Attachment 6b_ICF cover email

Attachment 6b_ICF cover email.doc

Performance Evaluation Program for Rapid HIV Testing

Attachment 6b_ICF cover email

OMB: 0920-0595

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Dear MPEP Participant:


You should have recently received email notification of the HIV Rapid Testing MPEP upcoming sample survey. This email contained the contact, mailing and shipping details currently on file with the MPEP for your laboratory and notice that you would be receiving and Information Change Form (ICF) in a following email.


The purpose of this email is to send as an attachment the ICF, to be filled out if changes need to be made in the contact, mailing & shipping details currently on file with the MPEP for your laboratory.


If no changes are required, no response is necessary.


If changes are required, please make the appropriate changes on the ICF attached in this email, 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 by mail to:


CDC MPEP Survey Coordinator

1600 Clifton Rd

Mailstop G-23.

Atlanta, GA 30329-4018



Deadline for changes: June 26, 2009

NOTE: You must include your MPEP identification number and the name of your laboratory on the Information Change Form.

File Typeapplication/msword
File TitleDear MPEP Participant:
Authorkai0
Last Modified Byaeo1
File Modified2009-11-09
File Created2009-11-09

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