Information Collection Request

Medical Monitoring Project

ICR 201503-0920-017 · OMB 0920-0740 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Patient Short interview Form Removed Repair queued
Patients Standard Interview Form Removed Repair queued
Att 18_Sample sizes.docx Supplementary Document Uploaded 2015-03-31 Available
Att 17_Model Consent Form.docx Supplementary Document Uploaded 2015-03-31 Available
Att 16_AgreementToAbide by Restrictions.docx Supplementary Document Uploaded 2015-03-31 Available
Att 15_Project Determination.pdf Supplementary Document Uploaded 2015-03-31 Available
Att 14_Consultants.doc Supplementary Document Uploaded 2015-03-31 Repair queued
Att 13_Assurance of Confidentiality.docx Supplementary Document Uploaded 2015-03-31 Available
Att 12_DCC ATO.pdf Supplementary Document Uploaded 2015-03-31 Available
Att 11_MMP Bibliography.pdf Supplementary Document Uploaded 2015-03-31 Available
Att 10_Minimum Dataset Elements.docx Supplementary Document Uploaded 2015-03-31 Available
Att 9_MMP MRA Data Structure 2015.docx Supplementary Document Uploaded 2015-03-31 Available
Att 7_Contact Tracking Data Elements.docx Supplementary Document Uploaded 2015-03-31 Available
Att 6_Agreement for Cross-Jurisdictional Data Collection.pdf Supplementary Document Uploaded 2015-03-31 Repair queued
Att 5_References.docx Supplementary Document Uploaded 2015-03-31 Available
Att 3b_Proposed Changes Data Collection Elements Clean.docx Supplementary Document Uploaded 2015-03-31 Available
Att 3a_Overall Summary of Changes.docx Supplementary Document Uploaded 2015-03-31 Available
Att 2 60 day FRN.pdf Supplementary Document Uploaded 2015-03-31 Repair queued
Att 1_Sect 301 PHSA.pdf Supplementary Document Uploaded 2015-03-31 Available
Supporting Statement B_Clean 5_27_15.doc Supporting Statement B Uploaded 2015-05-28 Available
Supporting Statement A_Clean 5_27_15.doc Supporting Statement A Uploaded 2015-05-28 Available
IC Document Collections
IC IDCollectionTypeStatusForm
180569 Att 4b_Approaching Sampled Patients for Enrollment Instruction Modified
180568 Att 4c_Patient Recruitment Script Looking up Contact Info Instruction Modified
180566 Att 4a_Model Patient Recruitment Letter Instruction Modified
180565 8a_MMP 2015 Interview Questionnaire (English) Other-WORD Modified
178498 Patient Short interview Form Removed
178497 Patients Standard Interview Form Removed
ICR Details
0920-0740 201503-0920-017
Historical Active 201311-0920-014
HHS/CDC 0920-0740
Medical Monitoring Project
Revision of a currently approved collection   No
Regular
Approved with change 06/01/2015
Retrieve Notice of Action (NOA) 04/10/2015
We strongly encourage CDC to streamline surveillance activities across the Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention.
  Inventory as of this Action Requested Previously Approved
06/30/2018 36 Months From Approved 06/30/2015
20,710 0 20,126
7,140 0 8,537
157,341 0 0

The Medical Monitoring Project (MMP) was designed to address the need for a national behavioral and clinical surveillance system for HIV-infected persons, as articulated in CDC's HIV Prevention Strategic Plan. The primary objective of MMP is to conduct behavioral and clinical surveillance among a probability sample of persons with HIV infection in the United States in order to assess prevalence of and trends in: 1) risk behaviors for HIV transmission, 2) HIV care and treatment, and 3) exposure to, use of, and impact of HIV prevention services. Through MMP, CDC works with state and local health departments to obtain HIV-related behavioral and clinical data through confidential interviews and medical record abstractions.

PL: Pub.L. 111 - 241 301 Name of Law: Title III - General Powers and Duties of Public Health Service
  
None

Not associated with rulemaking

  79 FR 55497 09/16/2014
80 FR 18625 04/07/2015
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 20,710 20,126 0 584 0 0
Annual Time Burden (Hours) 7,140 8,537 0 -1,397 0 0
Annual Cost Burden (Dollars) 157,341 0 0 157,341 0 0
Yes
Miscellaneous Actions
Yes
Changing Forms
Due to proposed changes in sampling methods, the burden has decreased by 1,397 hours (see Exhibit 12.A). Specifically, because MMP will sample directly from HIV/AIDS surveillance program records instead of from facility sampling frames, facility staff will no longer be asked to provide estimated HIV patient loads and patient lists. Changes to the proposed project are fully described in section A.1 "Circumstances Making the Collection of Information Necessary."

$16,258,810
Yes Part B of Supporting Statement
Yes
No
No
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.
04/10/2015