[NCIPC] Reporting of the Essentials for Childhood (EfC): Preventing Adverse Childhood Experiences through Data to Action Program

OMB 0920-1425

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920 Instrument and Protocol Implementation Capacity Assessment (ICA) Form and Instruction
Form 0920 Essentials Instrument and Protocol Evaluation and Surveillance Survey Form and Instruction
Form 0920 Instrument and Protocol Surveillance Capacity Assessment (SCA) Form and Instruction
Form 0920 Instrument and Protocol Key Informant Interview - Principal Investigators/Implementer Form and Instruction
Form 0920 Instrument and Protocol Key Informant Interview - Principal Investigators Form and Instruction
Form 0920- Annual Performance Report (APR) Tool Form and Instruction
SSB_EfC_Program_9_14_23.docx Supporting Statement B
SSA_EfC Program_110323.docx Supporting Statement A
Att. 8 Research Determination.pdf Supplementary Document
Att. 7 EfC-ICR-PII-Privacy Act-Determination.pdf Supplementary Document
Att. 1_PHSA_301a_USC_241a and Section 393USC 280b-1a.pdf Supplementary Document
Instrument and Protocol Implementation Capacity Assessment (ICA) Form and Instruction
Essentials Instrument and Protocol Evaluation and Surveillance Survey Form and Instruction
Instrument and Protocol Surveillance Capacity Assessment (SCA) Form and Instruction
Instrument and Protocol Key Informant Interview - Principal Investigators/Implementer Form and Instruction
Instrument and Protocol Key Informant Interview - Principal Investigators Form and Instruction
Annual Performance Report (APR) Tool Form and Instruction