0920-0879 IZPHD Attachment B_Instrument- Web-Phase 1

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

Attachment B_Instrument- Web-Phase 1

Access to Electronic HCR during Outbreak and Assessment of State PHD Immunization Billing Reimbursement Projects

OMB: 0920-0879

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ATTACHMENT B – Web Version of Web-based Instrument





[IF RESPONDENT IS NOT THE IMMUNIZATION PROGRAM MANAGER, THEN RESPONDENT TAKEN TO A PAGE ASKING FOR THE APPROPRIATE PERSON. ALL OTHER RESPONDENTS SKIP THIS PAGE.]














[SKIP PATTERN QUESTION: IF RESPONDENT RECEIVED FUNDING, THEN RESPONDENT PROCEEDS TO NEXT QUESTION. IF RESPONDENT DID NOT RECEIVE FUNDING, THEN RESPONDENT SKIPS SECTION AND CONTINUES TO NEXT SECTION ASKING ABOUT VFC FUNDING.]



[SKIP PATTERN QUESTION: IF RESPONDENT RECEIVED FUNDING, THEN RESPONDENT PROCEEDS TO NEXT QUESTION. IF RESPONDENT DID NOT RECEIVE FUNDING, THEN RESPONDENT SKIPS SECTION AND CONTINUES TO NEXT SECTION ASKING ABOUT SPECIAL FEDERAL FUNDING.]



[SKIP PATTERN QUESTION: IF RESPONDENT RECEIVED FUNDING, THEN RESPONDENT PROCEEDS TO NEXT QUESTION. IF RESPONDENT DID NOT RECEIVE FUNDING, THEN RESPONDENT SKIPS SECTION AND CONTINUES TO NEXT SECTION ASKING ABOUT OTHER FUNDING.]








[SKIP PATTERN QUESTION: IF RESPONDENT ENCOUNTERED OTHER ISSUES, THEN RESPONDENT PROCEEDS TO NEXT QUESTION. IF RESPONDENT DID NOT ENCOUNTER OTHER ISSUES, THEN RESPONDENT SKIPS SECTION AND CONTINUES TO LAST QUESTION.]













File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorLisa Wolff
File Modified0000-00-00
File Created2021-01-28

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