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[NCIPC] Screening Survey for focus groups and interviews
[OS] CDC/ATSDR Formative Research and Tool Development
OMB: 0920-1154
IC ID: 264563
OMB.report
HHS/CDC
OMB 0920-1154
ICR 202503-0920-028
IC 264563
( )
Documents and Forms
Document Name
Document Type
Form 0920-1154-24CC
[NCIPC] Screening Survey for focus groups and interviews
Form
0920-1154-24CC Recruitment Materials - Focus Groups and Interviews - AI/AN Adults
ATT 1 Screener - Focus Groups and Interviews 01.09.24 post NCIPC OMB review.docx
Form
ATT 2 Focus Group Email 01.09.24 post NCIPC OMB review.docx
Instruction
ATT 3 Focus Group follow up Email 01.09.24 post NCIPC OMB review.docx
Instruction
ATT 4 _Interviews Tribal HCPs EMAIL.docx
Instruction
ATT 5 _Interviews Tribal HCPs FOLLOW UP EMAIL.docx
Instruction
ATT 6 Interviews Tribal Leaders EMAIL.docx
Instruction
ATT 7 Interviews Tribal Leaders FOLLOW UP EMAIL.docx
Instruction
0920-1154 (24CC) Focus Group Guide AI/AN Adults
ATT 8 Focus Group Guide - AIAN Adults.docx
Form and Instruction
0920-1154 (24CC) Interview Guide Tribal Health Care Providers (HCPs) and Tribal Leaders
ATT 9 Interview Guide - Tribal HCPs and Tribal Leaders.docx
Form and Instruction
Supporting Statement B_ AI_AN Discharge Instructions_01.09.24_post NCIPC OMB review.docx
SSB (24CC)
IC Document
ATT 11 Privacy Act-Determination-signed by ISSO.pdf
NCIPC OMB PII and Privacy Act Determination
IC Document
GEN IC Request memo_Discharge AI AN.docx
Memo GenIC Clearance (24CC)
IC Document
Supporting Statement A_ AI_AN Discharge Intructions_01.10.24.docx
Support Statement A_AI_AN Discharge Instructions_01.10.24
IC Document
Information Collection (IC) Details
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