American Academy of Pediatrics Resident Training in Developmental Continuity Clinics (part 3)

CDC/ATSDR Formative Research and Tool Development

OMB: 0920-1154

IC ID: 242950

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
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American Academy of Pediatrics Resident Training in Developmental Continuity Clinics (part 3) 0920-20MD
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-20MD Attachment A1_Attending Physicians_Screening & Diagnosis pretest Attachment A1_Attending Physicians_Screening & Diagnosis pretest.docx Yes Yes Fillable Fileable
Form and Instruction 0920-20MD Attachment A2_Attending Physicians_Screening & Diagnosis post test Attachment A2_Attending Physicians_Screening & Diagnosis post test.docx Yes Yes Fillable Fileable
Form and Instruction 0920-20MD Attachment A3_Attending Physicians_Treatment Across Lifespan pretest Attachment A3_Attending Physicians_Treatment Across Lifespan pretest Revised July 29 2020.docx Yes Yes Fillable Fileable
Form and Instruction 0920-20MD Attachment A4_Attending Physicians_Treatment Across Lifespan post test Attachment A4_Attending Physicians_Treatment Across Lifespan post test.docx Yes Yes Fillable Fileable
Form and Instruction 0920-20MD Attachment A5_Attending Physicians_Overcoming Social Attitudes pretest Attachment A5_Attending Physicians_Overcoming Social Attitudes pretest Revised July 28 2020.docx Yes Yes Fillable Fileable
Form and Instruction 0920-20MD Attachment A6_Attending Physicians_Overcoming Social Attitudes post test Attachment A6_Attending Physicians_Overcoming Social Attitudes post test.docx Yes Yes Fillable Fileable
Form and Instruction 0920-20MD Attachment A7_Attending Physicians_Educational Care pretest Attachment A7_Attending Physicians_Educational Care pretest Revised July 28 2020.docx Yes Yes Fillable Fileable
Form and Instruction 0920-20MD Attachment A9_Attending Physicians_Training Program Evaluation Attachment A9_Attending Physicians_Training Program Evaluation.docx Yes Yes Fillable Fileable
Form and Instruction 0920-20MD Attachment A10_Resident_Overall Effects & Prevalence video pretest Attachment A10_Resident_Overall Effects & Prevalence video pretest Revised July 28 2020.docx Yes Yes Fillable Fileable
Form and Instruction 0920-20MD Attachment A11_Resident_Overall Effects & Prevalence video post test Attachment A11_Resident_Overall Effects & Prevalence video post test.docx Yes Yes Fillable Fileable
Form and Instruction 0920-20MD Attachment A12_Resident_Overall Program Evaluation Attachment A12_Resident_Overall Program Evaluation.docx Yes Yes Fillable Fileable
Form and Instruction 0920-20MD Attachment A13_Attending Physician_Overall Program Evaluation Attachment A13_Attending Physician_Overall Program Evaluation.docx Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

160 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 160 0 160 0 0 0
Annual IC Time Burden (Hours) 32 0 32 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att Public Health Service Act Att Public Health Service Act.pdf 08/03/2020
GenIC Request GenICRequestTemplate_AAP Continuity Clinic Project_July 16 2020.docx 08/03/2020
SSB GenICRequestTemplate_STATEMENT B_AAP Continuity Clinic Project_July 16 2020.docx 08/03/2020
IRB IRB approval form.pdf 08/03/2020
Privacy Act Checklist Privacy Act Checklist_AAP Continuity Clinic project.docx 08/03/2020
SSA SupportingStatementPartA_AAP Continuity Clinic Project_July 16 2020.docx 08/03/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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