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Aim 2a Cohort Screener (English/Spanish)
[NCHHSTP] _Expanding PrEP in Communities of Color (EPICC) (24BY)
OMB: 0920-1423
IC ID: 263120
OMB.report
HHS/CDC
OMB 0920-1423
ICR 202401-0920-004
IC 263120
( )
Documents and Forms
Document Name
Document Type
Form MOD00003217
Aim 2a Cohort Screener (English/Spanish)
Form and Instruction
MOD00003217 Aim 2a Cohort Screener English
Att 4f_Aim2aCohortScreenerEnglish CLEAN.docx
Form and Instruction
V2023-1102 Elegibilidad de cohorte (Aim2aCohortScreener_Spanish)
Att 4f.a_Aim2aCohortScreenerSpanish CLEAN.docx
Form and Instruction
Att 4f.1_Aim2aCohortScreenerEnglish (TC).docx
Att 4f.1_Aim 2a Cohort Screener English
IC Document
Information Collection (IC) Details
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