OMB control number

Title X Implementation Study

OMB 0990-0483 · HHS/HHSDM.

OMB 0990-0483

Latest Forms, Documents, and Supporting Material

Document Name
Form Instrument 6 Instrument 6_Client survey Form and Instruction
Form Instrument 1 Instrument 1_Grantee web survey Form and Instruction
TitleX_30Day_FRN_08.03.2022.pdf Supplementary Document
ATTACHMENT I_Title X 60 Day FRN.pdf Supplementary Document
ATTACHMENT H_SME INTERVIEW INVITATION EMAIL.docx Supplementary Document
ATTACHMENT G_LISTENING SESSION INVITATION EMAIL.docx Supplementary Document
ATTACHMENT F_GRANTEE PHONE INTERVIEW INVITATION EMAIL.docx Supplementary Document
ATTACHMENT E_GRANTEE WEB SURVEY REMINDER EMAIL.docx Supplementary Document
ATTACHMENT D_GRANTEE WEB SURVEY INVITATION EMAIL.docx Supplementary Document
Attachment C_GRANTEE WEB SURVEY ADVANCE EMAIL .docx Supplementary Document
Attachment B_RESEARCH QUESTION AND DATA SOURCE CROSSWALK.docx Supplementary Document
Attachment A_TITLE X AUTHORIZING LEGISLATION.pdf Supplementary Document
SSB - Title X Implementation Study.docx Supporting Statement B
SSA - Title X Implementation Study.docx Supporting Statement A
Instrument 7_Subject Matter Expert Topic Guide Other-Interview topic guide
Instrument 6_Client survey Form and Instruction
Instrument 5_Listening visit topic guide for community outreach and partner staff Other-Listening visit topic guide
Instrument 4_Listening visit topic guide for clinical service providers Other-Listening visit topic guide
Instrument 3_Listening visit topic guide for clinic administrators Other-Listening visit topic guide
Instrument 2_Grantee interview topic guide Other-Interview topic guide
Instrument 1_Grantee web survey Form and Instruction

All Historical Document Collections

202207-0990-006

Approved with change

New collection (Request for a new OMB Control Number)

2022-08-10