OMB control number

Assessment of a Training Program to Improve Continuity of Care for Children and Families Affected by Fetal Alcohol Spectrum Disorders (FASD)

OMB 0920-1347 · HHS/CDC.

OMB 0920-1347

Latest Forms, Documents, and Supporting Material

Document Name
Resident Overall Program Assessment Form and Instruction
Resident Overall Effects & Prevalence Video Post-test Form and Instruction
Resident Overall Effects & Prevalence Video Pretest Form and Instruction
Attending Physicians Application Form and Instruction
Attending Physicians Debriefing Form and Instruction
Attending Physicians Overall Program Assessment Form and Instruction
Attending Physicians Training Program Assessment Form and Instruction
Attending Physicians Educational Care (post-test) Form and Instruction
Attending Physicians Educational Care (pre-test) Form and Instruction
Attending Physicians Overcoming Social Attitudes (post-test) Form and Instruction
Attending Physicians Overcoming Social Attitudes (pre-test) Form and Instruction
Attending Physicians Treatment Across the Lifespan (post-test) Form and Instruction
Attending Physicians Treatment Across the Lifespan (pre-test) Form and Instruction
Attending Physicians Screening & Diagnosis (post-test) Form and Instruction
Attending Physicians Screening and Diagnosis (pre-test) Form and Instruction
SSA_AAP FASD Resident Training_07152021.docx Supporting Statement A
A15b_recruiting materials.docx Supplementary Document
A16_60 day FRN_published 03082021.pdf Supplementary Document
A17 Section 301 of the Public Health Service Act_0920-1129.docx Supplementary Document
SSB_AAP FASD Resident Training_07142021.docx Supporting Statement B
Resident Overall Program Assessment Form and Instruction
Resident Overall Effects & Prevalence Video Post-test Form and Instruction
Resident Overall Effects & Prevalence Video Pretest Form and Instruction
Attending Physicians Application Form and Instruction
Attending Physicians Debriefing Form and Instruction
Attending Physicians Overall Program Assessment Form and Instruction
Attending Physicians Training Program Assessment Form and Instruction
Attending Physicians Educational Care (post-test) Form and Instruction
Attending Physicians Educational Care (pre-test) Form and Instruction
Attending Physicians Overcoming Social Attitudes (post-test) Form and Instruction
Attending Physicians Overcoming Social Attitudes (pre-test) Form and Instruction
Attending Physicians Treatment Across the Lifespan (post-test) Form and Instruction
Attending Physicians Treatment Across the Lifespan (pre-test) Form and Instruction
Attending Physicians Screening & Diagnosis (post-test) Form and Instruction
Attending Physicians Screening and Diagnosis (pre-test) Form and Instruction

All Historical Document Collections

202107-0920-006

Approved without change

New collection (Request for a new OMB Control Number)

2021-07-19