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 ยท HHS/CDC.

OMB 0920-1351

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-20PJ Community Leaders or Service ProvidersForm and Instruction
Form 0920-20PJ Parents, Caregivers, and Young AdultsForm and Instruction
Form 0920-20PJ Tribal Elders/Tribal Leaders/Traditional HealersForm and Instruction
Form 0920-1351 Demographic SurveyForm and Instruction
Form 0920-20PJ Informed ConsentForm 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
Parents, Caregivers, and Young Adults Form and Instruction
Tribal Elders/Tribal Leaders/Traditional Healers Form and Instruction
Demographic Survey Form and Instruction
Informed Consent Form and Instruction
Reminder Email/Letter Other-Letter
Confirmatin Email/Letter Other-Letter
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All Historical Document Collections

Historical document collections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