Information Collection Request

[NCHHSTP] Understanding HIV/STD Risk and Enhancing PrEP Implementation Messaging in a Diverse Community-Based Sample of Gay, Bisexual, and Other Men Who Have Sex with Men in a Transformational Era

ICR 202403-0920-004 · OMB 0920-1421 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1421 can be found here:

2025-05-14 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document Name	Status
Form 0920-24DF In-Depth Interview Form	Modified
Form 0920-24DF Focus Group Guide Form	Modified
STI Sample Collection Form and Instruction	Unchanged
HIV sample collection Form and Instruction	Unchanged
SMaRT App Install Form and Instruction	Unchanged
Form 0920-24DF Quarterly Assessment Form	Modified
Form 0920-24DF Registration Contact Information Form Form	Modified
Form 0920-24DF Eligibility Screener Form	Modified
MIC DROP burden table.docx Supplementary Document	2024-04-03
Att 5a_Consent to Participate Spanish_clean.docx Supplementary Document	2024-04-03
Att 5a_Consent to Participate English_clean.docx Supplementary Document	2024-04-03
IRB approval for change to the study consent form.pdf Supplementary Document	2024-04-03
IRB approval for change to the screener.pdf Supplementary Document	2024-04-03
IRB approval for change to the in-depth interview consent form.pdf Supplementary Document	2024-04-03
IRB approval for change to the focus group consent form.pdf Supplementary Document	2024-04-03
IRB approval for change to the contact information form.pdf Supplementary Document	2024-04-03
Justification and Summary of Changes 06Mar2024.docx Justification for No Material/Nonsubstantive Change	2024-04-03
Att 8_Privacy Impact Assessment.pdf Supplementary Document	2023-10-04
Att 7_Data Use Agreement.docx Supplementary Document	2023-10-04
Att 6d_San Diego State University IRB reliance agreement.pdf Supplementary Document	2023-10-04
Att 6c_University of Chicago IRB reliance agreement.pdf Supplementary Document	2023-10-04
Att 6b_Emory University IRB reliance agreement.pdf Supplementary Document	2023-10-04
Att 6a_WCG IRB Letter of Approval.pdf Supplementary Document	2023-10-04
Att 5c_In-Depth Interview Consent Spanish.docx Supplementary Document	2023-10-04
Att 5c_In-Depth Interview Consent English.docx Supplementary Document	2023-10-04
Att 5b_Focus Group Consent Spanish.docx Supplementary Document	2023-10-04
Att 5b_Focus Group Consent English.docx Supplementary Document	2023-10-04
Att 5a_Consent to Participate Spanish.docx Supplementary Document	2023-10-04
Att 5a_Consent to Participate English.docx Supplementary Document	2023-10-04
Att 3_Recruitment Materials Spanish.pdf Supplementary Document	2023-10-04
Att 3_Recruitment Materials English.pdf Supplementary Document	2023-10-04
Att 2a_60 Day FRN Pub11-16-2022.pdf Supplementary Document	2023-10-04
Att 1_Auth Legislation.docx Supplementary Document	2023-10-04
SSB_MIC-DROP_29Aug2023.docx Supporting Statement B	2023-10-04
SSA MIC DROP 29Aug2023_final.docx Supporting Statement A	2023-10-04

IC Document Collections

IC ID	Document Title	Status
262656	In-Depth Interview Form	Modified
262655	Focus Group Guide Form	Modified
262654	STI Sample Collection Form and Instruction	Unchanged
262653	HIV sample collection Form and Instruction	Unchanged
262652	SMaRT App Install Form and Instruction	Unchanged
262651	Quarterly Assessment Form	Modified
262650	Registration Contact Information Form Form	Modified
262642	Eligibility Screener Form	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-1421
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202310-0920-002
Agency Tracking No	0920-24DF
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31