[Federal Register: October 6, 2004 (Volume 69, Number 193)]
[Notices]
[Page 59928-59929]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr06oc04-90]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-04-02OA]
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 e-mail
to omb@cdc.gov. 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
CDC HIV Prevention Capacity-Building Assistance (CBA) Information
Collection, Reporting and Monitoring Forms--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 the CBA Training Events Report are
considered a critical component of the monitoring and evaluation
process. Since this program will encompass approximately 34 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.
[[Page 59929]]
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 on 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. The calendar
is also used as a marketing tool to let CBOs, health departments and
stakeholders know what types of technical assistance and training
activities are available. There are no costs to respondents other than
their participation in the collection of information. The estimated
annualized burden is 1,462 hours.
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Number of Average burden
Form name Number of respondents responses per per response
respondent (in hours)
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Form A: CBA Trimester Report.................. 34 CBA Provider Grantees........ 3 2
Form B: CBA Notification Form................. 34 CBA Provider Grantees........ 50 15/60
Form C: CBA Completion Form................... 34 CBA Provider Grantees........ 25 30/60
Form D: CBA Training Events Form.............. 34 CBA Provider Grantees........ 12 1
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Dated: September 30, 2004.
Alvin Hall,
Director, Management Analysis and Services Office Centers for Disease
Control and Prevention.
[FR Doc. 04-22454 Filed 10-5-04; 8:45 am]
BILLING CODE 4163-18-P