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[NCEZID] Hospital System Approach to Collecting Race, Ethnicity, and Language Data
[OS] CDC/ATSDR Formative Research and Tool Development
OMB: 0920-1154
IC ID: 267631
OMB.report
HHS/CDC
OMB 0920-1154
ICR 202503-0920-028
IC 267631
( )
Documents and Forms
Document Name
Document Type
Form 092061154
[NCEZID] Hospital System Approach to Collecting Race, Ethnicity, and Language Data
Form
092061154 NHSN’s REaLI Effort
Attachment 1_SDOH Redcap Survey - Final V4.1.docx
Form
REaL Data_GenIC Requestv2.docx
Request for genIC Approval (24FT)
IC Document
REaL Data_Supporting Statement A (0920-1154)_v3.docx
SSA (24FT)
IC Document
REaL Data_Supporting Statement B (0920-1154).docx
SSB (24FT)
IC Document
Attachment 2_IRB Determination.pdf
IRB Determination (24FT)
IC Document
Attachment 3_CoLab REaLI final letter_v2.docx
CoLab REaLI_Partner's final letter (24FT)
IC Document
Attachment 4_CoLab reminder 2 w email final.docx
CoLab REaLI_2nd reminder w/email (24FT)
IC Document
Attachment 5_CoLAB reminder final email.docx
CoLab REaLI_final reminder email (24FT)
IC Document
Information Collection (IC) Details
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