.pdf Supplementary Document	2022-03-21
Att 6_PIA From NHBS-Trans.pdf Supplementary Document	2022-03-21
Att 3_Summary of Changes to Data Collection.docx Supplementary Document	2022-03-21
Att 2a_Public Comments.docx Supplementary Document	2022-03-21
Att 2_60-day FRN 11 2 21.pdf Supplementary Document	2022-03-21
Att 1_Sect 301 PHSA.PDF Supplementary Document	2022-03-21
Supporting Statement B_03092022.docx Supporting Statement B	2022-03-21
Supporting Statement A_03092022.docx Supporting Statement A	2022-03-21

IC Document Collections

IC ID	Document Title	Status
234908	Peer Recruiters - Recruiter Debriefing Form Form and Instruction	Unchanged
234907	Eligible and consenting participants - Behavioral Assessment Interview Form and Instruction	Modified
234906	18 years old - Eligibility Screener Form and Instruction	Unchanged

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-1262
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202202-0920-014
Agency Tracking No	0920-1262-23BS
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31