OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

An assessment of the determinations of HIV risk factors for African American and Hispanic women in the southeastern United States

ICR 200708-0920-002 · OMB 0920-0760 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Supporting Statement Part B.doc Supporting Statement B Uploaded 2007-07-23 Available
APPENDIX 14-3 power analysis.doc Supplementary Document Uploaded 2007-07-23 Available
APPENDIX 14-1 sample size.doc Supplementary Document Uploaded 2007-07-23 Available
APPENDIX 13 roles.doc Supplementary Document Uploaded 2007-07-23 Available
APPENDIX 11 contact info.doc Supplementary Document Uploaded 2007-07-23 Available
APPENDIX 2 60 day FRN.doc Supplementary Document Uploaded 2007-07-20 Available
APPENDIX 14-2 contact scripts.doc Supplementary Document Uploaded 2007-07-23 Available
APPENDIX 1 legal authorization.doc Supplementary Document Uploaded 2007-07-20 Available
Supporting Statement Part A.doc Supporting Statement A Uploaded 2007-08-20 Available
IC Document Collections
IC IDCollectionTypeStatusForm
181810 Eligibility Screening Interview Resfual Questionnaire Other-Refusal Questionnaire 6.1 New
181809 Eligibility Screening Interview Other-Eligibility Screening Interview New
181808 HIV Testing & Counseling Other-HIV Testing & Counseling New
181807 RDS Training Other-RDS Training New
181806 ACASI Survey interview Other-ACASI survey New
181805 Qualitative Interview Guide Other-Qualitative Interview Guide New
181804 Venue Brief Intercept Interview Other-Venue Brief Intercept Interview New
ICR Details
0920-0760 200708-0920-002
Historical Active
HHS/CDC
An assessment of the determinations of HIV risk factors for African American and Hispanic women in the southeastern United States
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/24/2008
Retrieve Notice of Action (NOA) 08/28/2007
Approved consistent with the following terms of clearance: OMB approves the proposed collection for purposes of gathering data that may useful for CDC program planning purposes however data from the survey are not generalizable and will not be presented as such in reporting of results.
  Inventory as of this Action Requested Previously Approved
01/31/2011 36 Months From Approved
2,260 0 0
905 0 0
0 0 0
The proposed mixed methods study will enroll African-American and Hispanic women over a 12-month period. Mixed methods research uses quantitaive and qualitative approaches to collect and analyze data. A quantitative approach will be used to examine self-reported responses about protective and risk factors for HIV infection via standardized audio-computer adminstred self-interview (ACASI). Rapid oral HIV testing will be performed along with pre- and post-test HIV counseling. Qualitative data on relationship dynamics and gender roles that may contribute to risk for HIV infection and will supplement the survey data. The qualitative data will consist of individual in-depth interviews conducted among a subset of women who complete the ACASI survey.
US Code: 42 USC 301.241A Name of Law: General Power and Duties of Public Health Service
  
None
Not associated with rulemaking
  71 FR 66333 11/14/2006
72 FR 37234 07/09/2007
No
  Total Approved 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 2,260 0 0 2,260 0 0
Annual Time Burden (Hours) 905 0 0 905 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.
$1,008,502
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Maryam Daneshvar 4046394604
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/28/2007