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WISEWOMAN Program Minimum Data Elements (MDE)
[NCCDPHP] Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) Reporting System
OMB: 0920-0612
IC ID: 37802
OMB.report
HHS/CDC
OMB 0920-0612
ICR 202308-0920-009
IC 37802
( )
Documents and Forms
Document Name
Document Type
Form 0920-0612
WISEWOMAN Program Minimum Data Elements (MDE)
Form and Instruction
0920-0612 WISEWOMAN Program MDE Manual Edition 18.3R
wisewoman_MDE_manual_18.3.pdf
Form and Instruction
Att 6 MDE Submission Instructions.pdf
Instruction
Att 4a Web Portal Screenshot.png
Screenshot of the WISEWOMAN Web Portal
IC Document
Att 4b Web Portal Upload Screenshot.png
Screenshot (Example) of Uploading MDE Files
IC Document
Information Collection (IC) Details
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