Information Collection Request
[NCHHSTP] National HIV Behavioral Surveillance: Brief HIV Bio-behavioral Assessment (NHBS-BHBA)
ICR 202305-0920-014 · OMB 0920-1398 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1398 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Qualitative Interviews |
Form and Instruction | Unchanged | Available |
| Qualitative Eligibility Screener |
Form and Instruction | Unchanged | Available |
| Quantitative Population-specific Questions |
Form and Instruction | Unchanged | Repair queued |
| Quantitative Core Survey |
Form and Instruction | Unchanged | Repair queued |
| Quantitative Population Eligibility Screener |
Form and Instruction | Unchanged | Repair queued |
| Quantitative Base Eligibility Screener |
Form and Instruction | Unchanged | Repair queued |
 Att 11_Summary of NHBS-BHBA Data Collection_20230524_clean.docx |
Supplementary Document | Uploaded 2023-06-01 | Available |
| 0920-1398_NHBS-BHBA_Change Request_20230524.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-06-01 | Available |
| SSA HIV Behavioral Surveillance BHBA_09302022.docx |
Supporting Statement A | Uploaded 2022-09-30 | Available |
| Att 11_Summary of NHBS-BHBA Data Collection_clean.docx |
Supplementary Document | Uploaded 2022-09-29 | Available |
| Att 10_Analysis Tables.docx |
Supplementary Document | Uploaded 2022-09-29 | Available |
 Att 9_Project Determination.pdf |
Supplementary Document | Uploaded 2022-09-29 | Available |
| Att 8d_Model Qualitative FG Consent Form.docx |
Supplementary Document | Uploaded 2022-09-29 | Available |
| Att 8c_Model Qualitative CKI Consent Form.docx |
Supplementary Document | Uploaded 2022-09-29 | Available |
| Att 8b_Model Qualitative PKI Consent Form.docx |
Supplementary Document | Uploaded 2022-09-29 | Available |
| Att 8a_Model Survey Consent Form.pdf |
Supplementary Document | Uploaded 2022-11-09 | Repair queued |
| Att 7_BHBA cycle overview.docx |
Supplementary Document | Uploaded 2022-09-29 | Available |
| Att 6_Agreement to Abide by Restrictions_rev.docx |
Supplementary Document | Uploaded 2022-09-29 | Repair queued |
| Att 5b_BHBA_PIA Form.pdf |
Supplementary Document | Uploaded 2022-09-29 | Available |
| Att 5a_Assurance of Confidentiality.docx |
Supplementary Document | Uploaded 2022-09-29 | Available |
| Att 2b_Memo in response to public comment on NHBS 60-day FRN 20220513.pdf |
Supplementary Document | Uploaded 2022-09-29 | Available |
| Att 2a_Public comments.pdf |
Supplementary Document | Uploaded 2022-09-29 | Available |
| Att 2_60 Day FRN.pdf |
Supplementary Document | Uploaded 2022-09-29 | Available |
| Att 1_PHSA.pdf |
Supplementary Document | Uploaded 2022-09-29 | Repair queued |
| BHBA_Supporting Statement B.docx |
Supporting Statement B | Uploaded 2022-09-29 | Available |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 255848 |  Qualitative Interviews |
Form and Instruction | Unchanged | |
| 255847 | Qualitative Eligibility Screener |
Form and Instruction | Unchanged | |
| 255846 | Quantitative Population-specific Questions |
Form and Instruction | Unchanged | |
| 255845 | Quantitative Core Survey |
Form and Instruction | Unchanged | |
| 255844 | Quantitative Population Eligibility Screener |
Form and Instruction | Unchanged | |
| 255843 | Quantitative Base Eligibility Screener |
Form and Instruction | Unchanged |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1398 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202209-0920-004 |
| Agency Tracking No | 0920-23FM |
| Date Submitted to OIRA | 2023-06-01 |
| Requested Expiration Date | 1969-12-31 |