CRCCP Clinic-level Collection

Colorectal Cancer Control Program (CRCCP) Monitoring Activities

Att 4a_CRCCP Clinic-Level Data Collection Instrument (screenshots)

CRCCP Clinic-level Information Collection

OMB: 0920-1074

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ATTACHMENT 4A: CRCCP Clinic-Level Data Instrument (Screenshots)
Welcome/About Screen

Attachment 4A - Data Collection Instrument: Clinic-Level Data

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Health System Data

Attachment 4A - Data Collection Instrument: Clinic-Level Data

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Clinic Data - Characteristics

Attachment 4A - Data Collection Instrument: Clinic-Level Data

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Clinic Data – Characteristics, continued

Attachment 4A - Data Collection Instrument: Clinic-Level Data

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Clinic Data - Baseline

Attachment 4A - Data Collection Instrument: Clinic-Level Data

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Clinic Data – Baseline, continued

Attachment 4A - Data Collection Instrument: Clinic-Level Data

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Clinic Data – Baseline, continued

Attachment 4A - Data Collection Instrument: Clinic-Level Data

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Clinic Data – Annual

Attachment 4A - Data Collection Instrument: Clinic-Level Data

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Clinic Data – Annual, continued

Attachment 4A - Data Collection Instrument: Clinic-Level Data

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Clinic Data – Annual, continued

Attachment 4A - Data Collection Instrument: Clinic-Level Data

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Clinic Data – Annual, continued

Attachment 4A - Data Collection Instrument: Clinic-Level Data

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Clinic Data – Annual, continued

Attachment 4A - Data Collection Instrument: Clinic-Level Data

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Clinic Data – Annual, continued

Attachment 4A - Data Collection Instrument: Clinic-Level Data

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File Typeapplication/pdf
AuthorHowe, Will (IMS)
File Modified2017-02-17
File Created2017-02-17

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