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 Somali translations
Other-WORD Arabic translations
Other-WORD Armharic translations
Other-WORD Somali translations
Other-WORD Arabic translations
Other-WORD Armharic translation
Other-WORD: French translation
Other-WORD: Tigrinya Translation
Other-WORD: French Translation
Other-WORD: Tigrinya Translation
Other-WORD: Oromo translations
Other-WORD - Oromo translation
Form
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Women's Health Needs STUDY_SCREENER 0920-1264-20OZ
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Somali translations Att F2 WHNS Informed Consent Form (Somali translations)_REVISED.docx No   Paper Only
Other-WORD Arabic translations Att F4 WHNS Informed Consent Form (Arabic Translations)_REVISED.docx No   Paper Only
Other-WORD Armharic translations Att F5 WHNS Informed Consent Form (Amharic Translations)_REVISED.docx No   Paper Only
Other-WORD Somali translations Att G2 WHNS_Eligibility Screener (Somali translations)_REVISED.docx No   Paper Only
Other-WORD Arabic translations Att G4 WHNS_Eligibility Screener (Arabic translations)_REVISED.docx No   Paper Only
Other-WORD Armharic translation Att G5 WHNS_Eligibility Screener (Amharic translations)_REVISED.docx No   Paper Only
Other-WORD: French translation Att F3 WHNS Informed Consent Form (French Translations)_NEW.docx No   Paper Only
Other-WORD: Tigrinya Translation Att F6 WHNS Informed Consent Form (Tigrinya Translations)_NEW.docx No   Paper Only
Other-WORD: French Translation Att G3 WHNS_Eligibility Screener (French translations)_NEW.docx No   Paper Only
Other-WORD: Tigrinya Translation Att G6 WHNS_Eligibility Screener (Tigrinya translations)_NEW.docx No   Paper Only
Other-WORD: Oromo translations Att G7 Womens Health Needs Study Eligibility Screener (Oromo translations)_NEW.docx No   Paper Only
Form none Consent -English Att F1 Womens Health Needs Informed Consent Form (English)_Clean.docx No   Paper Only
Other-WORD - Oromo translation Att F7 Womens Health Needs Informed Consent Form (Oromo Translations)_NEW.docx.docx No   Paper Only
Form and Instruction none Eligibility Screener Att G1 Womens Health Needs Study Eligibility Screener (English)_Clean.docx No   Paper Only

Health Public Health Monitoring

 

3,744 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 3,744 0 0 0 0 3,744
Annual IC Time Burden (Hours) 104 0 0 0 0 104
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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