Attachment 3b_Preshipment letter

OMB Form No. 0920-0595

Expiration Date: 03/31/2010

July 21, 2009

MPEP ID#: «MPEPNUM»

«MSALUTE» «M1STNAME» «MLASTNAM» «MDEGREE»

«MTITLE»

«PLNAME1»

«PLADDR1»

«PLADDR2»

«PLCITY» , «PLSTATE» «PLZIP»

«PLCNTRY»

Dear «MSALUTE» «MLASTNAM»:

Advance Notice: Shipment of Samples for HIV Rapid Testing (HIV-RT) from the CDC Model Performance Evaluation Program

Purpose

The purpose of this letter is to inform you: that the MPEP is resuming shipments for HIV-RT participants, the upcoming shipment will contain six plasma samples for HIV rapid testing, to check the accuracy of your shipping information, and you must submit your results online; no hardcopy forms will be accepted. The next shipment of samples for HIV Rapid Testing will contain six plasma samples from individual donors who are HIV-1 infected or uninfected.

Date of shipment:

September 22, 2009

NEW! Only Online Results:

The MPEP is now accepting result submission ONLY online. You will need to: 1. provide the MPEP with a valid email address, so you may receive your password, and 2. have access to the Internet.

Please check: Information change form [enclosed]

On the information change form, check the accuracy of the: mailing address (note: samples cannot be delivered to a P.O. Box) sample shipping address (if different from above), current contact person’s name, contact e-mail address, telephone and FAX numbers, and current laboratory director's name. No response is necessary if this information is correct.

Continued on the back

Advance Notice: Shipment of Samples for HIV Rapid Testing (HIV-RT) from the CDC Model Performance Evaluation Program, Continued

Change required?

If changes are required, please make the appropriate changes, then Scan and email the form(s) to [email protected] FAX the form(s) to (404) 498-2372, call 1-877-360-8502, or return the form directly to the MPEP. Deadline for changes: June 26, 2009

Internal delivery

Some institutions require delivery of all incoming biologic specimens to a mailroom or a central receiving area in a different location at their address. Note: Please arrange for timely delivery of the specimens to your laboratory.

Late shipment or damaged samples?

If you do not receive your specimen shipment within 4 days after the shipping date or if the samples are damaged, please contact the MPEP Coordinator, Leigh Vaughan: email [email protected] , phone 404-498-2246; the MPEP toll-free at 1-877-360-8502, or inform the Sample Contractor (contact information will be included with the samples). Deadline for requesting a second shipment: September 29, 2009

More information?

Contact Leigh Vaughan, CDC HIV Rapid Testing Project Coordinator: telephone (404) 498-2246 email: [email protected]

W e appreciate your continued interest and participation in the CDC MPEP program.

L

Sandra W. Neal, B.S., MT(ASCP), M.S., P.M.P.

HIV Rapid Testing Project Manager (Acting)
Model Performance Evaluation Program
Centers for Disease Control and Prevention

eigh I. Vaughan, B.A.

HIV Rapid Testing Project Coordinator

Model Performance Evaluation Program

Centers for Disease Control and Prevention

Enclosures