OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Development and Testing of an HIV Prevention Intervention Targeting Black Bisexually-Active Men

ICR 201005-0920-005 · OMB 0920-0863 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
10BA_Sup Sta_B.doc Supporting Statement B Uploaded 2010-05-05 Available
10BA_Att 7_ CAB members.doc Supplementary Document Uploaded 2010-05-05 Available
10BA_Att 6_Meeting Attendees.doc Supplementary Document Uploaded 2010-05-05 Available
10BA_Att 5_IRB.pdf Supplementary Document Uploaded 2010-05-05 Repair queued
10BA_Att 5_IRB approval-CSU.doc Supplementary Document Uploaded 2010-05-05 Available
10BA_Att 5a IRB_PHMC.pdf Supplementary Document Uploaded 2010-05-05 Available
10BA_Att 4_Consent_Forms.doc Supplementary Document Uploaded 2010-05-05 Repair queued
10BA_Att 2_60d FRN.pdf Supplementary Document Uploaded 2010-05-05 Available
10BA_Att 1_Legislation.doc Supplementary Document Uploaded 2010-05-05 Available
SS Part Arevised.doc Supporting Statement A Uploaded 2010-08-30 Available
IC Document Collections
IC IDCollectionTypeStatusForm
193034 MULTI-SITE INSTRUMENT 3-Month Follow-Up (Assessment) - CSU Other-WORD New
193033 MULTI-SITE INSTRUMENT 3-Month Follow-Up (Assessment) - NOVA Other-WORD New
193032 MULTI-SITE INSTRUMENT 3-Month Follow-Up (Assessment) - PHMC Other-WORD New
193031 IMMEDIATE POST Follow-Up Assessment - CSU Other-WORD New
193030 IMMEDIATE POST Follow-UP Assessment - NOVA Other-WORD New
193029 Acceptability Survey by Site - PHMC Other-WORD New
193028 IMMEDIATE POST Follow-UP Assessment - PHMC Other-WORD New
193027 Acceptability Survey by Site -CSU Other-WORD New
193026 Acceptability Survey by Site - NOVA Other-WORD New
193025 CROSS-SITE Baseline Assessment - CSU Other-WORD New
193024 CROSS-SITE Baseline Assessment - NOVA Other-WORD New
193023 CROSS-SITE Baseline Assessment - PHMC Other-WORD New
193022 Locator Forms by Site Other-WORD New
193021 CROSS-SITE Screening Instrument Other-WORD New
ICR Details
0920-0863 201005-0920-005
Historical Active
HHS/CDC
Development and Testing of an HIV Prevention Intervention Targeting Black Bisexually-Active Men
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 09/19/2010
Retrieve Notice of Action (NOA) 05/24/2010
  Inventory as of this Action Requested Previously Approved
09/30/2013 36 Months From Approved
4,775 0 0
2,042 0 0
0 0 0
Black men who have sex with men (MSM) have been identified as the population segment with the highest rates of HIV infection in the U.S. and as a population in need of new HIV prevention interventions. Evidence suggests that up to 40% of Black MSM also have female sex partners. Interventions developed for gay men may not be appropriate for men who have sex with men and women (MSMW), many of whom do not self-identify as gay and who may need different prevention strategies for their male and female partners. There are no interventions with demonstrated efficacy in reducing HIV related sexual risk behaviors available for African-American MSMW. The purpose of this study is to develop and pilot test three novel behavioral interventions to reduce sexual risk for HIV infection and transmission among African-American MSMW who do not inject drugs. Three independent sites will develop, implement and test distinct interventions. Each site will enroll 240-260 African-American MSMW and use a randomized controlled trial design. Participants will complete behavioral assessments at baseline, immediately following the intervention, and three months later. The studies will establish the preliminary effectiveness of each intervention. If the results indicate these interventions are promising, they can be more rigorously evaluated. Ultimately, agencies that implement risk-reduction interventions would be able to use these curricula.
US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  75 FR 7399 01/27/2010
75 FR 25860 05/10/2010
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 4,775 0 0 4,775 0 0
Annual Time Burden (Hours) 2,042 0 0 2,042 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection.
$817,541
Yes Part B of Supporting Statement
Yes
No
Uncollected
No
Uncollected
Thelma Sims 4046394771
  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.
05/24/2010