HIV Knowledge, Beliefs, Attitudes, and Practices of Providers in the Southeast

ICR 201607-0920-010

OMB: 0920-1160

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Form
New
Supplementary Document
2017-01-31
Supplementary Document
2016-07-21
Supplementary Document
2016-07-21
Supplementary Document
2016-07-21
Supplementary Document
2016-07-21
Supplementary Document
2016-07-21
Supplementary Document
2017-01-31
Supplementary Document
2017-01-31
Supplementary Document
2016-07-21
Supplementary Document
2017-01-31
Supplementary Document
2016-07-21
Supplementary Document
2017-01-31
Supplementary Document
2016-07-21
Supplementary Document
2016-07-21
Supplementary Document
2016-07-21
Supplementary Document
2016-07-21
Supporting Statement B
2016-07-21
Supporting Statement A
2017-01-31
IC Document Collections
IC ID
Document
Title
Status
222569 New
222568 New
ICR Details
0920-1160 201607-0920-010
Historical Active
HHS/CDC 16VB
HIV Knowledge, Beliefs, Attitudes, and Practices of Providers in the Southeast
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 02/01/2017
Retrieve Notice of Action (NOA) 07/28/2016
Approved consistent with the understanding that any incentives offered to respondents will be provided conditional to completion of the survey (i.e., after the survey is completed).
  Inventory as of this Action Requested Previously Approved
02/28/2018 12 Months From Approved
2,741 0 0
1,219 0 0
0 0 0

The purpose of the project is to address disparities and missed opportunities for HIV prevention between primary providers and their clients by assessing the knowledge, beliefs, attitudes, and practices of primary health care providers according to HIV prevention domains in 6 MSAs in the Southeast US.

US Code: 42 USC 241 Name of Law: PHSA
  
None

Not associated with rulemaking

  81 FR 15725 03/24/2016
81 FR 48798 07/26/2016
Yes

2
IC Title Form No. Form Name
Provider Baseline Survey none, none Baseline survey ,   Baseline Screener and Survey Screenshots
Provider Follow-up Survey none, none Follow-up Survey ,   Follow-up Survey Screenshots

  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 2,741 0 0 2,741 0 0
Annual Time Burden (Hours) 1,219 0 0 1,219 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.

$349,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Shari Steinberg 404 639-4942 sxw2@cdc.gov

  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.
07/28/2016


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