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 202504-0920-010 · OMB 0920-1421 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-24DF In-Depth Interview Consent Spanish Form Unchanged Available
Form 0920-24DF In-Depth Interview Consent English Form Unchanged Available
Form 0920-24DF In-Depth Interview Form Unchanged Repair queued
Form 0920-24DF Att 5b_Focus Group Consent Spanish_clean Form Modified Repair queued
Form 0920-24DF Focus Group Consent English Form Modified Available
Form 0920-24DF Focus Group Consent Form Modified Repair queued
STI Sample Collection (Spanish) Form and Instruction Unchanged Available
STI Sample Collection Form and Instruction Unchanged Repair queued
STI Sample Collection Form and Instruction Unchanged Repair queued
HIV Sample Collection (Spanish) Form and Instruction Modified Available
HIV Sample Collection Form and Instruction Modified Available
HIV sample collection Form and Instruction Modified Available
Form 0920-25-0073 Behavioral_Assessment_HET_English Form Modified Available
Form 0920-25-0073 Behavioral_Assessment_HET_Spanish Form Modified Repair queued
SMART App Installation (Spanish) Form and Instruction Modified Available
SMART App Installation Form and Instruction Modified Available
SMaRT App Install Form and Instruction Modified Repair queued
Form 0920-25-0073 Quarterly assessment Spanish Form Modified Available
Form 0920-25-0073 Quarterly assessment English Form Modified Available
Form 0920-24DF Quarterly assessment Spanish Form Modified Available
Form 0920-24DF Quarterly assessment English Form Modified Available
Form 0920-24DF Quarterly Assessment Form Modified Repair queued
Form 0920-25-0073 Reg Contact Info Form Spanish Form Modified Available
Form 0920-25-0073 Reg Contact Info Form English Form Modified Available
Form 0920-24DF Registration Contact Information Form Spanish Form Modified Available
Form 0920-24DF Registration Contact Information Form English Form Modified Available
Form 0920-24DF Registration Contact Information Form Form Modified Repair queued
Form 0920-25-0073 Eligibility Screener Spanish Form Modified Repair queued
Form 0920-25-0073 Eligibility Screener English Form Modified Repair queued
Form 0920-24DF Eligibility Screener Spanish Form Modified Available
Form 0920-24DF Eligibility Screener English Form Modified Repair queued
Form 0920-24DF Eligibility Screener Form Modified Missing upstream
Justification Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-08 Available
Justification Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-08 Repair queued
MIC-DROP STARS PD_clean.docx Supplementary Document Uploaded 2025-04-08 Available
MIC-DROP STARS PD_clean.docx Supplementary Document Uploaded 2025-04-08 Repair queued
MIC DROP burden table.docx Supplementary Document Uploaded 2024-04-03 Available
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 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 Available
Att 5a_Consent to Participate English_clean.docx Supplementary Document Uploaded 2024-04-03 Missing upstream
IRB approval for change to the study consent form.pdf Supplementary Document Uploaded 2024-04-03 Available
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 Available
IRB approval for change to the screener.pdf Supplementary Document Uploaded 2024-04-03 Missing upstream
IRB approval for change to the in-depth interview consent form.pdf Supplementary Document Uploaded 2024-04-03 Available
IRB approval for change to the in-depth interview consent form.pdf Supplementary Document Uploaded 2024-04-03 Available
IRB approval for change to the focus group consent form.pdf Supplementary Document Uploaded 2024-04-03 Available
IRB approval for change to the focus group consent form.pdf Supplementary Document Uploaded 2024-04-03 Missing upstream
IRB approval for change to the contact information form.pdf Supplementary Document Uploaded 2024-04-03 Available
IRB approval for change to the contact information form.pdf Supplementary Document Uploaded 2024-04-03 Repair queued
Justification and Summary of Changes 06Mar2024.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-04-03 Available
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 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 7_Data Use Agreement.docx Supplementary Document Uploaded 2023-10-04 Missing upstream
Att 6d_San Diego State University IRB reliance agreement.pdf Supplementary Document Uploaded 2023-10-04 Available
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 Available
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 Available
Att 6b_Emory University IRB reliance agreement.pdf Supplementary Document Uploaded 2023-10-04 Missing upstream
Att 6a_WCG IRB Letter of Approval.pdf Supplementary Document Uploaded 2023-10-04 Available
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 Available
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 Available
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 Available
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 Available
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 Available
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 5a_Consent to Participate English.docx Supplementary Document Uploaded 2023-10-04 Missing upstream
Att 3_Recruitment Materials Spanish.pdf Supplementary Document Uploaded 2023-10-04 Available
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 Available
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 Available
Att 2a_60 Day FRN Pub11-16-2022.pdf Supplementary Document Uploaded 2023-10-04 Missing upstream
Att 1_Auth Legislation.docx Supplementary Document Uploaded 2023-10-04 Repair queued
Att 1_Auth Legislation.docx Supplementary Document Uploaded 2023-10-04 Repair queued
SSB MIC DROP_Clean.docx Supporting Statement B Uploaded 2025-04-08 Available
SSB MIC DROP_Clean.docx Supporting Statement B Uploaded 2025-04-08 Missing upstream
SSA MIC DROP_Clean.docx Supporting Statement A Uploaded 2025-04-08 Repair queued
SSA MIC DROP_Clean.docx Supporting Statement A Uploaded 2025-04-08 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
262656 In-Depth Interview Form UnchangedIn-Depth Interview Consent Spanish
262656 In-Depth Interview Form UnchangedIn-Depth Interview Consent English
262656 In-Depth Interview Form Unchanged
262655 Focus Group Consent Form ModifiedAtt 5b_Focus Group Consent Spanish_clean
262655 Focus Group Consent Form ModifiedFocus Group Consent English
262655 Focus Group Consent Form Modified
262654 STI Sample Collection Form and Instruction UnchangedSTI Sample Collection (Spanish)
262654 STI Sample Collection Form and Instruction UnchangedSTI Sample Collection
262654 STI Sample Collection Form and Instruction Unchanged
262653 HIV sample collection Form and Instruction ModifiedHIV Sample Collection (Spanish)
262653 HIV sample collection Form and Instruction ModifiedHIV Sample Collection
262653 HIV sample collection Form and Instruction Modified
262652 SMaRT App Install Form ModifiedBehavioral_Assessment_HET_English
262652 SMaRT App Install Form ModifiedBehavioral_Assessment_HET_Spanish
262652 SMaRT App Install Form and Instruction ModifiedSMART App Installation (Spanish)
262652 SMaRT App Install Form and Instruction ModifiedSMART App Installation
262652 SMaRT App Install Form and Instruction Modified
262651 Quarterly Assessment Form ModifiedQuarterly assessment Spanish
262651 Quarterly Assessment Form ModifiedQuarterly assessment English
262651 Quarterly Assessment Form ModifiedQuarterly assessment Spanish
262651 Quarterly Assessment Form ModifiedQuarterly assessment English
262651 Quarterly Assessment Form Modified
262650 Registration Contact Information Form Form ModifiedReg Contact Info Form Spanish
262650 Registration Contact Information Form Form ModifiedReg Contact Info Form English
262650 Registration Contact Information Form Form ModifiedRegistration Contact Information Form Spanish
262650 Registration Contact Information Form Form ModifiedRegistration Contact Information Form English
262650 Registration Contact Information Form Form Modified
262642 Eligibility Screener Form ModifiedEligibility Screener Spanish
262642 Eligibility Screener Form ModifiedEligibility Screener English
262642 Eligibility Screener Form ModifiedEligibility Screener Spanish
262642 Eligibility Screener Form ModifiedEligibility Screener English
262642 Eligibility Screener Form Modified
ICR Details
0920-1421 202504-0920-010
Active 202403-0920-004
HHS/CDC 0920-25-0073
[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
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 06/06/2025
Retrieve Notice of Action (NOA) 05/14/2025
  Inventory as of this Action Requested Previously Approved
11/30/2026 11/30/2026 11/30/2026
9,443 0 9,443
4,332 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.We are requesting changes in order to be more consistent and responsive to participants, and to adhere to the institutional requirements of the awardee of the cooperative grant, Emory University. These changes are consistent with stakeholder input and align with the goals and plans of this project.
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 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 9,443 9,443 0 0 0 0
Annual Time Burden (Hours) 4,332 4,332 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$1,583,732
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.
05/14/2025