Description of Attachments Table

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National Network of Sexually Transmitted Disease Clinical Prevention Traning Centers (NNPTC)

Description of Attachments Table

OMB: 0920-0995

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National Network of Sexually Transmitted Disease Clinical Prevention Training Centers (NNPTC): Evaluation

OMB No. 0920-0995










Attachment 38


Table with Description of Attachments


DESCRIPTION OF ATTACHMENTS

Att #

Form Name

Description

1

Authorizing Legislation


2

60-Day FRN

Pdf of published notice

3

NNPTC Abbreviated Health Professional Application for Training – word version

1-page registration form for NNPTC courses

3a

Previously Approved HPAT

1-page HPAT being revised

3b

Abbreviated HPAT revised word version

1-page HPAT with revisions

3c

Table of Revisions to HPAT

Description of all revisions

4

NNPTC Abbreviated Health Professional Application for Training – screenshot

1-page registration form for NNPTC courses

5


Intensive Complete Post-Course Evaluation – word version

8-page evaluation survey following 1-3 day course (didactic and practicum)

6

Intensive Complete Post-Course Evaluation - screenshots

7

Intensive Complete Long-Term Evaluation

word version

4-page evaluation survey sent 3 months after 1-3 day course

(didactic and practicum)

8

Intensive Complete Long-Term Evaluation

screenshots

9

Intensive Didactic Post-Course Evaluation – word version

7-page evaluation survey following 1 day comprehensive course (didactic only)

10

Intensive Didactic Post-Course Evaluation – screenshots

11

Intensive Didactic Long-Term Evaluation - word version

4-page evaluation survey sent 3 months after 1 day comprehensive course (didactic only)

12

Intensive Didactic Long-Term Evaluation - screenshots

13

Practicum Post-Course Evaluation – word version

2-page evaluation survey following clinical practicum of any length

14

Practicum Post-Course Evaluation – screenshots

15

Practicum Long-Term Evaluation – word version

2-page evaluation survey sent 3 months after completion of clinical practicum of any length

16

Practicum Long-Term Evaluation – screenshots

17

Wet Mount Post-Course Evaluation - word version

2-page evaluation survey following wet mount microscopy course

18

Wet Mount Post-Course Evaluation - screenshots

19

Wet Mount Long-Term Evaluation

- word version

1-page evaluation survey sent 3 months after completion of wet mount microscopy course

20

Wet Mount Long-Term Evaluation

- screenshots

21

STD Treatment Guidelines Complete Post-Course Evaluation – word version

4-page evaluation survey following STD update focusing on Tx Guidelines

(class >4 hrs)

22

STD Treatment Guidelines Complete Post-Course Evaluation – screenshots

23

STD Treatment Guidelines Complete Long-Term Evaluation – word version

4-page evaluation survey sent 3 months after STD update focusing on Tx Guidelines (class >4 hrs)

24

STD Treatment Guidelines Complete Long-Term Evaluation - screenshots

25

STD Treatment Guidelines Short Post-Course Evaluation – word version

2-page evaluation survey following STD update focusing on Tx Guidelines (class 1-4 hr)

26

STD Treatment Guidelines Short Post-Course Evaluation - screenshots

27

STD Treatment Guidelines Short Long-Term Evaluation - word version

2-page evaluation survey sent 3 months after STD update focusing on Tx Guidelines (class 1-4 hr)

28

STD Treatment Guidelines Short Long-Term Evaluation - word version

29

Basic Post-Course Evaluation

word version

1-page evaluation survey following short 1-2 hr course on STD topic not covered in question bank

30

Basic Post-Course Evaluation

screenshots

31

Basic Long-Term Evaluation

word version

1-page evaluation survey sent 3 months after short 1-2 hr course on STD topic not covered in question bank

32

Basic Long-Term Evaluation

screenshots

33

Immediate Post-Course email invitation - word version

Email with eval link sent to training participants asking them to complete evaluation survey

34

Immediate Post-Course email invitation - screenshots

35

3 Month Long-Term email invitation – word version

Email with eval link sent after 3 months asking training participants to complete follow-up survey

36

3 Month Long-Term email invitation – screenshots

37

Project Determination (IRB File)

IRB File

38

Table with Description of Attachments

Description of all attachments


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