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 202403-0920-004 · OMB 0920-1421 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1421 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 0920-24DF In-Depth Interview |
Form | Modified | Repair queued |
| Form 0920-24DF Focus Group Guide |
Form | Modified | Repair queued |
| STI Sample Collection |
Form and Instruction | Unchanged | Repair queued |
| HIV sample collection |
Form and Instruction | Unchanged | Repair queued |
| SMaRT App Install |
Form and Instruction | Unchanged | Repair queued |
| Form 0920-24DF Quarterly Assessment |
Form | Modified | Repair queued |
| Form 0920-24DF Registration Contact Information Form |
Form | Modified | Repair queued |
| Form 0920-24DF Eligibility Screener |
Form | Modified | Repair queued |
 MIC DROP burden table.docx |
Supplementary Document | Uploaded 2024-04-03 | Repair queued |
| Att 5a_Consent to Participate Spanish_clean.docx |
Supplementary Document | Uploaded 2024-04-03 | Repair queued |
| Att 5a_Consent to Participate English_clean.docx |
Supplementary Document | Uploaded 2024-04-03 | Repair queued |
 IRB approval for change to the study consent form.pdf |
Supplementary Document | Uploaded 2024-04-03 | Repair queued |
| IRB approval for change to the screener.pdf |
Supplementary Document | Uploaded 2024-04-03 | Repair queued |
| IRB approval for change to the in-depth interview consent form.pdf |
Supplementary Document | Uploaded 2024-04-03 | Repair queued |
| IRB approval for change to the focus group consent form.pdf |
Supplementary Document | Uploaded 2024-04-03 | Repair queued |
| IRB approval for change to the contact information form.pdf |
Supplementary Document | Uploaded 2024-04-03 | Missing upstream |
| Justification and Summary of Changes 06Mar2024.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-04-03 | Repair queued |
| 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 | Repair queued |
| 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 | Repair queued |
| 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 | Missing upstream |
| SSA MIC DROP 29Aug2023_final.docx |
Supporting Statement A | Uploaded 2023-10-04 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 262656 |  In-Depth Interview |
Form | Modified | |
| 262655 | Focus Group Guide |
Form | Modified | |
| 262654 | STI Sample Collection |
Form and Instruction | Unchanged | |
| 262653 | HIV sample collection |
Form and Instruction | Unchanged | |
| 262652 | SMaRT App Install |
Form and Instruction | Unchanged | |
| 262651 | Quarterly Assessment |
Form | Modified | |
| 262650 | Registration Contact Information Form |
Form | Modified | |
| 262642 | Eligibility Screener |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1421 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202310-0920-002 |
| Agency Tracking No | 0920-24DF |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |