OMB control number
[NCHHSTP] Evaluation of Safe Spaces in CDC-directly funded Community-based Organizations (CBOs)
OMB 0920-1403 ยท HHS/CDC.
OMB 0920-1403
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 0920- Staff Interview | Form and Instruction |
| Form 0920- Client Survey (Participant) | Form |
 Form 0920 Eligibility Screener | Form and Instruction |
 Privacy Act Checklist.docx | Supplementary Document |
| Att 1_Section 301 of the Public Health Service Act.docx | Supplementary Document |
| SS B_121922.docx | Supporting Statement B |
| SS A_121922.docx | Supporting Statement A |
 Staff Interview |
Form and Instruction |
| Client Survey (Participant) |
Form |
| Eligibility Screener |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202212-0920-002 | New collection (Request for a new OMB Control Number) | 2023-01-18 | Approved with change |