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Attachment B
2019
Table of Changes
AETC
Data Collection OMB Revision 2019
Event Record:
from 19 data elements to 23, with an additional 4 if applicable (skip
logic). The main changes pertain to sources of funding and
multi-session events.
Additions
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Deletions
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Other Changes
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Were Minority AIDS Initiative funds used to support
this event? (#4)
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Program ID
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Rearrangement of data element sequence
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Which of the following sources of funds was
also used to support this event. (#5)
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Education (#11)
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2. Re-wording of questions for more clarification
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Of the sources of AETC program, which of the
following were used? (#6)
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List of participants
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Clinic ID# (for Practice Transformation
Project only) (#7)
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Indicate which of the following sources of
funds were used to support this event? (#19)
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Health Professional Program ID# (for
Interprofessional Education Project only) (#8)
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Is this training part of a multi-session
event? (#9)
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How many sessions are planned (#10) - if yes
to #9.
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What session number is this training event?
(#11) - if yes to #9
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State where event occurred: (for live online
events, use state where event was hosted) (#12)
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Check the topics that best describes the
content covered by this training. (#14)
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11. List the unique identifiers (email addresses) for all event
participants.
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Participant Information Form: from 23 to 21 data elements;
however, respondent can stop at 8, if applicable.
Additions
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Deletions
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Other changes
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Do you prescribe antiretroviral therapy (ART) to
clients/patients? (#17)
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Principle employment setting name (#9)
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Unique identifier is now an
email address.
#10 and is now #8 instructions
revised: Which of the following characteristics best describe
your principal employment setting? (Select all that apply to that
location)
Additional changes in response options:
My principal employment setting does not involve the
provision care or services to patients/clients (Stop here. You are
done with this form.)
I am not working (Stop here. You are done with
this form.)
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If yes, how many years? (#13) (regarding
direct interaction with clients/patients (#12))
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |