Information Collection Request

[NCHHSTP] HIV Outpatient Study (HOPS)

ICR 202305-0920-009 · OMB 0920-1080 · Received in OIRA

Forms and Documents

Document Name	Status
Behavioral Survey Form and Instruction	Modified
HOPS SS A_final.docx Supporting Statement A	2023-05-23
Att 8_List of study publications.docx Supplementary Document	2023-05-23
Att 9_PIA.pdf Supplementary Document	2023-05-23
Att 7 IRB-Continuation Approval.pdf Supplementary Document	2023-05-23
Att 2_60-day FRN Pub 2-17-2023.pdf Supplementary Document	2023-05-23
Att 1_Auth Legislation.docx Supplementary Document	2023-05-23
HOPS SS B.docx Supporting Statement B	2023-05-23

IC Document Collections

IC ID	Document Title	Status
216378	Informed Consent Other-Consent for HOPS Data Abstraction from Medical Chart	Modified
216377	Behavioral Survey Form and Instruction	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-1080
Type of Information Collection	Extension without change of a currently approved collection
Previous ICR Reference No	202011-0920-013
Agency Tracking No	0920-1080
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31