OMB control number

Delta Impact Cooperative Agreement Evaluation data collection Instruments

OMB 0920-1324 · HHS/CDC.

OMB 0920-1324

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 0920- Instrument: Key Informant Interview – Lead Evaluator	Form and Instruction
Form 0920- Attachment 5: Instrument: Subrecipient Survey	Form and Instruction
Form 0920- SurveyMonkey	Form and Instruction
Form 0920- Instrument: Key Informant Interview – Lead Evaluator	Form and Instruction
Form 0920- Instrument: Key Informant Interview – Coalition Project Lead	Form and Instruction
DELTA Impact Att 9_Privacy Act Email.pdf	Supplementary Document
DELTA Impact Att. 8 Crosswalk of DELTA Impact Evaluation Questions and Data Collection.docx	Supplementary Document
Att 7_ Project Determination.pdf	Supplementary Document
Att2 _60 Day FRN.pdf	Supplementary Document
DELTA Impact Att 1 Authorizing Legislation FVPSA.pdf	Supplementary Document
SSB_DELTA Impact 2.12.20.docx	Supporting Statement B
SSA_DELTA Impact 063020.docx	Supporting Statement A
Att 6_ Instrument: PREVENTION INFRASTRUCTURE ASSESSMENT	Form and Instruction
Att 6_ Instrument: PREVENTION INFRASTRUCTURE ASSESSMENT	Form and Instruction
Att 5: Instrument: Subrecipient Survey	Form and Instruction
Att 5: Instrument: Subrecipient Survey	Form and Instruction
Att 5: Instrument: Subrecipient Survey	Form and Instruction
Att 4_Instrument: Key Informant Interview – Lead Evaluator	Form and Instruction
Att 4_Instrument: Key Informant Interview – Lead Evaluator	Form and Instruction
Att 3_Key Informant Interview--Project Lead	Other-WORD
Att 3_Key Informant Interview--Project Lead	Form and Instruction
Att 3_Key Informant Interview--Project Lead	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
202007-0920-007	New collection (Request for a new OMB Control Number)	2020-08-06		Approved with change