Traumatic Brain Injury Disparities in Rural Areas (TBIDRA)

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 can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
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All Historical Document Collections

201810-0920-010

Approved with change

New collection (Request for a new OMB Control Number)

2018-11-28

OMB Details

Focus Group Screener

Federal Enterprise Architecture: Health - Illness Prevention

Form 0920-18AFX

Focus Group Screener

Form and instruction

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