[NCHHSTP] National HIV Behavioral Surveillance System

ICR 202504-0920-007

OMB: 0920-0770

Federal Form Document

Forms and Documents

Document Name	Status
Form 0920-0770 NHBS Behavioral Assessment Survey (HET) Form and Instruction	Modified
Form 0920-0770 NHBS Behavioral Assessment (PWID) Form and Instruction	Modified
Form 0920-0770 NHBS Recruiter Debriefing Form and Instruction	Unchanged
Form 0920-0770 NHBS Behavioral Assessment (MSM) Form and Instruction	Modified
Form 0920-0770 NHBS Screening (All Respondent Groups) Form and Instruction	Modified
Justification Memo.docx Justification for No Material/Nonsubstantive Change	2025-04-07
Att 15_Recruiter Training Script.pdf Supplementary Document	2022-08-10
Att 18_DCC ATO.pdf Supplementary Document	2022-08-10
Att 17_References.pdf Supplementary Document	2022-08-10
Att 16_Response Rate Calculations.docx Supplementary Document	2022-08-10
Att 14_Model Recruitment Coupon.pdf Supplementary Document	2022-08-10
Att 13_Summary of Changes to Data Collection_OIRA 4.5.23 cw_final.docx Supplementary Document	2023-04-11
Att 12_Sample analysis tables.pdf Supplementary Document	2022-08-10
Att 11_Project Determination.pdf Supplementary Document	2022-08-10
Att 10_Model Consent Form.pdf Supplementary Document	2022-12-14
Att 9_List of Consultants.pdf Supplementary Document	2022-08-10
Att 8_NHBS Cycle Overview.pdf Supplementary Document	2022-08-10
Att 7_Agreement to Abide by Restrictions.pdf Supplementary Document	2022-08-10
Att 6b_Privacy Impact Assessment.pdf Supplementary Document	2022-08-10
Att 6a_Assurance of Confidentiality.pdf Supplementary Document	2022-08-10
Att 5_NHBS Publications.pdf Supplementary Document	2022-08-10
Att 2 NHBS 60 Day FRN.pdf Supplementary Document	2022-08-10
Att 1_Sect 301 PHSA.PDF Supplementary Document	2022-08-10
Supporting Statement B_clean.docx Supporting Statement B	2025-04-07
Supporting Statement A_clean.docx Supporting Statement A	2025-04-07

IC Document Collections

IC ID	Document Title	Status
196958	NHBS Behavioral Assessment Survey (HET) Form and Instruction	Modified
196957	NHBS Behavioral Assessment (PWID) Form and Instruction	Modified
196956	NHBS Recruiter Debriefing Form and Instruction	Unchanged
182203	NHBS Behavioral Assessment (MSM) Form and Instruction	Modified
182201	NHBS Screening (All Respondent Groups) Form and Instruction	Modified