[NCHHSTP] Medical Monitoring Project

Forms and Documents

Document Name	Status
Model Patient Recruitment Script - Facility Form and Instruction	Unchanged
Model Patient Recruitment Script - Facility Form and Instruction	Unchanged
Interview Questionnaire Form and Instruction	Modified
Interview Questionnaire Form and Instruction	Modified
Justification Memo for Nonsubstantive Change Req_MMP 0920-0740.docx Justification for No Material/Nonsubstantive Change	2025-03-24
Justification Memo for Nonsubstantive Change Req_MMP 0920-0740.docx Justification for No Material/Nonsubstantive Change	2025-03-24
Att 2b_MMP MRA Data Structure_clean.docx Supplementary Document	2025-03-24
Att 2b_MMP MRA Data Structure_clean.docx Supplementary Document	2025-03-24
Att 17 Sample sizes.docx Supplementary Document	2024-04-10
Att 17 Sample sizes.docx Supplementary Document	2024-04-10
Att 16 Agreement To Abide by Restrictions.docx Supplementary Document	2024-04-10
Att 16 Agreement To Abide by Restrictions.docx Supplementary Document	2024-04-10
Att 15 DCC ATO.pdf Supplementary Document	2024-04-10
Att 15 DCC ATO.pdf Supplementary Document	2024-04-10
Att 14 Project Determination MMP.pdf Supplementary Document	2024-04-10
Att 14 Project Determination MMP.pdf Supplementary Document	2024-04-10
Att 13 Assurance of Confidentiality.docx Supplementary Document	2024-04-10
Att 13 Assurance of Confidentiality.docx Supplementary Document	2024-04-10
Att 12 WISMS PIA_signed.pdf Supplementary Document	2024-04-10
Att 12 WISMS PIA_signed.pdf Supplementary Document	2024-04-10
Att 11 Consultations Conducted Before 2010.docx Supplementary Document	2024-04-10
Att 11 Consultations Conducted Before 2010.docx Supplementary Document	2024-04-10
Att 10 MMP Bibliography.docx Supplementary Document	2024-04-10
Att 10 MMP Bibliography.docx Supplementary Document	2024-04-10
Att 9 MMP_CrossJuris_Agreement_MMP 2024_Cycle.docx Supplementary Document	2024-04-10
Att 9 MMP_CrossJuris_Agreement_MMP 2024_Cycle.docx Supplementary Document	2024-04-10
Att 8d Recruitment Text E-mail.docx Supplementary Document	2024-04-10
Att 8d Recruitment Text E-mail.docx Supplementary Document	2024-04-10
Att 8b Recruitment Script Project Staff.docx Supplementary Document	2024-04-10
Att 8b Recruitment Script Project Staff.docx Supplementary Document	2024-04-10
Att 8a Model Recruitment Letter.docx Supplementary Document	2024-04-10
Att 8a Model Recruitment Letter.docx Supplementary Document	2024-04-10
Att 7 References 2023 12 12 clean.docx Supplementary Document	2024-02-14
Att 7 References 2023 12 12 clean.docx Supplementary Document	2024-02-14
Att 6 MMP MRA Data Structure _2024.docx Supplementary Document	2024-02-14
Att 6 MMP MRA Data Structure _2024.docx Supplementary Document	2024-02-14
Att 5d Summary of changes to questionnaire 2024 2023 07 25.docx Supplementary Document	2024-02-14
Att 5d Summary of changes to questionnaire 2024 2023 07 25.docx Supplementary Document	2024-02-14
Att 5c MMP 2021 Questionnaire English.pdf Supplementary Document	2024-02-14
Att 5c MMP 2021 Questionnaire English.pdf Supplementary Document	2024-02-14
Att 4 MMP Minimum Dataset Elements.docx Supplementary Document	2024-02-14
Att 4 MMP Minimum Dataset Elements.docx Supplementary Document	2024-02-14
Att 3 MMP 2024-2026 Model Consent.docx Supplementary Document	2024-02-14
Att 3 MMP 2024-2026 Model Consent.docx Supplementary Document	2024-02-14
Att 2_60-Day FRN.pdf Supplementary Document	2024-02-14
Att 2_60-Day FRN.pdf Supplementary Document	2024-02-14
Att 1_Sect 301 PHSA.PDF Supplementary Document	2024-02-14
Att 1_Sect 301 PHSA.PDF Supplementary Document	2024-02-14
MMP-SSB_2023 12 12 clean.docx Supporting Statement B	2024-02-14
MMP-SSB_2023 12 12 clean.docx Supporting Statement B	2024-02-14
MMP-SSA_2024 02 16 clean amended.docx Supporting Statement A	2024-05-15
MMP-SSA_2024 02 16 clean amended.docx Supporting Statement A	2024-05-15

IC Document Collections

IC ID	Document Title	Status
180569	Pull Medical Records Instruction	Unchanged
180568	Lookup Contact Information Instruction	Unchanged
180566	Model Patient Recruitment Script - Facility Form and Instruction	Unchanged
180566	Model Patient Recruitment Script - Facility Form and Instruction	Unchanged
180565	Interview Questionnaire Form and Instruction	Modified
180565	Interview Questionnaire Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0740	ICR Reference No: 202503-0920-027
Status: Active	Previous ICR Reference No: 202402-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0740-25-0058
Title: [NCHHSTP] Medical Monitoring Project
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/09/2025
	Date Received in OIRA: 05/01/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2027	05/31/2027	05/31/2027
Responses	18,430	0	18,430
Time Burden (Hours)	5,707	0	5,707
Cost Burden (Dollars)	147,364	0	147,364

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Abstract: The Medical Monitoring Project (MMP) was designed to address the need for a national behavioral and clinical surveillance system for HIV-infected persons, as articulated in CDC's HIV Prevention Strategic Plan. It is a supplemental surveillance project designed to describe the health-related behaviors, experiences and needs of adults diagnosed with HIV in the United States. It's intended use is to guide national and local HIV-related service organization and delivery and to monitor receipt of HIV treatment and prevention services and clinical outcomes. The changes proposed in this revision update the data collection system to meet prevailing information needs and enhance the value of MMP data, while remaining concordant with the project’s purpose. The burden is the same as the burden shown in the current inventory.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: PHSA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 24799	04/24/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 12346	02/16/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Interview Questionnaire	none, 0920-25-0058, 0920-25-0058	2024 Programming Questionnaire - English ,   MMP Questionnaire ,   MMP Questionnaire _SPANISH
Lookup Contact Information
Model Patient Recruitment Script - Facility	none	Recruitment script
Pull Medical Records

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ICR Summary of Burden

	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	18,430	18,430	0	0	0	0
Annual Time Burden (Hours)	5,707	5,707	0	0	0	0
Annual Cost Burden (Dollars)	147,364	147,364	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $18,516,962

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/01/2025

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