Women's Health Needs STUDY_SCREENER

Women’s Health Needs Study: The Health of US-Resident Women from Countries with Prevalent Female Genital Mutilation/Cutting (FGM/C)

OMB: 0920-1264

IC ID: 234870

Documents and Forms
Document Name
Document Type
Other-WORD
Other-WORD Somali translations
Other-WORD Swahili translations
Other-WORD Arabic translations
Other-WORD Armharic translations
Other-WORD Somali translations
Other-WORD Swahili translations
Other-WORD Arabic translations
Other-WORD Armharic translation
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Women's Health Needs STUDY_SCREENER 0920-18JC
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att F1 Informed Consent_English.docx No   Paper Only
Other-WORD Somali translations Att F2 Informed Consent_Somali.docx No   Paper Only
Other-WORD Swahili translations Att F3 Informed Consent_Swahili.docx No   Paper Only
Other-WORD Arabic translations Att F4 Informed Consent_Arabic.docx No   Paper Only
Other-WORD Armharic translations Att F5 Informed Consent_Armharic.docx No   Paper Only
Form and Instruction 0920-18JC Women's Health Need STUDY_Screener Att G1 Initial Pilot Screener WHNS _ENGLISH_09182018.docx No   Fillable Fileable
Other-WORD Somali translations Att G2 Initial Pilot Screener WHNS_Somali.docx No   Paper Only
Other-WORD Swahili translations Att G3 Initial Pilot Screener WHNS_Swahili.docx No   Paper Only
Other-WORD Arabic translations Att G4 Initial Pilot Screener WHNS_Arabic.docx No   Paper Only
Other-WORD Armharic translation Att G5 Initial Pilot Screener WHNS_Armharic.docx No   Paper Only

Health Public Health Monitoring

 

667 0
   
Individuals or Households
 
   0 %

  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 667 0 0 0 0 667
Annual IC Time Burden (Hours) 56 0 0 0 0 56
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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