Capacity Building Assistance Assessment for HIV Prevention

ICR 201607-0920-011

OMB: 0920-1153

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Supplementary Document
2016-07-27
Supplementary Document
2016-07-27
Supplementary Document
2016-07-27
Supplementary Document
2016-07-27
Supplementary Document
2016-07-27
Supporting Statement B
2016-07-27
Supporting Statement A
2016-07-27
IC Document Collections
IC ID
Document
Title
Status
222639 New
ICR Details
0920-1153 201607-0920-011
Historical Active
HHS/CDC 15AUE
Capacity Building Assistance Assessment for HIV Prevention
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/19/2017
Retrieve Notice of Action (NOA) 07/28/2016
  Inventory as of this Action Requested Previously Approved
01/31/2018 12 Months From Approved
120 0 0
240 0 0
0 0 0

The goal of this project is to assess the needs of 90 community-based organizations to implement Comprehensive High Impact Prevention interventions and services. The findings will be used to develop and implement a Capacity Building Strategic Plan to address those needs over the life of the five year project.

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

Not associated with rulemaking

  80 FR 44962 07/28/2015
81 FR 48801 07/26/2016
No

1
IC Title Form No. Form Name
CBO CBA Assessment Tool none, none CBO CBA Assessment ,   CBO CBA Assessment - 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 120 0 0 120 0 0
Annual Time Burden (Hours) 240 0 0 240 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.

$529,316
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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