Program Evaluation of CDC’s Core State Injury Prevention Program

OMB 0920-1365

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-21GB Special Emphasis Reports Form and Instruction
Form 0920-21GB Hospital Discharge Injury Indicators Form and Instruction
Form 0920-21GB Emergency Department Injury Indicators Form and Instruction
Form 0920-21GB Injury Indicators Form and Instruction
Form 0920-21GB Recipient-level Group Interviews Form and Instruction
Form 0920-21GB Economic Indicators Form and Instruction
Form 0920-21GB Implementation Capacity Rubric Form and Instruction
Attachment L_Partnes Portal Screen Shoots.pptx Supplementary Document
Attachment D_Privacy Act Applicability CORE SIPP.pdf Supplementary Document
Attachment C_Research STARSDetermination10.25.21.pdf Supplementary Document
Attachment B_60 Dy FRN CoreSIPP_Evaluation.pdf Supplementary Document
Attachment A_Authorizing_Legislation.docx Supplementary Document
ICR - SSB_CoreSIPP_ProgramEval_2021_final.docx Supporting Statement B
ICR - SSA_CoreSIPP_ProgramEval_final.docx Supporting Statement A
Special Emphasis Reports Form and Instruction
Hospital Discharge Injury Indicators Form and Instruction
Emergency Department Injury Indicators Form and Instruction
Injury Indicators Form and Instruction
Recipient-level Group Interviews Form and Instruction
Economic Indicators Form and Instruction
Implementation Capacity Rubric Form and Instruction