HIV/AIDS Awareness Day Programs

Forms and Documents

Document Name	Status
Form 4 National Native HIV/AIDS Awareness Day Evaluation Report Form	New
Form 3 National Black HIV/AIDS Awareness Day Evaluation Report Form and Instruction	New
Form 7 Title National Latino AIDS Awareness Day Evaluation Report Form	New
Form 5 National Asian & Pacific Islander HIV/AIDS Awareness Day Evaluation Report Form	New
Part B HIVAIDS Awareness ICR-Revised 6-2-2011.DOCX Supporting Statement B	2011-06-03
SuppStatm A HIV Awareness Day Programs 0920-10FQ3-16-11.docx Supporting Statement A	2011-04-19

IC Document Collections

IC ID	Document Title	Status
197441	National Native HIV/AIDS Awareness Day Evaluation Report Form	New
197440	National Black HIV/AIDS Awareness Day Evaluation Report Form and Instruction	New
197439	Title National Latino AIDS Awareness Day Evaluation Report Form	New
197438	National Asian & Pacific Islander HIV/AIDS Awareness Day Evaluation Report Form	New

ICR Details

OMB Control No: 0920-0890	ICR Reference No: 201104-0920-014
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: HIV/AIDS Awareness Day Programs
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/27/2011
	Date Received in OIRA: 04/26/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2014	36 Months From Approved
Responses	375	0	0
Time Burden (Hours)	375	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The proposed data collection contains key features that address funded capacity building activities. Collecting program information through a web-based system about four of the HIV/AIDS Awareness Day programs are important to determine success and improve the CDC's overall capacity building assistance (CBA) programs.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 61762	10/06/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 20353	04/12/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Title National Latino AIDS Awareness Day Evaluation Report	7	NLAAD_Survey-Revised 6-2-2011
National Asian & Pacific Islander HIV/AIDS Awareness Day Evaluation Report	5	National Asian & Pacific Islander HIV/AIDS Awareness Day Evaluation Report
National Black HIV/AIDS Awareness Day Evaluation Report	3	National Black HIV/AIDS Awareness Day Evaluation Report
National Native HIV/AIDS Awareness Day Evaluation Report	4	Native American HIV/AIDS Awareness Day Evaluation Report

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ICR Summary of Burden

	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	375	0	0	375	0	0
Annual Time Burden (Hours)	375	0	0	375	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a request for approval of new data collection.

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Annual Cost to Federal Government: $514,931

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/26/2011

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