[NCIPC] DELTA Achieving Health Equity through Addressing Disparities (AHEAD) COOPERATIVE AGREEMENT EVALUATION

ICR 202507-0920-009

OMB: 0920-1412

Federal Form Document

Forms and Documents

Document Name	Status
Form 0920-23AA Health Equity Capacity Assessment Form and Instruction	Removed
Form 0920-23AA Prevention Infrastructure Assessment Form and Instruction	Modified
Form 0920-23AA Key Informant Interview Evaluator Form and Instruction	Modified
Form 0920-23AA Key Informant Interview – Project Lead Form and Instruction	Modified
Form 0920-23AA Annual Performance Report Form and Instruction	Modified
Change Request Memo - 0920-1412.docx Justification for No Material/Nonsubstantive Change	2025-07-11
Att. 5b Prevention Infrastructure Assessment Screenshots Updated.pdf Supplementary Document	2023-06-12
Att. 3b DELTA AHEAD APR Screenshots.docx.pdf Supplementary Document	2023-06-12
Att. 1 - Authorizing Legislation - FVPSA 42 USC 10414.pdf Supplementary Document	2023-06-12
SSA - DELTA AHEAD clean 0920-1412.docx Supporting Statement A	2025-07-11
SSB - DELTA AHEAD clean 1412.docx Supporting Statement B	2025-07-11

IC Document Collections

IC ID	Document Title	Status
260627	Health Equity Capacity Assessment Form and Instruction	Removed
260626	Prevention Infrastructure Assessment Form and Instruction	Modified
260625	Key Informant Interview Evaluator Form and Instruction	Modified
260624	Key Informant Interview – Project Lead Form and Instruction	Modified
260623	Annual Performance Report Form and Instruction	Modified