Non - Sub Change Reques t

Memo_Non-Substantive Change Request_0920-1359.docx

National Syringe Services Program (SSP) Evaluation

Non - Sub Change Reques t

OMB: 0920-1359

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Non-Substantive Change Request to OMB Approved Information Collection

Justification for Change Memo

National Syringe Services Program Evaluation

OMB # 0920-1359



Summary of Changes


We are requesting a change in the information collection request (ICR) for the National Syringe Services Program Evaluation OMB # 0920-1359 (exp. 12/31/2024). We are requesting changes to the survey which include minor wording changes to the questions, deleting one survey item at the end of the survey, as well as modifying, adding and separating response options. These requested changes are minor and do not impact or change the project’s methodology, purpose, or the estimated burden.  


Please see the following three documents attached for your review:


  1. Original OMB approved survey

  2. Original OMB approved survey in track changes which correspond with changes described in Excel file.

  3. Excel table that provides a crosswalk of the approved and proposed changes to the survey. The table specifically lists the original survey items, changes to survey items, and respective justifications/reasons for changes.




Page 1 of 1 2/17/2022

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleACRF Changes from 2003 form to proposed 2010 form
Authorznt1
File Modified0000-00-00
File Created2022-03-02

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