OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

[NCHHSTP] Understanding HIV/STD Risk and Enhancing PrEP Implementation Messaging in a Diverse Community-Based Sample of Gay, Bisexual, and Other Men Who Have Sex with Men in a Transformational Era

ICR 202310-0920-002 · OMB 0920-1421 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
In-Depth Interview Form and Instruction New Repair queued
Focus Group Guide Form and Instruction New Repair queued
STI Sample Collection Form and Instruction New Repair queued
HIV sample collection Form and Instruction New Repair queued
SMaRT App Install Form and Instruction New Repair queued
Quarterly Assessment Form and Instruction New Repair queued
Registration Contact Information Form Form and Instruction New Repair queued
Eligibility Screener Form and Instruction New Available
Att 8_Privacy Impact Assessment.pdf Supplementary Document Uploaded 2023-10-04 Repair queued
Att 7_Data Use Agreement.docx Supplementary Document Uploaded 2023-10-04 Repair queued
Att 6d_San Diego State University IRB reliance agreement.pdf Supplementary Document Uploaded 2023-10-04 Repair queued
Att 6c_University of Chicago IRB reliance agreement.pdf Supplementary Document Uploaded 2023-10-04 Missing upstream
Att 6b_Emory University IRB reliance agreement.pdf Supplementary Document Uploaded 2023-10-04 Repair queued
Att 6a_WCG IRB Letter of Approval.pdf Supplementary Document Uploaded 2023-10-04 Repair queued
Att 5c_In-Depth Interview Consent Spanish.docx Supplementary Document Uploaded 2023-10-04 Repair queued
Att 5c_In-Depth Interview Consent English.docx Supplementary Document Uploaded 2023-10-04 Repair queued
Att 5b_Focus Group Consent Spanish.docx Supplementary Document Uploaded 2023-10-04 Missing upstream
Att 5b_Focus Group Consent English.docx Supplementary Document Uploaded 2023-10-04 Repair queued
Att 5a_Consent to Participate Spanish.docx Supplementary Document Uploaded 2023-10-04 Repair queued
Att 5a_Consent to Participate English.docx Supplementary Document Uploaded 2023-10-04 Repair queued
Att 3_Recruitment Materials Spanish.pdf Supplementary Document Uploaded 2023-10-04 Repair queued
Att 3_Recruitment Materials English.pdf Supplementary Document Uploaded 2023-10-04 Repair queued
Att 2a_60 Day FRN Pub11-16-2022.pdf Supplementary Document Uploaded 2023-10-04 Repair queued
Att 1_Auth Legislation.docx Supplementary Document Uploaded 2023-10-04 Repair queued
SSB_MIC-DROP_29Aug2023.docx Supporting Statement B Uploaded 2023-10-04 Repair queued
SSA MIC DROP 29Aug2023_final.docx Supporting Statement A Uploaded 2023-10-04 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
262656 In-Depth Interview Form and Instruction New
262655 Focus Group Guide Form and Instruction New
262654 STI Sample Collection Form and Instruction New
262653 HIV sample collection Form and Instruction New
262652 SMaRT App Install Form and Instruction New
262651 Quarterly Assessment Form and Instruction New
262650 Registration Contact Information Form Form and Instruction New
262642 Eligibility Screener Form and Instruction New
ICR Details
202310-0920-002
Received in OIRA
HHS/CDC 0920-23AQ
[NCHHSTP] Understanding HIV/STD Risk and Enhancing PrEP Implementation Messaging in a Diverse Community-Based Sample of Gay, Bisexual, and Other Men Who Have Sex with Men in a Transformational Era
New collection (Request for a new OMB Control Number)   No
Regular 10/12/2023
  Requested Previously Approved
36 Months From Approved
9,443 0
4,332 0
0 0
The goal of this study is to understand the use of preexposure prophylaxis (PrEP) and other HIV and sexually transmitted infections (STI) prevention interventions over time among men who have sex with men (MSM). The study will also identify the most effective PrEP messaging and other HIV and STI prevention messaging to increase protective behaviors among MSM.
US Code: 42 USC 241 Name of Law: PHSA
  
None
Not associated with rulemaking
  87 FR 68696 11/16/2022
88 FR 69638 10/06/2023
Yes
  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 9,443 0 0 9,443 0 0
Annual Time Burden (Hours) 4,332 0 0 4,332 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a New collection.
$1,583,732
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
No
Kevin Joyce 404 639-1944 [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.
10/12/2023