OMB control number

Fetal Alcohol Spectrum Disorders Regional Training Centers

OMB 0920-0954 · HHS/CDC.

OMB 0920-0954

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Southeast Follow-up	Form
Southeast Post-test	Form
Southeast Pre-test	Form
Midwest Utilization of Curriculum Pre-test and Follow-up	Form
Midwest Modified Index Collaboration Pre-test and Follow-up	Form
Midwest Continuing Education Follow-up	Form
Midwest Continuing Education Post-test	Form
Midwest Continuing Education Pre-test	Form
Midwest Event Evaluation	Form
Midwest Academic Knowledge Post-test and Follow-up	Form
Midwest Academic Knowledge Pre-test	Form
Great Lakes Trainers Activity Reporting	Form
Great Lakes Trainers Harvard Minute Feedback	Form
Great Lakes Advisory Committee Key Informant Interview	Form
Great Lakes Regional State Partners Key Informant Interview	Form
Great Lakes Trainers Key Informant Interview	Form
Great Lakes Physicians Clinical Experience B	Form
Great Lakes Physicians Clinical Experience A	Form
Great Lakes Healthcare Providers Comprehensive Follow-up	Form
Great Lakes Healthcare Providers Comprehensive Post-test	Form
Great Lakes Healthcare Providers Comprehensive Pre-test	Form
Great Lakes Healthcare Providers ID and Treatment Follow-up	Form
Great Lakes Healthcare Providers ID and Treatment Post-test	Form
Great Lakes Healthcare Providers ID and Treatment Pre-test	Form
Great Lakes Health Care Providers SBI Follow-up	Form
Great Lakes Health Care Providers SBI Post-test	Form
Great Lakes Health Care Providers SBI Pre-test	Form
Great Lakes Medical and Allied Health Care Providers Follow-up	Form
Great Lakes Medical and Allied Health Care Providers Post-test	Form
Great Lakes Medical and Allied Health Care Providers Pre-test	Form
Frontier Practitioner Online Follow-up	Form
Frontier Practitioner Online Post-test	Form
Frontier Practitioner Online Pre-test	Form
Frontier Academic Faculty and Students Online Follow-up	Form
Frontier Academic Faculty and Students Online Post-test	Form
Frontier Academic Faculty and Students Online Pre-test	Form
Frontier Training of Trainers Follow-up	Form
Frontier Training of Trainers Post-test	Form
Frontier Training of Trainers Pre-test	Form
Frontier Allied Health Practioner Follow-up	Form
Frontier Allied Health Practioner Post-test	Form
Frontier Allied Health Practioner Pre-test	Form
Frontier Social Work Follow-up	Form
Frontier Social Work Post-test	Form
Frontier Social Work Pre-test	Form
Frontier Nursing Follow-up	Form
Frontier Nursing Post-test	Form
Frontier Nursing Pre-test	Form
Arctic Classroom and Special Event Post-test	Form
Arctic Online III Pre- and Post-test	Form
Arctic Online II Pre- and Post-test	Form
Arctic Online I Pre- and Post-test	Form
Arctic Train the Trainer Follow-up	Form
Arctic Train the Trainer Post-test	Form
Arctic Train the Trainer Pre-test	Form
Arctic Intro to FASD Follow-up	Form
Arctic Intro to FASD Post-test	Form
Arctic Intro to FASD Pre-test	Form
Arctic FASD 201 Follow-up	Form
Arctic FASD 201 Post-test	Form
Arctic FASD 201 Pre-test	Form
Arctic Foundations Follow-up	Form
Arctic Foundations Post-test	Form
Arctic Foundations Pre-test	Form
OMB Part B document RJP edits (0828)_revised 1-17-2013.docx	Supporting Statement B
60DAY_FASD_RTC.pdf	Supplementary Document
Attachment A Legal authority.docx	Supplementary Document
F8_Midwest FASD Regional Training Center Utilization of FAS-FASD Curr, Pre-evaluation.doc	Supplementary Document
F7_Midwest FASD Regional Training Center Modified Index of Interdisciplinary Collab, Pre-Test.docx	Supplementary Document
F2_Midwest FASD Regional Training Center Knowledge Post-Test.doc	Supplementary Document
E11_Great Lakes FASD RegionalTraining Center FASD Comprehensive_1.docx	Supplementary Document
E11_Great Lakes FASD RegionalTraining Center FASD Comprehensive_1.docx	Supplementary Document
E10_Great Lakes FASD RegionalTraining Center FASD Comprehensive.docx	Supplementary Document
E9_Great Lakes FASD RegionalTraining Center Identification and.docx	Supplementary Document
E8_Great Lakes FASD RegionalTraining Center Identification and.docx	Supplementary Document
E7_Great Lakes FASD RegionalTraining Center Identification and.docx	Supplementary Document
E6_Great Lakes FASD RegionalTraining Center Screening and Brief.docx	Supplementary Document
E5_Great Lakes FASD RegionalTraining Center Screening and Brief.docx	Supplementary Document
E4_Great Lakes FASD RegionalTraining Center Screening and Brief.docx	Supplementary Document
E3_Great Lakes FASD RTC Foundations of FASD 6moFU.docx	Supplementary Document
E2_Great Lakes FASD RTC Foundations of FASD_post.docx	Supplementary Document
E1_Great Lakes FASD RTC Foundations of FASD Pre.docx	Supplementary Document
Section A Justification FASD Regional Training Centers Evaluation (08282012)_revised 1-17-2013.docx	Supporting Statement A
Southeast Follow-up	Form
Southeast Post-test	Form
Southeast Pre-test	Form
Midwest Utilization of Curriculum Pre-test and Follow-up	Form
Midwest Modified Index Collaboration Pre-test and Follow-up	Form
Midwest Continuing Education Follow-up	Form
Midwest Continuing Education Post-test	Form
Midwest Continuing Education Pre-test	Form
Midwest Event Evaluation	Form
Midwest Academic Knowledge Post-test and Follow-up	Form
Midwest Academic Knowledge Pre-test	Form
Great Lakes Trainers Activity Reporting	Form
Great Lakes Trainers Harvard Minute Feedback	Form
Great Lakes Advisory Committee Key Informant Interview	Form
Great Lakes Regional State Partners Key Informant Interview	Form
Great Lakes Trainers Key Informant Interview	Form
Great Lakes Physicians Clinical Experience B	Form
Great Lakes Physicians Clinical Experience A	Form
Great Lakes Healthcare Providers Comprehensive Follow-up	Form
Great Lakes Healthcare Providers Comprehensive Post-test	Form
Great Lakes Healthcare Providers Comprehensive Pre-test	Form
Great Lakes Healthcare Providers ID and Treatment Follow-up	Form
Great Lakes Healthcare Providers ID and Treatment Post-test	Form
Great Lakes Healthcare Providers ID and Treatment Pre-test	Form
Great Lakes Health Care Providers SBI Follow-up	Form
Great Lakes Health Care Providers SBI Post-test	Form
Great Lakes Health Care Providers SBI Pre-test	Form
Great Lakes Medical and Allied Health Care Providers Follow-up	Form
Great Lakes Medical and Allied Health Care Providers Post-test	Form
Great Lakes Medical and Allied Health Care Providers Pre-test	Form
Frontier Practitioner Online Follow-up	Form
Frontier Practitioner Online Post-test	Form
Frontier Practitioner Online Pre-test	Form
Frontier Academic Faculty and Students Online Follow-up	Form
Frontier Academic Faculty and Students Online Post-test	Form
Frontier Academic Faculty and Students Online Pre-test	Form
Frontier Training of Trainers Follow-up	Form
Frontier Training of Trainers Post-test	Form
Frontier Training of Trainers Pre-test	Form
Frontier Allied Health Practioner Follow-up	Form
Frontier Allied Health Practioner Post-test	Form
Frontier Allied Health Practioner Pre-test	Form
Frontier Social Work Follow-up	Form
Frontier Social Work Post-test	Form
Frontier Social Work Pre-test	Form
Frontier Nursing Follow-up	Form
Frontier Nursing Post-test	Form
Frontier Nursing Pre-test	Form
Arctic Classroom and Special Event Post-test	Form
Arctic Online III Pre- and Post-test	Form
Arctic Online II Pre- and Post-test	Form
Arctic Online I Pre- and Post-test	Form
Arctic Train the Trainer Follow-up	Form
Arctic Train the Trainer Post-test	Form
Arctic Train the Trainer Pre-test	Form
Arctic Intro to FASD Follow-up	Form
Arctic Intro to FASD Post-test	Form
Arctic Intro to FASD Pre-test	Form
Arctic FASD 201 Follow-up	Form
Arctic FASD 201 Post-test	Form
Arctic FASD 201 Pre-test	Form
Arctic Foundations Follow-up	Form
Arctic Foundations Post-test	Form
Arctic Foundations Pre-test	Form

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
201209-0920-008	New collection (Request for a new OMB Control Number)	2012-09-26		Approved with change