OMB control number

Women’s Health Needs Study: The Health of US-Resident Women from Countries with Prevalent Female Genital Mutilation/Cutting (FGM/C)

OMB 0920-1264 · HHS/CDC.

OMB 0920-1264

This study will assess the health characteristic, experiences, and needs of women living in the United States who have experienced Female Genital Mutilation/Cutting (FGM/C) or are at risk for FGM/C because they or their mothers were born in a country where FGM/C is prevalent. Using a venue-based and respondent-driven sampling method for recruiting hard-to-reach populations, women who are eligible and consent will be asked to complete a one-time survey. This change request adds translations to Oromo and adapts procedures for COVID-19.

The latest form for Women’s Health Needs Study: The Health of US-Resident Women from Countries with Prevalent Female Genital Mutilation/Cutting (FGM/C) expires 2022-05-31 and is listed under ICR 202009-0920-017.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Att K WHNS Resource Website Screenshot_NEW.docx Supplementary Document
0920-1264_Change Packet 3_09082020.docx Justification for No Material/Nonsubstantive Change
0920-1264_Change Packet 2_052120.docx Justification for No Material/Nonsubstantive Change
0920-1264_Change Request reimbursement_01 22 2020.docx Justification for No Material/Nonsubstantive Change
SSA WHNS _5_15_2019.docxSupporting Statement A
Attachment J_Study Contact Information.docx Supplementary Document
Attachment I WHNS Study Invite Card.docx Supplementary Document
Att E CDC IRB approval WHNS.doc Supplementary Document
Att D_PIA WHNS (09-28-18).pdf Supplementary Document
Att C1_60 Day FRN.pdf Supplementary Document
Att B Advisory Panel Experts Consulted_11-13-2017.docx Supplementary Document
Att A Authorizing Legislation - WHNS_PHS Act (42 USC 241).pdf Supplementary Document
SS B_WHNS_5_15_2019.docxSupporting Statement B
Women's Health Needs STUDY_QUESTIONNAIRE Other-WORD: Oromo Translation
Women's Health Needs STUDY_SCREENER Other-WORD Somali translations

All Historical Document Collections

OMB Details

Women's Health Needs STUDY_SCREENER

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form noneEligibility ScreenerPaper OnlyForm and instruction
Form noneConsent -EnglishPaper OnlyForm

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