OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Develop and Implement UCARE4LIFE Message Library

OMB 0915-0371 ยท HHS/HSA.

OMB 0915-0371

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 1 Clinic Staff Pilot Study Qualitative Interviews - Provider Qualitative Interview GuideForm and Instruction
Form 1 Patient Pilot Study Qualitative Interviews - In Depth Interview Guide for Intervention CasesForm and Instruction
Form 1 Patient Pilot Study Surveys - Web based surveysForm and Instruction
Form 1 Patient Pilot Study Screener - Intervention ScreenerForm and Instruction
Form 1 Patient Focus Group Interview - Small Group Discussion Interview GuideForm and Instruction
Form 1 Patient Focus Group Screener - Small Group Discussion ScreenerForm and Instruction
supporting statement B.docxSupporting Statement B
AppendixP_QuantitativeDataShells.docx Supplementary Document
AppendixJ_3_IRBApprovalProvider.pdf Supplementary Document
AppendixJ_2_IRBApprovalIntervention.pdf Supplementary Document
AppendixJ_1_IRBApprovalNoticeSmallGroup.pdf Supplementary Document
AppendixN_PocketCard.docx Supplementary Document
5 AppendixM_HIPAAAuthorization.doc Supplementary Document
5 AppendixL_2_ControlConsent.doc Supplementary Document
5 AppendixL_1_CaseConsent.doc Supplementary Document
3 AppendixD_SurveyRecruitmentFlyer.pub Supplementary Document
AppendixK_2 Adult consent form for small group.docx Supplementary Document
AppendixK_1 Adolescent assent form for small group.docx Supplementary Document
2 AppendixR_SmallGroupDiscussionReminderEmail.docx Supplementary Document
2 AppendixS_SampleTextMessageInventory.docx Supplementary Document
1 AppendixQ_SmallGroupDiscussionElectronicAd.docx Supplementary Document
AppendixA_SmallGroupDiscussionRecruitmentFlyer.pub Supplementary Document
supporting statement A.docxSupporting Statement A
Clinic Staff Pilot Study Qualitative Interviews - Provider Qualitative Interview Guide Form and Instruction
Patient Pilot Study Qualitative Interviews - In Depth Interview Guide for Intervention Cases Form and Instruction
Patient Pilot Study Surveys - Web based surveys Form and Instruction
Patient Pilot Study Screener - Intervention Screener Form and Instruction
Patient Focus Group Interview - Small Group Discussion Interview Guide Form and Instruction
Patient Focus Group Screener - Small Group Discussion Screener Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201309-0915-001 New collection (Request for a new OMB Control Number) 2013-09-12 Approved without change