[Federal Register Volume 69, Number 162 (Monday, August 23, 2004)]
[Notices]
[Pages 51846-51847]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-19218]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-04-04JM]


Proposed Data Collections Submitted for Public Comment and 
Recommendations

    The Centers for Disease Control and Prevention (CDC) publishes a 
list of information collection requests under review by the Office of 
Management and Budget (OMB) in compliance with the Paperwork Reduction 
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call 
the CDC Reports Clearance Officer at (404) 498-1210 or send an email to 
[email protected]. Send written comments to CDC Desk Officer, Human Resources 
and Housing Branch, New Executive Office Building, Room 10235, 
Washington, DC 20503 or by fax to (202) 395-6974. Written comments 
should be received within 30 days of this notice.

Proposed Project

    HIV Prevention Capacity-Building Assistance (CBA) Information 
Collection: Reporting and Monitoring System--New--National Center for 
HIV, STD, and TB Prevention (NCHSTP), Centers for Disease Control and 
Prevention (CDC).

Background

    CDC is requesting a 3-year clearance for information collection 
forms to monitor the HIV prevention activities of CBA provider grantees 
funded by CDC from 2004 to 2009. These forms will be used to collect 
information that assists in monitoring CBA services and activities. CDC 
is responsible for monitoring and evaluating HIV prevention activities 
conducted under these cooperative agreements. This requires that CDC 
have current information regarding the progress of CBA activities and 
services supported through these cooperative agreements. Therefore, 
forms such as the Trimester Interim Progress Report, CBA Notification 
Form, CBA Completion Form, and CBA Training Events Report are 
considered a critical component of the monitoring and evaluation 
process. Since, this program will encompass approximately 36 CBA 
provider organizations, there is a need for a standardized system for 
reporting individual episodes of CBA delivered by all CBA provider 
grantees. The collection of data will help CDC discern and refine 
national goals and objectives in the prevention of HIV.
    CBA providers will be required to submit CBA Trimester Progress 
Reports (form A). The purpose of the CBA Trimester Progress Report is 
to describe CBA undertaken during the previous four months. The 
Trimester Progress Report will be a narrative on the programs' 
successes and barriers; process and outcome monitoring data; 
collaborative and cooperative activities with other organizations; and 
plans for future activities.
    To effectively track and monitor all requests for capacity building 
assistance, CBA providers will be required to submit a CBA Notification 
Form (form B) following each contact with a community based 
organization (CBO) or HIV prevention stakeholder for CBA services. The 
purpose of this form is to track all requests for services from CBOs, 
health departments, and stakeholders. Requests for CBA from these CBOs 
and stakeholders are received by CBA providers on an on-going basis.
    CBA providers will also be required to submit a CBA Completion Form 
(form C) following each episode of CBA service delivered to all CBOs 
and stakeholders. The purpose of this form is to provide feedback and 
follow-up information to CDC Project Officers on the types of CBA 
services and quality of services that were delivered to all CBOs by CBA 
Providers. CBA requests from CBOs, health departments, and stakeholders 
are received by CBA providers on an on-going basis. Information 
collection will be on-going throughout the duration of the cooperative 
agreements.
    In addition, CBA providers will be required to submit pre-planned 
CBA training events for a CBA Training Events Report (form D). The CBA 
Training Events Report is used to disseminate planned capacity building 
assistance activities delivered by CBA providers, the CDC, and other 
organizations providing training and technical assistance.
    It is estimated that Form A will require 4 hours of preparation by 
the respondent, Form B will require 15 minutes of preparation by the 
respondent, Form C will require 30 minutes of preparation by the 
respondent, and Form D will require 2 hours of preparation by the 
respondent. The annualized burden is estimated to be 2,196 hours.

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                                                                                                      Average
                                                                                     Number of      burden  per
                 Form name                          Number of  respondents        responses  per   response  (in
                                                                                    respondent         hrs.)
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Form A: CBA Trimester Report...............  36 Grantees........................               3               4
Form B: CBA Notification Form..............  36 CBA Provider Grantees...........              50           15/60
Form C: CBA Completion Form................  36 CBA Provider Grantees...........              25           30/60

[[Page 51847]]

 
Form D: CBA Training Events Report.........  36 CBA Provider Grantees...........              12               2
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    Dated:
Alvin Hall,
Director, Management Analysis and Services Office, Centers for Disease 
Control and Prevention.
[FR Doc. 04-19218 Filed 8-20-04; 8:45 am]
BILLING CODE 4163-18-P