OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Behavioral Assessment Component of the Behavioral Assessment and Rapid Testing (BART) Project

ICR 201012-0920-004 · OMB 0920-0883 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
ABRT - behavioral assessment Form New Available
BART - eligibility screener Form New Available
SSB_Just_BART 10_27_10.doc Supporting Statement B Uploaded 2011-02-14 Available
Att9 Comment to 60D FRN 10_14_10.doc Supplementary Document Uploaded 2010-11-04 Available
Att8 IRB Approval_BART.pdf Supplementary Document Uploaded 2010-11-04 Available
Att 7 Restrictions 10_14_10.doc Supplementary Document Uploaded 2010-11-04 Repair queued
Att6 Assurance of Confidentiality 10_14_10.doc Supplementary Document Uploaded 2010-11-04 Available
Att4 SrvyGuide BART 8_13_10.doc Supplementary Document Uploaded 2010-11-04 Available
Att3 Consent BART 10_14_10.doc Supplementary Document Uploaded 2010-11-04 Available
Att 2 60 Day FRN 8_19_10.pdf Supplementary Document Uploaded 2010-11-04 Available
Att 1 a-c Legal Auth_BART 8_13_10.doc Supplementary Document Uploaded 2010-11-04 Available
SSB_Just_BART 10_27_10.doc Supporting Statement A Uploaded 2011-02-14 Available
IC Document Collections
IC IDCollectionTypeStatusForm
195688 ABRT - behavioral assessment Form New
195687 BART - eligibility screener Form New
ICR Details
0920-0883 201012-0920-004
Historical Active
HHS/CDC
Behavioral Assessment Component of the Behavioral Assessment and Rapid Testing (BART) Project
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 04/01/2011
Retrieve Notice of Action (NOA) 12/13/2010
  Inventory as of this Action Requested Previously Approved
04/30/2014 36 Months From Approved
12,600 0 0
1,633 0 0
0 0 0
To improve HIV prevention, it is critical to understand the needs of those not receiving prevention services. This project collects behavioral data at public events serving specific high-risk populations and to increase the proportion of at-risk persons who are aware of their HIV status. This data collection extends the geographic reach of HIV behavioral surveillance to small and medium sized cities. The data will be used to develop a more comprehensive characterization of high-risk behaviors among African Americans and MSM.
US Code: 42 USC 306 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  75 FR 51270 08/19/2010
75 FR 68360 11/05/2010
Yes
2
IC Title Form No. Form Name
BART - eligibility screener none Eligibility screener
ABRT - behavioral assessment none Behavioral Assessment
  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 12,600 0 0 12,600 0 0
Annual Time Burden (Hours) 1,633 0 0 1,633 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.
$348,125
No
Yes
No
No
No
Uncollected
Carol Walker 4046394773
  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.
12/13/2010