OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Formative Research on Community-Level Factors that Promote the Primary Prevention of Adverse Childhood Experiences (ACEs) and Opioid Misuse Among Children, Youth, and Families in Tribal American India

OMB 0920-1351 · HHS/CDC.

OMB 0920-1351

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-20PJ Interview Discussion GuideForm and Instruction
Form 0920-20PJ Community Leaders or Service ProvidersForm and Instruction
Form 0920-20PJ Focus Group Discussion GuideForm and Instruction
Form 0920-20PJ Parents, Caregivers, and Young AdultsForm and Instruction
Form 0920-20PJ Interview - Focus Group Discussion Guide TE/TL/THForm and Instruction
Form 0920-20PJ Tribal Elders/Tribal Leaders/Traditional HealersForm and Instruction
Form 0920-1351 Demographic SurveyForm and Instruction
Form 0920-1351 Demographic SurveyForm and Instruction
Form 0920-20PJ Informed ConsentForm and Instruction
Form 0920-20PJ Informed ConsentForm and Instruction
Form 0920-20PJ Telephone ScreeningForm and Instruction
Form 0920-20PJ Telephone ScreeningForm and Instruction
BIRCH Changes to Attachment I Demographic Survey 5-12-2022.docx Supplementary Document
BIRCH Crosswalk Template Non Substantive OMB Changes 5-12-2022.xlsx Supplementary Document
BIRCH Change Request Memo OMB 0920-1351 5-12-2022.docx Justification for No Material/Nonsubstantive Change
Attachment O_Study Flyer.docx Supplementary Document
Attachment N_IRB Letter.pdf Supplementary Document
Attachment M_ PIA.pdf Supplementary Document
Attachment H List of local and national resources for participants.docx Supplementary Document
Attachment B_ Federal Register Notice.pdf Supplementary Document
Attachment A_ Authorizing Legislation.docx Supplementary Document
SSB Formative Research Tribal Communities_final.docxSupporting Statement B
SSA Formative Research Tribal Communities_final.docxSupporting Statement A
Community Leaders or Service Providers Form and Instruction
Community Leaders or Service Providers Form and Instruction
Parents, Caregivers, and Young Adults Form and Instruction
Parents, Caregivers, and Young Adults Form and Instruction
Tribal Elders/Tribal Leaders/Traditional Healers Form and Instruction
Tribal Elders/Tribal Leaders/Traditional Healers Form and Instruction
Demographic Survey Form and Instruction
Demographic Survey Form and Instruction
Informed Consent Form and Instruction
Informed Consent Form and Instruction
Reminder Email/Letter Other-Letter
Confirmatin Email/Letter Other-Letter
Telephone Screening Form and Instruction
Telephone Screening Form and Instruction
Informational Letter Other-Letter

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202205-0920-011 No material or nonsubstantive change to a currently approved collection 2022-05-26 Approved without change
202105-0920-002 New collection (Request for a new OMB Control Number) 2021-05-14 Approved without change