WISEWOMAN was able to accommodate three additional programs with the current levels of funding. The number of programs went from 21 to 24 with a corresponding minor increase in the burden table. There are no changes to the Minimum data elements or response options. modify the WISEWOMAN program’s reporting system, used to both screen and monitor participants, and to evaluate and improve program efficacy. The current WISEWOMAN information collection consists of two parts, a Progress Report and Minimum Data Elements. The only minor changes are adding an extra response to three data elements. This does not affect the burden.
The latest form for [NCCDPHP] Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) Reporting System expires 2022-08-31 and can be found here.
Document Name |
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Form and Instruction |
Form and Instruction |
Justification for No Material/Nonsubstantive Change |
Justification for No Material/Nonsubstantive Change |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement B |
Supporting Statement A |
Federal Enterprise Architecture: Health - Public Health Monitoring
Form 0920-0612 | WISEWOMAN Program MDE Manual Version 9.0 July 2013 | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.