Table of Proposed Changes

Evaluation of an Intervention to Increase Colorectal Cancer Screening in Primary Care Clinics

(OMB no. 0920-0769, exp. date 3/31/2011)

Change Request and Justification

August 31, 2009

Table of Proposed Changes

Key to Documents and Attachments
Reference Document (see original Information Collection Request)	Changes Document (formatted to facilitate OMB review and rapid identification of proposed changes)	Revision Document (clean copy of revised attachment to be used in data collection)
Attachment 4b, Patient Post-Intervention Survey	Attachment 4b_Changes_Patient_ Post-Intervention_ Survey	Attachment 4b_Revised_Patient_ Post-Intervention_ Survey
Attachment 4c, Clinic Support Staff Post-Intervention Survey	Attachment 4c_Changes_Clinic_Support_Staff_ Post-Intervention_ Survey	Attachment 4c_Revised_Clinic_Support_Staff_ Post-Intervention_ Survey
Attachment 4d, Clinician Post-Intervention Survey	Attachment 4d_Changes_Clinician_ Post-Intervention_ Survey	Attachment 4d_Revised_Clinician_ Post-Intervention_ Survey
Attachment 5, Post-Intervention Patient Survey Cover Letter	Attachment 5_Changes_Post_Patient_Survey_Cover_Letter	Attachment 5_Revised_Post_Patient_Survey_Cover_Letter
Attachment 5, Post-Intervention Clinic Support Staff Survey Cover Letter	Attachment 5_Changes_Post_Clinic_Support_Staff_Cover_Letter	Attachment 5_Revised_Post_Clinic_Support_Staff_Cover_Letter
Attachment 5, Post-Intervention Clinician Survey Cover Letter	Attachment 5_Changes_Post_Clinician_Cover_Letter	Attachment 5_Revised_Post_Clinician_Cover_Letter
Attachment 6, Reminder Postcard for Clinic Staff	Attachment 6_Changes_Reminder_Postcard_Clinic_Staff	Attachment 6_Revised_Reminder_Postcard_Clinic_Staff
Attachment 6, Reminder Postcard for Clinicians	Attachment 6_Changes_Reminder_Postcard_Clinicians	Attachment 6_Revised_Reminder_Postcard_Clinicians