OMB control number

Traumatic Brain Injury Disparities in Rural Areas (TBIDRA)

OMB 0920-1256 · HHS/CDC.

OMB 0920-1256

The study, “Traumatic Brain Injury Disparities in Rural Areas (TBIDRA)” will help CDC to better understand the challenges that rural healthcare providers face in diagnosing, treating, and managing mild TBIs - the most common type of TBI - and identify areas for future research that will allow us to better understand these challenges and potential ways to address them.

The latest form for Traumatic Brain Injury Disparities in Rural Areas (TBIDRA) expires 2021-04-30 and is listed under ICR 201810-0920-010.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 0920-18AFX Focus Group Questionnaire	Form and Instruction
Form 0920-18AFX Focus Group Discussion Guide	Form and Instruction
Form 0920-18AFX Focus Group Consent	Form and Instruction
Form 0920-18AFX Focus Group Screener	Form and Instruction
Attachment 04_Focus Group Invitation Email.docx	Supplementary Document
Attachment 01_ PHSA Authorizing Legislation.doc	Supplementary Document
Attachment 10_IRB Exemption.docx.pdf	Supplementary Document
Attachment 09_ PIA_ TBIDRA-PIA-08-14-2018-Signed.pdf	Supplementary Document
Attachment 13_Web Survey Question Categorization.docx	Supplementary Document
Attachment 11_Web survey reminder email.docx	Supplementary Document
Attachment 10_Web Survey Invitation Email.docx	Supplementary Document
Attachment 9_Focus Group Question Categorization.docx	Supplementary Document
Attachment 06_Focus Group Consent Form.docx	Supplementary Document
Attachment 02_FRN_TBI Rural Areas.pdf	Supplementary Document
SSB_18AFX_TBIDRA_Passback - CLEAN.docx	Supporting Statement B
SSA_18AFX_TBIDRA_Passback - FINAL CLEAN.docx	Supporting Statement A
Focus Group Questionnaire	Form and Instruction
Focus Group Discussion Guide	Form and Instruction
Focus Group Consent	Form and Instruction
Focus Group Screener	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
201810-0920-010	New collection (Request for a new OMB Control Number)	2018-11-28		Approved with change

OMB Details

Focus Group Screener

Federal Enterprise Architecture: Health - Illness Prevention

Information collection instruments
Form	Name	Electronic access	Type
Form 0920-18AFX	Focus Group Screener	NA	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.