OMB control number

Community-based Organization Outcome Monitoring Projects for CBO HIV Prevention Services Clients

OMB 0920-1172 · HHS/CDC.

OMB 0920-1172

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Focus Group Questionnaire Category 2	Form
Focus Group Eligibility Screener Category 2	Form
Follow-up Interviews Category 2	Form
Baseline Interview Category 2	Form
Interview Eligibility Screener Category 2	Form
Focus Group Questionnaire Category 1	Form
Focus Group Eligibility Screener Category 1	Form and Instruction
Follow-up Interviews Category 1	Form
Baseline Interview Category 1	Form
Interview Eligibility Screener Category 1	Form
Att4f Staff Int Consent Cat 2.docx	Supplementary Document
Att4e Staff Int Consent Cat 1.docx	Supplementary Document
Att4d FG Consent Cat2.docx	Supplementary Document
Att4c FG Consent Cat 1.docx	Supplementary Document
Att4b PI Consent Cat 2.docx	Supplementary Document
Att4a PI Consent Cat1.docx	Supplementary Document
Att 2 60 Day FRN.pdf	Supplementary Document
Att 1 Legislative Authority.pdf	Supplementary Document
SSB.docx	Supporting Statement B
SSA.docx	Supporting Statement A
Staff Interview Category 2	Other-Interview Guide
Focus Group Guide Category 2	Other-Focus Group Guide
Focus Group Questionnaire Category 2	Form
Focus Group Eligibility Screener Category 2	Form
Follow-up Interviews Category 2	Form
Baseline Interview Category 2	Form
CBO-HPS Referrals Category 2	Instruction
Medical Record Abstraction Category 2	Instruction
Interview Eligibility Screener Category 2	Form
Data Submission Categories 1 and 2	Instruction
Staff Interview Category 1	Other-Interview Guide
Focus Group Guide Category 1	Other-Focus Group Guide
Focus Group Questionnaire Category 1	Form
Focus Group Eligibility Screener Category 1	Form and Instruction
Follow-up Interviews Category 1	Form
Baseline Interview Category 1	Form
CBO-HPS Referrals Category 1	Instruction
Medical Record Abstraction Category 1	Instruction
Interview Eligibility Screener Category 1	Form

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
201608-0920-016	New collection (Request for a new OMB Control Number)	2016-08-31		Approved with change