New York Data Collection System

Att6_NY_ICFlow 20120619.docx

Biomonitoring of Great Lakes Populations Program

New York Data Collection System

OMB: 0923-0044

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Attachment 6. New York State Department of Health Data Collection System



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6a. NY Eligibility Screening Cover Letter and Fact Sheet, Licensed Anglers

6b. NY Mail-in Eligibility Screening Survey, Licensed Anglers

6c. NY Online Eligibility Screening Survey, Licensed Anglers

6d. NY Telephone Script for Non-responders to Screening, Licensed Anglers

6e. NY Telephone Script for Eligible Responders to Screening, Licensed Anglers

6f. NY Informed Consent, Licensed Anglers

6g. NY Interview Questionnaire, Licensed Anglers

(translations to Spanish language will be completed after OMB approval

Index of New York State Department of Health Forms, Licensed Anglers











New York State Department of Health Flow Chart, Licensed Anglers



Index of New York State Department of Health Forms, Immigrants from Burma and Descendants

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6h. NY Eligibility Screening Survey, Burmese

6i. NY Informed Consent, Burmese

6j. NY Interview Questionnaire, Burmese

6k. NY Network Size Questions for Respondent Driven Sampling, Burmese









New York State Department of Health Flow Chart, Immigrants from Burma and Descendants

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