OMB control number

Randomized Controlled Trial for Routine Screening for Intimate Partner Violence

OMB 0920-0761 · HHS/CDC.

OMB 0920-0761

Latest Forms, Documents, and Supporting Material

Document Name
Form no number Eligibility Script for Main Study Form
Form no number Pretest Followup Form
Form no number Follow-up Questionnaire Main Study Form
Form no number Baseline Questionnaire Main Study Form
Form no number Baseline Questionnaire Form
Form no number Eligibility Script for Pretest Form
ATTACHMENT G-QOL SF-12 Spanish.doc Supplementary Document
OMB SUPP STMT Part B revision-09.doc Supporting Statement B
Attachment G.pdf Supplementary Document
ATTACHMENT H - public comment.docx Supplementary Document
ATTACHMENT D - IRB Continuation Approval.doc Supplementary Document
ATTACHMENT C.docx Supplementary Document
Published 60 day page 2.pdf Supplementary Document
Published 60 day page 1.pdf Supplementary Document
ATTACHMENT A.docx Supplementary Document
OMB SUPP STMT Part A 2_11_10.docx Supporting Statement A
Eligibility Script for Main Study Form
Pretest Followup Form
Follow-up Questionnaire Main Study Form
Baseline Questionnaire Main Study Form
Baseline Questionnaire Form
Eligibility Script for Pretest Form

All Historical Document Collections

201003-0920-008 Approved with change	Revision of a currently approved collection	2010-03-17
200812-0920-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-12-10
200708-0920-001 Approved without change	New collection (Request for a new OMB Control Number)	2007-08-09