OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Cardiovascular Health and Needs Assessment in Washington, DC - Development of a Community-Based Behavioral Weight Loss Intervention (NHLBI)

OMB 0925-0696 · HHS/NIH.

OMB 0925-0696

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 Device Return Form and Instruction
Form 1 Health Data Monitoring Form and Instruction
Form 1 Device Training Form and Instruction
Form 1 Survey Instrument Form and Instruction
Form 1 Clinical Evaluation Form and Instruction
Form 1 Registration/Consent Process Form and Instruction
Attachment 2 Letter of Protocol Approval from NHLBI Institutional Review Board.pdf Supplementary Document
Attachment 6 Community Advisory Board Meeting Notes - Dated July 22 2013.docx Supplementary Document
Attachment 5 Community Advisory Board Meeting Notes - Dated May 6 2013.docx Supplementary Document
Attachment 4 NHLBI Protocol 13-H-0183 Consent Document.pdf Supplementary Document
SSA Cardiovascular Health and Needs Assessment in Washington DC - Development of a Community-Based Behavioral Weight Loss Intervention (NHLBI) V6.docx Supporting Statement A
Device Return Form and Instruction
Health Data Monitoring Form and Instruction
Device Training Form and Instruction
Survey Instrument Form and Instruction
Clinical Evaluation Form and Instruction
Registration/Consent Process Form and Instruction

All Historical Document Collections

201403-0925-008

Approved with change

New collection (Request for a new OMB Control Number)

2014-03-21