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Federal forms, ICRs, and supporting documents

Information Collection Request

Formative Research to Develop HIV Social Marketing Campaigns for Healthcare Providers

ICR 202106-0920-013 · OMB 0920-1182 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Project Determination Approval #6838.pdf Supplementary Document Uploaded 2021-08-13 Repair queued
Att11 PIA_DevelopHIVSocial-Signed.pdf Supplementary Document Uploaded 2021-07-15 Repair queued
Att10-Recruitment Firm Privacy Agreement.docx Supplementary Document Uploaded 2021-08-03 Repair queued
Att8-Informed Consent.docx Supplementary Document Uploaded 2021-07-15 Repair queued
Att2-60 Day FRN Published 3-6-2021 1182.pdf Supplementary Document Uploaded 2021-07-15 Repair queued
Att1-Legislation.pdf Supplementary Document Uploaded 2021-08-03 Repair queued
SSB_04-23-21.docx Supporting Statement B Uploaded 2021-08-13 Missing upstream
SSA(0920-1182)_rev2.docx Supporting Statement A Uploaded 2021-08-13 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
223937 Att 9_Provider Screener Other-WORD Modified
223936 Att 7_Materials Testing Guide Other-WORD Modified
223935 Att 6_Concept Testing Guide Other-WORD Modified
223934 Att 5_Message Testing Guide Other-WORD Modified
223933 Att 4c_Exploratory Testing Guide_HIV Prevention: HIV Testing & PrEP Other-WORD Modified
223932 Att 4b_Exploratory Testing Guide_ Patient Centered Care Other-WORD Modified
223931 Att 4a_Exploratory Testing Guide_Prevention with Positives & Retentiuon in Care Other-WORD Modified
223930 Att 3_Web-Based Survey Other-WORD Modified
ICR Details
0920-1182 202106-0920-013
Received in OIRA 201610-0920-007
HHS/CDC 0920-1182
Formative Research to Develop HIV Social Marketing Campaigns for Healthcare Providers
Reinstatement with change of a previously approved collection   No
Regular 08/31/2021
  Requested Previously Approved
36 Months From Approved
2,277 0
902 0
0 0
The purpose of this study is to conduct in-depth interviews with healthcare providers to inform the development and/or refinement of provider-focused message, concepts, and materials for CDC's Let's Stop HIV Together social marketing campaign. The results will be used to develop and/or revise timely, relevant, clear, and engaging messages, concepts, and materials for the campaign in support of HHS' Ending the HIV Epidemic plan.
US Code: 42 USC 301 Name of Law: PHSA
  
None
Not associated with rulemaking
  86 FR 13388 03/08/2021
86 FR 48145 08/27/2021
No
  Total Request 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 2,277 0 0 2,277 0 0
Annual Time Burden (Hours) 902 0 0 902 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a reinstatement request for ICR 0920-1182. We are requesting changes to reduce the burden by 48 hours, which is the differences of the hours that were used in the original ICR, and replace the “Transgender Health” exploratory interview guide with the “Patient-Centered Care” exploratory interview guide. The changes will not have a negative impact on the data collection nor CDC’s ability to answer key research questions. Section A.2 discusses the rationale for these changes.
$484,033
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
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.
08/31/2021