Information Collection Request
[NCHHSTP] Barriers and Facilitators to Expanding the NHBS to Conduct HIV Behavioral Surveillance Among Transgender Women (NHBS-Trans)
ICR 202301-0920-002 · OMB 0920-1262 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Peer Recruiters - Recruiter Debriefing Form |
Form and Instruction | Unchanged | Repair queued |
| Form 0920-1262 Eligible and consenting participants - Behavioral Assessment Interview |
Form and Instruction | Modified | Missing upstream |
| 18 years old - Eligibility Screener |
Form and Instruction | Unchanged | Repair queued |
 0920-1262_Change_Request_12192022.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-01-06 | Missing upstream |
| Att 15_Response rate calculations.docx |
Supplementary Document | Uploaded 2022-03-21 | Repair queued |
| Att 14_Model recruitment coupon.docx |
Supplementary Document | Uploaded 2022-03-21 | Repair queued |
| Att 13_List of PS22-2201 NHBS-Trans Applicants.docx |
Supplementary Document | Uploaded 2022-03-21 | Repair queued |
 Att 12_Sample analysis tables.pdf |
Supplementary Document | Uploaded 2022-03-21 | Repair queued |
| Att 11_ Model Consent Form for Survey Activities_rev 12192022.docx |
Supplementary Document | Uploaded 2023-01-06 | Missing upstream |
| Att 10_Project Determination (Approved 9-13-21).pdf |
Supplementary Document | Uploaded 2022-03-21 | Repair queued |
| Att 9_Auth to Operate for DCC.pdf |
Supplementary Document | Uploaded 2022-03-21 | Repair queued |
| Att 8_Agreement to abide by restrictions.pdf |
Supplementary Document | Uploaded 2022-03-21 | Missing upstream |
| Att 7_Assurance of Confidentiality.pdf |
Supplementary Document | Uploaded 2022-03-21 | Repair queued |
| Att 6_PIA From NHBS-Trans.pdf |
Supplementary Document | Uploaded 2022-03-21 | Repair queued |
| Att 3_Summary of Changes to Data Collection.docx |
Supplementary Document | Uploaded 2022-03-21 | Missing upstream |
| Att 2a_Public Comments.docx |
Supplementary Document | Uploaded 2022-03-21 | Missing upstream |
| Att 2_60-day FRN 11 2 21.pdf |
Supplementary Document | Uploaded 2022-03-21 | Repair queued |
| Att 1_Sect 301 PHSA.PDF |
Supplementary Document | Uploaded 2022-03-21 | Repair queued |
| Supporting Statement B_03092022.docx |
Supporting Statement B | Uploaded 2022-03-21 | Missing upstream |
| Supporting Statement A_03092022.docx |
Supporting Statement A | Uploaded 2022-03-21 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 234908 |  Peer Recruiters - Recruiter Debriefing Form |
Form and Instruction | Unchanged | |
| 234907 | Eligible and consenting participants - Behavioral Assessment Interview |
Form and Instruction | Modified | |
| 234906 | 18 years old - Eligibility Screener |
Form and Instruction | Unchanged |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1262 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202202-0920-014 |
| Agency Tracking No | 0920-1262-23BS |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |