Information Collection Request

[NCHHSTP] National HIV Behavioral Surveillance System

ICR 202504-0920-007 · OMB 0920-0770 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-25-0074 Behavioral_Assessment_HET_English Form Modified Available
Form 0920-25-0074 Behavioral_Assessment_HET_Spanish Form Modified Available
Form 0920-0770 Behavioral Assessment for HET (Spanish) Form and Instruction Modified Available
Form 0920-0770 Behavioral Assessment for HET (English) Form and Instruction Modified Available
Form 0920-0770 NHBS Behavioral Assessment Survey (HET) Form and Instruction Modified Missing upstream
Form 0920-25-0074 Behavioral_Assessment_PWID_SPA Form Modified Available
Form 0920-25-0074 Behavioral_Assessment_PWID_English Form Modified Available
Form 0920-0770 Behavioral Assessment for PWID (Spanish) Form and Instruction Modified Available
Form 0920-0770 Behavioral Assessment for PWID (English) Form and Instruction Modified Repair queued
Form 0920-0770 NHBS Behavioral Assessment (PWID) Form and Instruction Modified Missing upstream
Form 0920-0770 Recruiter Debriefing (Spanish) Form and Instruction Unchanged Available
Form 0920-0770 Recruiter Debriefing (English) Form and Instruction Unchanged Repair queued
Form 0920-0770 NHBS Recruiter Debriefing Form and Instruction Unchanged Repair queued
Form 0920-25-0074 Behavioral_Assessment_Spanish Form Modified Available
Form 0920-25-0074 Behavioral_Assessment_English Form Modified Available
Form 0920-0770 Behavioral Assessment for MSM (Spanish) Form and Instruction Modified Available
Form 0920-0770 Behavioral Assessment for MSM (English) Form and Instruction Modified Available
Form 0920-0770 NHBS Behavioral Assessment (MSM) Form and Instruction Modified Missing upstream
Form 0920-25-0074 Eligibility Screener Spanish Form Modified Available
Form 0920-25-0074 Eligibility Screener English Form Modified Available
Form 0920-0770 Eligibility Screener (Spanish) Form and Instruction Modified Available
Form 0920-0770 Eligibility Screener (English) Form and Instruction Modified Repair queued
Form 0920-0770 NHBS Screening (All Respondent Groups) Form and Instruction Modified Repair queued
Justification Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-07 Repair queued
Justification Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-07 Repair queued
Att 15_Recruiter Training Script.pdf Supplementary Document Uploaded 2022-08-10 Repair queued
Att 15_Recruiter Training Script.pdf Supplementary Document Uploaded 2022-08-10 Repair queued
Att 18_DCC ATO.pdf Supplementary Document Uploaded 2022-08-10 Repair queued
Att 18_DCC ATO.pdf Supplementary Document Uploaded 2022-08-10 Available
Att 17_References.pdf Supplementary Document Uploaded 2022-08-10 Available
Att 17_References.pdf Supplementary Document Uploaded 2022-08-10 Repair queued
Att 16_Response Rate Calculations.docx Supplementary Document Uploaded 2022-08-10 Available
Att 16_Response Rate Calculations.docx Supplementary Document Uploaded 2022-08-10 Repair queued
Att 14_Model Recruitment Coupon.pdf Supplementary Document Uploaded 2022-08-10 Available
Att 14_Model Recruitment Coupon.pdf Supplementary Document Uploaded 2022-08-10 Repair queued
Att 13_Summary of Changes to Data Collection_OIRA 4.5.23 cw_final.docx Supplementary Document Uploaded 2023-04-11 Available
Att 13_Summary of Changes to Data Collection_OIRA 4.5.23 cw_final.docx Supplementary Document Uploaded 2023-04-11 Repair queued
Att 12_Sample analysis tables.pdf Supplementary Document Uploaded 2022-08-10 Available
Att 12_Sample analysis tables.pdf Supplementary Document Uploaded 2022-08-10 Repair queued
Att 11_Project Determination.pdf Supplementary Document Uploaded 2022-08-10 Available
Att 11_Project Determination.pdf Supplementary Document Uploaded 2022-08-10 Repair queued
Att 10_Model Consent Form.pdf Supplementary Document Uploaded 2022-12-14 Available
Att 10_Model Consent Form.pdf Supplementary Document Uploaded 2022-12-14 Missing upstream
Att 9_List of Consultants.pdf Supplementary Document Uploaded 2022-08-10 Available
Att 9_List of Consultants.pdf Supplementary Document Uploaded 2022-08-10 Repair queued
Att 8_NHBS Cycle Overview.pdf Supplementary Document Uploaded 2022-08-10 Available
Att 8_NHBS Cycle Overview.pdf Supplementary Document Uploaded 2022-08-10 Repair queued
Att 7_Agreement to Abide by Restrictions.pdf Supplementary Document Uploaded 2022-08-10 Available
Att 7_Agreement to Abide by Restrictions.pdf Supplementary Document Uploaded 2022-08-10 Missing upstream
Att 6b_Privacy Impact Assessment.pdf Supplementary Document Uploaded 2022-08-10 Available
Att 6b_Privacy Impact Assessment.pdf Supplementary Document Uploaded 2022-08-10 Repair queued
Att 6a_Assurance of Confidentiality.pdf Supplementary Document Uploaded 2022-08-10 Available
Att 6a_Assurance of Confidentiality.pdf Supplementary Document Uploaded 2022-08-10 Repair queued
Att 5_NHBS Publications.pdf Supplementary Document Uploaded 2022-08-10 Available
Att 5_NHBS Publications.pdf Supplementary Document Uploaded 2022-08-10 Repair queued
Att 2 NHBS 60 Day FRN.pdf Supplementary Document Uploaded 2022-08-10 Available
Att 2 NHBS 60 Day FRN.pdf Supplementary Document Uploaded 2022-08-10 Missing upstream
Att 1_Sect 301 PHSA.PDF Supplementary Document Uploaded 2022-08-10 Available
Att 1_Sect 301 PHSA.PDF Supplementary Document Uploaded 2022-08-10 Missing upstream
Supporting Statement B_clean.docx Supporting Statement B Uploaded 2025-04-07 Available
Supporting Statement B_clean.docx Supporting Statement B Uploaded 2025-04-07 Repair queued
Supporting Statement A_clean.docx Supporting Statement A Uploaded 2025-04-07 Available
Supporting Statement A_clean.docx Supporting Statement A Uploaded 2025-04-07 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
196958 NHBS Behavioral Assessment Survey (HET) Form ModifiedBehavioral_Assessment_HET_English
196958 NHBS Behavioral Assessment Survey (HET) Form ModifiedBehavioral_Assessment_HET_Spanish
196958 NHBS Behavioral Assessment Survey (HET) Form and Instruction ModifiedBehavioral Assessment for HET (Spanish)
196958 NHBS Behavioral Assessment Survey (HET) Form and Instruction ModifiedBehavioral Assessment for HET (English)
196958 NHBS Behavioral Assessment Survey (HET) Form and Instruction Modified
196957 NHBS Behavioral Assessment (PWID) Form ModifiedBehavioral_Assessment_PWID_SPA
196957 NHBS Behavioral Assessment (PWID) Form ModifiedBehavioral_Assessment_PWID_English
196957 NHBS Behavioral Assessment (PWID) Form and Instruction ModifiedBehavioral Assessment for PWID (Spanish)
196957 NHBS Behavioral Assessment (PWID) Form and Instruction ModifiedBehavioral Assessment for PWID (English)
196957 NHBS Behavioral Assessment (PWID) Form and Instruction Modified
196956 NHBS Recruiter Debriefing Form and Instruction UnchangedRecruiter Debriefing (Spanish)
196956 NHBS Recruiter Debriefing Form and Instruction UnchangedRecruiter Debriefing (English)
196956 NHBS Recruiter Debriefing Form and Instruction Unchanged
182203 NHBS Behavioral Assessment (MSM) Form ModifiedBehavioral_Assessment_Spanish
182203 NHBS Behavioral Assessment (MSM) Form ModifiedBehavioral_Assessment_English
182203 NHBS Behavioral Assessment (MSM) Form and Instruction ModifiedBehavioral Assessment for MSM (Spanish)
182203 NHBS Behavioral Assessment (MSM) Form and Instruction ModifiedBehavioral Assessment for MSM (English)
182203 NHBS Behavioral Assessment (MSM) Form and Instruction Modified
182201 NHBS Screening (All Respondent Groups) Form ModifiedEligibility Screener Spanish
182201 NHBS Screening (All Respondent Groups) Form ModifiedEligibility Screener English
182201 NHBS Screening (All Respondent Groups) Form and Instruction ModifiedEligibility Screener (Spanish)
182201 NHBS Screening (All Respondent Groups) Form and Instruction ModifiedEligibility Screener (English)
182201 NHBS Screening (All Respondent Groups) Form and Instruction Modified
ICR Details
0920-0770 202504-0920-007
Active 202208-0920-004
HHS/CDC 0920-0770-25-0074
[NCHHSTP] National HIV Behavioral Surveillance System
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 05/09/2025
Retrieve Notice of Action (NOA) 05/05/2025
  Inventory as of this Action Requested Previously Approved
04/30/2026 04/30/2026 04/30/2026
25,832 0 25,832
6,600 0 6,600
0 0 0

The National HIV Behavioral Surveillance system (NHBS) is a supplemental surveillance project designed to describe the HIV prevalence and behaviors related to HIV acquisition and prevention among the three populations at highest risk for HIV in the United States: men who have sex with men, persons who inject drugs, and heterosexually active persons at increased risk for HIV infection. For this Revision, interview data collection instruments were revised and the number of health departments participating in the NHBS System will decrease, in addition to other minor changes.

US Code: 42 USC 306 Name of Law: Public Health Service Act
   US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  87 FR 29323 05/13/2022
87 FR 49849 08/12/2022
No

  Total Approved 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 25,832 25,832 0 0 0 0
Annual Time Burden (Hours) 6,600 6,600 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$13,205,639
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
No
Odion Clunis 770 488-0045 [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.
05/05/2025