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[NCCDPHP] Formative Evaluation, Implementation and Rapid Evaluation (FIRE) of Diabetes Self-Management in Disproportionately Affected Populations (DAPs) Provider Listening Sessions (Phase I)
[OS] CDC/ATSDR Formative Research and Tool Development
OMB: 0920-1154
IC ID: 260016
OMB.report
HHS/CDC
OMB 0920-1154
ICR 202503-0920-028
IC 260016
( )
Documents and Forms
Document Name
Document Type
[NCCDPHP] Formative Evaluation, Implementation and Rapid Evaluation (FIRE) of Diabetes Self-Management in Disproportionately Affected Populations (DAPs) Provider Listening Sessions (Phase I)
Form and Instruction
DSMES Provider Screener Script and Guidelines
1154 Att A FIRE Listening Sessions_DSMES Provider Screener_.docx
Form and Instruction
Listening Sessions Guide for Providers Who Support People with Learning Disabilities
1154 Att B FIRE Listening Session Guide PLD.docx
Form and Instruction
Listening Sessions Guide for Providers Who Support Minority Women
1154 Att C FIRE Listening Session Guide MW.docx
Form and Instruction
Listening Sessions Guide for Providers Who Support People with Mental Health Disorders
1154 Att D FIRE Listening Session Guide PWMHD.docx
Form and Instruction
1154 SSA DDT_revised.docx
Supporting Statement Part A
IC Document
1154 SSB DDT.docx
Supporting Statement Part B
IC Document
1154 Att E FIRE Recruitment Emails.docx
Recruitment Emails
IC Document
1154 Att F IRB Determination notice.pdf
FHI360 Determination: IRB Approval is Not Required
IC Document
Information Collection (IC) Details
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