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AVERT Data Submission Form
[NCIPC] Advancing Violence Epidemiology in Real-Time (AVERT)
OMB: 0920-1414
IC ID: 261205
OMB.report
HHS/CDC
OMB 0920-1414
ICR 202312-0920-001
IC 261205
( )
Documents and Forms
Document Name
Document Type
AVERT Data Submission Form
Form
ED Violence Data Form
Attachment E_Proposed Change_ED Violence data form_Clean_OMB_final.xlsx
Form
Attachment D - Syndrome Definitions.docx
Syndrome Definitions
IC Document
Attachment E - AVERT_ED Violence Data Form_old orig vers edited.xlsx
ED Violence Data Form - original
IC Document
Information Collection (IC) Details
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