The purpose of this data collection is to evaluate the Translife Center (TLC), which provides combination HIV prevention services to adult transgender women at high risk for HIV infection. Data will be used to compare pre-intervention levels of HIV risk to those at 4 and 8 months post-baseline. Data will be gathered by the cooperative agreement awardee, Chicago House & Social Service Agency, and partner organizations, the Ann & Robert H. Lurie Children’s Hospital of Chicago and the University of Illinois at Chicago. Information will be collected through interviewer and self-administered instruments. This change request is due to COVID-19 and changes some collections from in-person to online or phone.
The latest form for Evaluation of TransLife Center (TLC): A Locally-Developed Combination Prevention Intervention for Transgender Women at High Risk of HIV Infection expires 2021-10-31 and can be found here.
Document Name |
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Form |
Form |
Form |
Form |
Form |
Form |
Justification for No Material/Nonsubstantive Change |
Supplementary Document |
Supporting Statement B |
Supporting Statement A |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2020-10-15 | |
Approved with change |
New collection (Request for a new OMB Control Number) | 2018-09-28 | |
Improperly submitted |
New collection (Request for a new OMB Control Number) | 2018-09-07 |
Federal Enterprise Architecture: Health - Illness Prevention
Form n/a | TLC Eligibility Screener | Paper Only | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.