Participant Eligibility Disposition

Cooperative Re-Engagement Controlled Trial (CoRECT)

Att 11a&b_ParticiEligibilityDispo form

Participant Eligibility Disposition

OMB: 0920-1133

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Form Approved

OMB No. 0920-New

Expiration Date: XX/XX/XXXX









Cooperative Re-Engagement Controlled Trial (CoRECT)



Attachment #11

Participant Eligibility Disposition form















Public reporting burden of this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-New)







Attachment 11. Participant Eligibility Disposition form




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorNeblett Fanfair, Robyn C. (CDC/OID/NCHHSTP)
File Modified0000-00-00
File Created2021-01-24

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