De minimus Changes

Form	Current Question/Item	Requested Change	Justification/brief explanation for the change requested	Notes	New from 2022	Removed questions from 2022	Removed text boxes from 2022
	Please complete the survey below. Thank you!	Remove	unecessary text				1
	Hidden variable: Year of recall period. This is the period that the participant will be asked to recall throughout the survey. This needs to be updated manually by survey staff each time the survey is administered.	Remove	coding instructions - removed
	Thank you for taking the time to complete this program survey. When answering questions, please refer to the period from January 1, [year], to December 31, [year] unless otherwise stated. If program data are not available, please use your best estimate to complete the questions below. If your program only operated during some of the specified time period, please provide information reflective of the time period(s) during which your program did operate. If you need any clarifications about any of the questions in this survey or how this information will be used, please let me know. During the survey, you may need to refer to your records to answer some questions. If you are unable to answer a question today, but later find the answer in your records, you can reach us later to provide this additional information by contacting Tianna Kong, Project Coordinator, at [email protected]	Remove "Thank you for taking the time to complete this program survey. When answering questions, please refer to the period from January 1, [year], to December 31, [year] unless otherwise stated. If program data are not available, please use your best estimate to complete the questions below. If your program only operated during some of the specified time period, please provide information reflective of the time period(s) during which your program did operate. If you need any clarifications about any of the questions in this survey or how this information will be used, please let me know. During the survey, you may need to refer to your records to answer some questions. If you are unable to answer a question today, but later find the answer in your records, you can reach us later to provide this additional information by contacting Tianna Kong, Project Coordinator, at [email protected]." and add "To begin, please let us know a couple of details about your syringe services program (SSP)."	Text needed to be updated for clarity and for logistical purposes
	Automatic, hidden variable: Survey date (today)	Remove
	Automatic, hidden variable: Start time of survey	Remove
	PI3b. Enter the year. If you do not remember the exact year, please provide your best estimate. Please enter four digits.	Remove	unecessary question			1
	First, we would like to ask a series of questions about your program and the services your program provided between January 1, [year], and December 31, [year]. Following these questions, we will then ask a few of the same questions about 2020. The COVID-19 pandemic likely impacted program operations and services provided by programs nationwide during 2020, so this information will be extremely important to help understand these impacts and the continuing challenges to programs moving forward.	Remove	unecessary text				1
	The next set of questions is about your program background and overall set-up. All information is important, and we appreciate your time and effort in completing this survey. However, we understand if you cannot answer some of these questions; in these situations, you have an option to select "don't know" or "refuse to answer" responses, whichever best applies.	Remove	unecessary text				1
	PC1spec. Specify other program operator	incorporated into PC.1	incorporated into PC.1
	PC2spec. Specify other source of funding.	incorporated into PC.2	incorporated into PC.2
	PC3. What was your total program budget? If your program is part of a larger, multi-service organization, please only provide the budget for your part of the program. Please provide the best estimate to your knowledge.	Remove all answer options and add box to input exact dollar amount with the note "Please do not inlude commas"	less text to read through
	PC9. Did your program serve communities that you would consider urban, suburban, or rural? Please consider all the locations in which your program operates and select all that apply.	Remove "consider all the locations in which your program operates" to only say "Please select all that apply. Change to "Did your program serve communities that you would consider urban, suburban, or rural? Please select all that apply."	Decreases amount of text to read through while maintaining intent of the question
	PC10. How did your program deliver services? If your program has more than one location or service delivery type, select all that apply.	Remove "If your program has more than one location or service delivery type" and insert "Please" before select all that apply. How did your program deliver services? Please select all that apply. Add text field to "Other (please describe)" answer option.	Revisions to text clarifies the intent of the question Text field to "Other" answer option was missing, now included
	PC10spec. Specify other service delivery type.	incorporated into PC.10	incorporated into PC.10
	PC12spec. Specify other reason for disruption(s) to services.	This question is now part of PC12	This question is now part of PC12
	PC14. What computer software program did you use to manage your program's data? Select all that apply.	Remove	This process evaluation question is not essential and removing minimizes response burden			1
	PC14spec. Specify other software used to manage client data.	Remove	This process evaluation question is not essential and removing minimizes response burden			1
	PC15. Did your program assign each client a unique ID?	Remove	This process evaluation question is not essential and removing minimizes response burden			1
	The next questions are about the characteristics of the clients served directly by your program (not counting secondary exchange). As a reminder, as you answer these questions, please think about your program's operations between January 1, [year], and December 31, [year].	Remove	unecessary text				1
	CC1. Which demographic groups did your program reach in [year]? Select all that apply.	Remove	Participant-level data is being collected from SSPs, raising concerns for data validity; removing this question decreases survey burden			1
	CC1spec. Specify other demographic group served.	Remove	This question is not essential and removing minimizes response burden			1
	CC2spec. Specify other demographic group your program had difficulty reaching.	Remove	Participant-level data is being collected from SSPs, raising concerns for data validity; removing this question decreases survey burden			1
	CC3. Approximately what percentage of your clients did not have health insurance? Please use your records if available but provide your best estimate if no records are kept or are not readily available.	Remove	Participant-level data is being collected from SSPs, raising concerns for data validity; removing this question decreases survey burden			1
	CC4. For each of the following substances, please indicate the approximate percentage of your clients who were injecting each substance on a weekly or more frequent basis. Please use your records if available but provide your best estimate if no records are kept or are not readily available.	Remove	Participant-level data is being collected from SSPs, raising concerns for data validity; removing this question decreases survey burden			1
	CC4specA-C	Remove	Participant-level data is being collected from SSPs, raising concerns for data validity; removing this question decreases survey burden			1
	The next questions are about your program's relationships with members of the community and any related challenges. As a reminder, as you answer these questions, please think about your program's operations between January 1, [year], and December 31, [year].	Remove	unecessary text				1
	CR2spec. Specify other external challenges.	Remove	unecessary question			1
	CR3spec. Specify other internal challenges.	Remove	unecessary question			1
	The next set of questions pertain to syringe services provided by your program between January 1, [year], and December 31, [year].	Remove	unecessary text				1
	In this section, we will ask you about overdose prevention services your program may have provided, such as overdose prevention training and naloxone distribution. As a reminder, we are asking about services provided by your program between January 1, [year], and December 31, [year].	Remove	unecessary text				1
	PN3. How many doses were distributed in each naloxone kit by your program? If you do not know or prefer not to answer, you may leave the response blank.	Remove	unecessary question			1
	PN5spec. Specify other barrier in providing naloxone.	Remove	This question is not essential and removing minimizes response burden			1
	The next set of questions are about the services your program provided or needed between January 1, [year], and December 31, [year]. This information will help us understand the services that programs are already providing, trying to expand, or adding to meet client needs. Please indicate next to each service whether your program 1) fully provided the service (that is, the service was provided at a level that fully met client needs), 2) partially provided the service (that is, the service was provided inconsistently or at a level that did not meet client needs), 3) did not provide the service and was not able to meet client needs, or 4) did not provide the service and most clients did not need the service. If service provision varied between January 1, [year], and December 31, [year], choose the option that best describes the provision of services during the majority of time during this period.	Remove	unecessary text				1
	PS1spec. Specify other injection and drug use supplies.	Remove	unecessary question			1
	PS3spec. Specify other onsite testing service.	Remove	unecessary question			1
	PS6spec. Specify other MOUD	Remove	This question did not provide meaningful data in the previous survey iteration and removing minimizes response burden			1
	PS7spec. Specify other onsite medical services.	Remove	This question did not provide meaningful data in the previous survey iteration and removing minimizes response burden			1
	PS10spec. Specify other social service.	Remove	This question did not provide meaningful data in the previous survey iteration and removing minimizes response burden			1
	The next questions pertain to referrals provided by your program between January 1, [year], and December 31, [year]. By "referral," we mean directing clients to specific offsite providers where they can receive specific services.	Remove	This referral-related text is not essential and removing minimizes response burden			1
	PS11. What types of referrals to testing services did your program provide? Select all that apply.	Remove	This referral-related question is not essential and removing minimizes response burden			1
	PS11spec. Specify other testing referral	Remove	This referral-related question is not essential and removing minimizes response burden			1
	PS12. What types of referrals for vaccinations did your program provide? Select all that apply.	Remove	This referral-related question is not essential and removing minimizes response burden			1
	PS12spec. Specify other vaccination referral	Remove	This referral-related question is not essential and removing minimizes response burden			1
	PS13. What types of referrals to treatment or medications did your program provide? Select all that apply.	Remove	This referral-related question is not essential and removing minimizes response burden			1
	PS13spec. Specify other treatment referral	Remove	This referral-related question is not essential and removing minimizes response burden			1
	PS14. What types of referrals to other medical services did your program provide? Select all that apply.	Remove	This referral-related question is not essential and removing minimizes response burden			1
	PS14spec. Specify other medical services referrals	Remove	This referral-related question is not essential and removing minimizes response burden			1
	Next, we would like to ask you a few questions about the services you provided in 2020.	Remove	This section was specific to 2020 and is no longer relevant				1
	MD1. Did your program provide any services at any time	Remove	This section was specific to 2020 and is no longer relevant			1
	The next set of questions is about the services your program provided from January 1, 2020, to December 31, 2020. To the extent possible, please refer to your records to answer these questions. If your program only operated during some of this time period, please provide information reflective of the time period(s) during which your program did operate.	Remove	This section was specific to 2020 and is no longer relevant				1
	MD2. How many unique clients did your program directly serve (not counting secondary exchange) between the best estimate to your knowledge. If you do not know or prefer not to answer, you may leave the response blank..	Remove	This section was specific to 2020 and is no longer relevant			1
	MD3. Between January 1, 2020, and December 31, 2020, how many total sterile syringes did your program if records are not readily available. If you do not know or prefer not to answer, you may leave the response blank.	Remove	This section was specific to 2020 and is no longer relevant			1
	MD4. Between January 1, 2020, and December 31, 2020, did your program provide syringes to clients based on the clients' needs, without any restrictions?	Remove	This section was specific to 2020 and is no longer relevant			1
	MD5. Did your program distribute naloxone kits between January 1, 2020, and December 31, 2020?	Remove	This section was specific to 2020 and is no longer relevant			1
	MD6. What was your total program budget between January 1, 2020, and December 31, 2020? If your program is part of a larger, multi-service organization, please only of provide the budget for your part of the program. Please provide the best estimate to your knowledge.	Remove	This section was specific to 2020 and is no longer relevant			1
	MD7. Which of the following testing services were provided onsite, either by the program itself or by partners, at the location(s) where your program operated between January 1, 2020, and December 31, 2020? Select all that apply.	Remove	This section was specific to 2020 and is no longer relevant			1
	MD8. Which of the following medications for opioid use disorder (MOUD) were provided onsite, either by the program itself or by partners, at the location(s) where your program operated between January 1, 2020, and December 31, 2020? Select all that apply.	Remove	This section was specific to 2020 and is no longer relevant			1
	MD9. Which of the following other medical services were provided onsite, either by the program itself or by partners, at the location(s) where your program operated between January 1, 2020, and December 31, 2020? Select all that apply.	Remove	This section was specific to 2020 and is no longer relevant			1
	MD10. Did your program provide referrals for buprenorphine (including Suboxone or Subutex) between January 1, 2020, and December 31, 2020?	Remove	This section was specific to 2020 and is no longer relevant			1
	MD11. Between January 1, 2020, and December 31, 2020, what types of referrals to other medical services did your program provide? Select all that apply.	Remove	This section was specific to 2020 and is no longer relevant			1
	MD12. How was your program impacted by the COVID-19 pandemic in 2020? Select all that apply.	Remove	This section was specific to 2020 and is no longer relevant			1
	MD12spec. Specify other ways your program was impacted by COVID-19.	Remove	This section was specific to 2020 and is no longer relevant			1
	PE1. The length of the survey was...	Remove	This process evaluation question is not essential and removing minimizes response burden			1
	PE2. If you were taking the survey again, what format would you prefer? Select only one.	Remove	This process evaluation question is not essential and removing minimizes response burden			1
	PE4. How would you like to see this information used? Select all that apply.	Remove	This process evaluation question is not essential and removing minimizes response burden			1
	PE4spec. Specify other use for this information	Remove	This process evaluation question is not essential and removing minimizes response burden			1
SUM					0	45	10