Cooperative Re-Engagement Controlled Trial (CoRECT)

OMB Control No: 0920-1133	ICR Reference No: 201702-0920-002
Status: Historical Active	Previous ICR Reference No: 201603-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No: 17ED
Title: Cooperative Re-Engagement Controlled Trial (CoRECT)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/13/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/10/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2019	08/31/2019	08/31/2019
Responses	2,305	0	2,305
Time Burden (Hours)	1,731	0	1,731
Cost Burden (Dollars)	0	0	0

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Abstract: CoRECT is a controlled trial to evaluate an intervention to identify HIV-infected persons who are out of care and engage them in HIV care. The trial will demonstrate the feasibility of a joint health department - clinic intervention to improve engagement in HIV medical care to identify recently out of care individuals and the efficacy of an active health department intervention to re-engage these individuals in HIV medical care. Minor changes are proposed to two forms in use at the Philadelphia site to improve the surveys’ ease of use. The proposed changes will not result in any additional burden to the respondents or grantees in the CoRECT study.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 69683	11/10/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 12494	03/09/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 12

IC Title Form No. Form Name Cost analysis- baseline none Cost analysis - baseline Start-up cost analysis - health department none Start up cost analysis - health dept Start up cost analysis - clinic none Start up cost analysis - clinic Annual cost analysis - health department none Annual Cost Analysis - health dept Annual Cost Analysis - clinic none Annual Cost Analysis - clinic Standard of Care Survey none, none, none MA Standard of Care Survey ,   CT Standard of Care Survey ,   Philadelphia Standard of Care Survey (modified February 2017) Transmittal of Clinic Variables Case Conference Form for Health Department none Case Conference for Health Dept Barriers to Care Survey none, none, none MA Barriers to Care Survey ,   CT Barriers to Care Survey ,   Philadelphia Barriers to Care Survey (modified February 2017) Transmittal of Surveilance Variables Case Conference Form for Clinic Managers none Case Conference - Clinic Manager Participant Eligibility Disposition none Participant Eligibility Disposition

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ICR Summary of Burden

	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	2,305	2,305	0	0	0	0
Annual Time Burden (Hours)	1,731	1,731	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,557,076

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Renita Macaluso 770 488-6458 [email protected]

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Common Form ICR:  No

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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:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(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;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
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.
Certification Date: 02/10/2017

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