OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Comprehensive HIV Prevention and Care for Men Who Have Sex with Men of Color

ICR 201911-0920-006 · OMB 0920-1178 · Active

Forms and Documents
DocumentTypeStatusAvailability
Att 12_ PIA - THRIVE.SIGNED.pdf Supplementary Document Uploaded 2019-11-18 Available
Att 10_THRIVE data summary.docx Supplementary Document Uploaded 2019-11-18 Available
Att 9_0920-1178 Project Determination.pdf Supplementary Document Uploaded 2019-11-18 Available
Att 8_0920-1178 Data security.pdf Supplementary Document Uploaded 2019-11-18 Available
Att 3_THRIVE Awardees.docx Supplementary Document Uploaded 2019-11-18 Available
Att 2_60 Day FRN.pdf Supplementary Document Uploaded 2019-11-18 Available
Att 1_Auth Legislation.docx Supplementary Document Uploaded 2019-11-18 Available
SS B.docx Supporting Statement B Uploaded 2019-11-18 Available
SS A_clean 1.06.2020.docx Supporting Statement A Uploaded 2020-01-07 Available
IC Document Collections
IC IDCollectionTypeStatusForm
224640 Funding Allocation Report (THRIVE Awardees only) Instruction Modified
224637 Collaborative Assessment Tool (THRIVE Awardees) Instruction Modified
224635 Qualitative Interview: Collaborative Process Evaluation (THRIVE Awardees) Instruction Modified
224634 M&E Data Elements on HIV Prevention and Care Services (THRIVE Awardees) Other-Data elements Modified
224631 Collaborative Assessment Tool (THRIVE Partners) Instruction Modified
224630 Qualitative Interview: Collaborative Process Evaluation (THRIVE Partners) Instruction Modified
224629 M&E Data Elements on HIV Prevention and Care Services (THRIVE Partners) Other-Data elements Modified
ICR Details
0920-1178 201911-0920-006
Active 201801-0920-001
HHS/CDC 0920-1178
Comprehensive HIV Prevention and Care for Men Who Have Sex with Men of Color
Extension without change of a currently approved collection   No
Regular
Approved with change 01/08/2020
Retrieve Notice of Action (NOA) 11/29/2019
OMB is approving this information collection request for a period of two years during which time CDC will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.
  Inventory as of this Action Requested Previously Approved
01/31/2022 36 Months From Approved 04/30/2020
355 0 355
1,543 0 1,543
39,895 0 39,895
Gay, bisexual, and other men who have sex with men (MSM) remain the population most affected by HIV infection in the United States. Among MSM, those who are black and Hispanic comprise 64% of all new infections. The purpose of this data collection is to support state and local health departments and their community partners to provide comprehensive models of HIV prevention and care services for MSM of color.
US Code: 42 USC 242(k) Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  84 FR 40059 08/13/2019
84 FR 65394 11/27/2019
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 355 355 0 0 0 0
Annual Time Burden (Hours) 1,543 1,543 0 0 0 0
Annual Cost Burden (Dollars) 39,895 39,895 0 0 0 0
No
No
$472,825
Yes Part B of Supporting Statement
    No
    No
No
No
No
Uncollected
Shari Steinberg 404 639-4942 [email protected]
  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.
11/29/2019