OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Targeted Surveillance and Biometric Studies for Enhanced Evaluation of CTGs

OMB 0920-0977 · HHS/CDC.

OMB 0920-0977

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Adult Targeted Surveillance Survey telephone screener- SpanishForm
Adult Targeted Surveillance Survey - telephone screenerForm
Youth Survey - SpanishForm
Youth SurveyForm
Spanish Survey Recruitment Screener for YouthForm
Survey Recruitment Screener for YouthForm
Youth Activity Diary - SpanishForm
Youth Activity DiaryForm
Youth Biometric Measures - SpanishForm
Youth Biometric MeasuresForm
Youth Activity Diary - SpanishForm
Youth Activity DiaryForm
Caregiver Survey - SpanishForm
Caregiver SurveyForm
Spanish Caregiver ScreenerForm
Caregiver ScreenerForm
Adult Activity Diary - SpanishForm
Adult Activity DiaryForm
Adult Biometric Measures - SpanishForm
Adult Biometric MeasuresForm
Adult Targeted Surveillance Survey - phone interview SpanishForm
Adult Targeted Surveillance Survey - phone interviewForm
Spanish Biometric Screener in-personForm
Biometric Screener in-personForm
Adult Biometric Measures Recruitment Screener - SpanishForm
Adult Biometric Measures Recruitment ScreenerForm
Adult Biometric Measures Recruitment Screener-SpanishForm
Adult Biometric Measures Recruitment ScreenerForm
Survey Booklet - SpanishForm
Survey BookletForm
0920-12IG_Cover Memo_June 2013 Revision_Final.doc Supplementary Document
0920-12IG Part B_08062013.docxSupporting Statement B
Att 12C_AdultBioMeasures_ItemSources.pdf Supplementary Document
Att 13D-S_AccelReminder_SP.docx Supplementary Document
Att 13D_Accelerometry Reminder.docx Supplementary Document
Att 11F-S_Enhanced_Script_Adults_SP.docx Supplementary Document
Att 11F_Enhanced_Script_Adults.docx Supplementary Document
Att 11E-S_Enhanced_Script_Caregivers(3-11)_SP.docx Supplementary Document
Att 11E_Enhanced_Script_Caregivers(3-11).docx Supplementary Document
Att 11D-S_Enhanced_Script_Youth(12-17)_SP.docx Supplementary Document
Att 11D_Enhanced_Script_Youth(12-17).docx Supplementary Document
Att 11C-S_Enhanced_Script_Parents(12-17)_SP.docx Supplementary Document
Att 11C_Enhanced_Script_Parents(12-17).docx Supplementary Document
Att 11B_ATSS_ReminderPostcard.doc Supplementary Document
Att 11A4-S_Letter_SecondMailing_Paper_SP.docx Supplementary Document
Att 11A4_Letter_SecondMailing_Paper.docx Supplementary Document
Att 11A3-S_Letter_Paper_AfterPhoneAttempt_SP.docx Supplementary Document
Att 11A3_Letter_Paper_AfterPhoneAttempt.docx Supplementary Document
Att 11A-S_LeadLetter_Standard_Phone_SP.docx Supplementary Document
Att 11A2-S_Letter_FirstMailing_Paper_SP.docx Supplementary Document
Att 11A1-S_LeadLetter_Enhanced_SP.docx Supplementary Document
Att 11A1_LeadLetter_Enhanced.docx Supplementary Document
Att 11A2_Letter_FirstMailing_Paper.docx Supplementary Document
Att 11A_LeadLetter_Standard_Phone.docx Supplementary Document
Att 8B-S_Letter_ATSS_Gift_SP.docx Supplementary Document
Att 8B_Letter_ATSS_Gift.docx Supplementary Document
Att 8A-S_ATSS_GiftForm_SP.docx Supplementary Document
Att 8A_ATSS_GiftForm.docx Supplementary Document
Att 6E-S_Enhanced_ParentalPermission_SP.docx Supplementary Document
Att 6E_Enhanced_ParentalPermission.docx Supplementary Document
Att 6D-S_Enhanced_Consent_SP.docx Supplementary Document
Att 6D_Enhanced_Consent.docx Supplementary Document
Att 6C-S_Enhanced_YouthAssent_SP.docx Supplementary Document
Att 6C_Enhanced_YouthAssent.docx Supplementary Document
Att 6B-S_Standard_Consent(Phone)_SP.docx Supplementary Document
Att 6B_Standard_Consent(Phone).docx Supplementary Document
Att 6A-S_Standard_Consent(Paper)_SP.docx Supplementary Document
Att 6A_Standard_Consent(Paper).docx Supplementary Document
Att 5_DataSources.doc Supplementary Document
Att 4C_ListofCTGAwardees.docx Supplementary Document
Att 4B_CTGEvaluationPlan.doc Supplementary Document
Att 4A_StrategicDirections.docx Supplementary Document
Att 3B_IRBApproval_Enhanced.pdf Supplementary Document
Att 3A_IRBApproval_Standard.pdf Supplementary Document
Att 2_60-dayFRN.pdf Supplementary Document
Att 1B_ACASection4201.doc Supplementary Document
Att 1A_PHSA.pdf Supplementary Document
Att 13A-S_AccelInstructions_SP.docx Supplementary Document
Att 13A_AccelInstructions.docx Supplementary Document
Att 13A-S_AccelInstructions_SP.docx Supplementary Document
Att 13A_AccelInstructions.docx Supplementary Document
Att 13A-S_AccelInstructions_SP.docx Supplementary Document
Att 13A_AccelInstructions.docx Supplementary Document
Att 10B-S_EnhancedInvitation_forATSS_Paper_SP.docx Supplementary Document
Att 10B_EnhancedInvitation_forATSS_Paper.docx Supplementary Document
Att 7B-S_ATSS_FAQGuide_SP.doc Supplementary Document
Att 7B_ATSS_FAQGuide.doc Supplementary Document
0920-12IG Part A_08062013.docxSupporting Statement A
Adult Targeted Surveillance Survey - screener Form
Adult Targeted Surveillance Survey - screener Form
Youth Survey Form
Youth Survey Form
Youth Survey Recruitment Screener for Youth Form
Youth Survey Recruitment Screener for Youth Form
Youth Activity Diary - completed by youth Form
Youth Activity Diary - completed by youth Form
Youth Biometric Measures Form
Youth Biometric Measures Form
Youth Activity Diary - completed by caregiver Form
Youth Activity Diary - completed by caregiver Form
Caregiver Survey Form
Caregiver Survey Form
Caregiver Survey Recruitment Screener Form
Caregiver Survey Recruitment Screener Form
Adult Activity Diary Form
Adult Activity Diary Form
Adult Biometric Measures Form
Adult Biometric Measures Form
Adult Targeted Surveillance Survey - Telephone Interview Form
Adult Targeted Surveillance Survey - Telephone Interview Form
Adult Biometric Measures Recruitment Screener (In-person) Form
Adult Biometric Measures Recruitment Screener (In-person) Form
Adult Biometric Measures - screener Form
Adult Biometric Measures - screener Form
Adult Biometric Measures - screener Form
Adult Biometric Measures - screener Form
Adult Targeted Surveillance Survey - paper Form
Adult Targeted Surveillance Survey - paper Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201305-0920-002 New collection (Request for a new OMB Control Number) 2013-05-07 Approved with change
201208-0920-003 New collection (Request for a new OMB Control Number) 2012-08-07 Withdrawn