OMB control number

DCH Awardee Training Needs Assessment

OMB 0920-1076 · HHS/CDC.

OMB 0920-1076

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
State/Local/Tribal Media Communication Lead	Form
State/Local/Tribal Evaluation Lead	Form
State/Local/Tribal Principal Investigators and Program Managers	Form
Private Sector Coalition Member	Form
Private Sector Media/Communication Lead	Form
Private Sector Evaluation Lead	Form
Private Sector Principal Investigators and Program Managers	Form
SS A_rev6-26-15 clean.doc	Supporting Statement A
Attachment H_Thank You Email.docx	Supplementary Document
Attachment G_Final Reminder Email_3 27 2015_ICF.docx	Supplementary Document
Attachment F_Reminder Email_3 27 2015_ICF.docx	Supplementary Document
Attachment E_Initial Outreach Email_ 3 27 2015_ICF.docx	Supplementary Document
Attachment J_Telephone Interview Guide_rev7-01-15 clean.docx	Supplementary Document
SS B_rev6-26-15 clean.doc	Supporting Statement B
Attachment K_Respondent Matrix_rev6-26-15 clean.docx	Supplementary Document
Attachment D_ICF International IRB Approval Memorandum.pdf	Supplementary Document
Attachment C2_Summary of Public Comments.doc	Supplementary Document
Attachment C1_60-day FRN 11 07 2014.pdf	Supplementary Document
Attachment B_List of DCH PICH and REACH Awardees_3 27 2015_ICF.docx	Supplementary Document
Attachment A2_ACA PPHF.pdf	Supplementary Document
Attachment A1_Section 301 of the Public Health Service Act.pdf	Supplementary Document
State/Local/Tribal Media Communication Lead	Form
State/Local/Tribal Evaluation Lead	Form
State/Local/Tribal Principal Investigators and Program Managers	Form
Private Sector Coalition Member	Form
Private Sector Media/Communication Lead	Form
Private Sector Evaluation Lead	Form
Private Sector Principal Investigators and Program Managers	Form

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
201504-0920-003	New collection (Request for a new OMB Control Number)	2015-05-05		Approved with change