OMB control number

Fetal Alcohol Spectrum Disorders Regional Training Centers

OMB 0920-0954 · HHS/CDC.

OMB 0920-0954

Latest Forms, Documents, and Supporting Material

Document Name
Southeast Follow-up Form
Southeast Post-test Form
Southeast Pre-test Form
Midwest Utilization of Curriculum Pre-test and Follow-up Form
Midwest Modified Index Collaboration Pre-test and Follow-up Form
Midwest Continuing Education Follow-up Form
Midwest Continuing Education Post-test Form
Midwest Continuing Education Pre-test Form
Midwest Event Evaluation Form
Midwest Academic Knowledge Post-test and Follow-up Form
Midwest Academic Knowledge Pre-test Form
Great Lakes Trainers Activity Reporting Form
Great Lakes Trainers Harvard Minute Feedback Form
Great Lakes Advisory Committee Key Informant Interview Form
Great Lakes Regional State Partners Key Informant Interview Form
Great Lakes Trainers Key Informant Interview Form
Great Lakes Physicians Clinical Experience B Form
Great Lakes Physicians Clinical Experience A Form
Great Lakes Healthcare Providers Comprehensive Follow-up Form
Great Lakes Healthcare Providers Comprehensive Post-test Form
Great Lakes Healthcare Providers Comprehensive Pre-test Form
Great Lakes Healthcare Providers ID and Treatment Follow-up Form
Great Lakes Healthcare Providers ID and Treatment Post-test Form
Great Lakes Healthcare Providers ID and Treatment Pre-test Form
Great Lakes Health Care Providers SBI Follow-up Form
Great Lakes Health Care Providers SBI Post-test Form
Great Lakes Health Care Providers SBI Pre-test Form
Great Lakes Medical and Allied Health Care Providers Follow-up Form
Great Lakes Medical and Allied Health Care Providers Post-test Form
Great Lakes Medical and Allied Health Care Providers Pre-test Form
Frontier Practitioner Online Follow-up Form
Frontier Practitioner Online Post-test Form
Frontier Practitioner Online Pre-test Form
Frontier Academic Faculty and Students Online Follow-up Form
Frontier Academic Faculty and Students Online Post-test Form
Frontier Academic Faculty and Students Online Pre-test Form
Frontier Training of Trainers Follow-up Form
Frontier Training of Trainers Post-test Form
Frontier Training of Trainers Pre-test Form
Frontier Allied Health Practioner Follow-up Form
Frontier Allied Health Practioner Post-test Form
Frontier Allied Health Practioner Pre-test Form
Frontier Social Work Follow-up Form
Frontier Social Work Post-test Form
Frontier Social Work Pre-test Form
Frontier Nursing Follow-up Form
Frontier Nursing Post-test Form
Frontier Nursing Pre-test Form
Arctic Classroom and Special Event Post-test Form
Arctic Online III Pre- and Post-test Form
Arctic Online II Pre- and Post-test Form
Arctic Online I Pre- and Post-test Form
Arctic Train the Trainer Follow-up Form
Arctic Train the Trainer Post-test Form
Arctic Train the Trainer Pre-test Form
Arctic Intro to FASD Follow-up Form
Arctic Intro to FASD Post-test Form
Arctic Intro to FASD Pre-test Form
Arctic FASD 201 Follow-up Form
Arctic FASD 201 Post-test Form
Arctic FASD 201 Pre-test Form
Arctic Foundations Follow-up Form
Arctic Foundations Post-test Form
Arctic Foundations Pre-test Form
OMB Part B document RJP edits (0828)_revised 1-17-2013.docx Supporting Statement B
60DAY_FASD_RTC.pdf Supplementary Document
Attachment A Legal authority.docx Supplementary Document
F8_Midwest FASD Regional Training Center Utilization of FAS-FASD Curr, Pre-evaluation.doc Supplementary Document
F7_Midwest FASD Regional Training Center Modified Index of Interdisciplinary Collab, Pre-Test.docx Supplementary Document
F2_Midwest FASD Regional Training Center Knowledge Post-Test.doc Supplementary Document
E11_Great Lakes FASD RegionalTraining Center FASD Comprehensive_1.docx Supplementary Document
E11_Great Lakes FASD RegionalTraining Center FASD Comprehensive_1.docx Supplementary Document
E10_Great Lakes FASD RegionalTraining Center FASD Comprehensive.docx Supplementary Document
E9_Great Lakes FASD RegionalTraining Center Identification and.docx Supplementary Document
E8_Great Lakes FASD RegionalTraining Center Identification and.docx Supplementary Document
E7_Great Lakes FASD RegionalTraining Center Identification and.docx Supplementary Document
E6_Great Lakes FASD RegionalTraining Center Screening and Brief.docx Supplementary Document
E5_Great Lakes FASD RegionalTraining Center Screening and Brief.docx Supplementary Document
E4_Great Lakes FASD RegionalTraining Center Screening and Brief.docx Supplementary Document
E3_Great Lakes FASD RTC Foundations of FASD 6moFU.docx Supplementary Document
E2_Great Lakes FASD RTC Foundations of FASD_post.docx Supplementary Document
E1_Great Lakes FASD RTC Foundations of FASD Pre.docx Supplementary Document
Section A Justification FASD Regional Training Centers Evaluation (08282012)_revised 1-17-2013.docx Supporting Statement A
Southeast Follow-up Form
Southeast Post-test Form
Southeast Pre-test Form
Midwest Utilization of Curriculum Pre-test and Follow-up Form
Midwest Modified Index Collaboration Pre-test and Follow-up Form
Midwest Continuing Education Follow-up Form
Midwest Continuing Education Post-test Form
Midwest Continuing Education Pre-test Form
Midwest Event Evaluation Form
Midwest Academic Knowledge Post-test and Follow-up Form
Midwest Academic Knowledge Pre-test Form
Great Lakes Trainers Activity Reporting Form
Great Lakes Trainers Harvard Minute Feedback Form
Great Lakes Advisory Committee Key Informant Interview Form
Great Lakes Regional State Partners Key Informant Interview Form
Great Lakes Trainers Key Informant Interview Form
Great Lakes Physicians Clinical Experience B Form
Great Lakes Physicians Clinical Experience A Form
Great Lakes Healthcare Providers Comprehensive Follow-up Form
Great Lakes Healthcare Providers Comprehensive Post-test Form
Great Lakes Healthcare Providers Comprehensive Pre-test Form
Great Lakes Healthcare Providers ID and Treatment Follow-up Form
Great Lakes Healthcare Providers ID and Treatment Post-test Form
Great Lakes Healthcare Providers ID and Treatment Pre-test Form
Great Lakes Health Care Providers SBI Follow-up Form
Great Lakes Health Care Providers SBI Post-test Form
Great Lakes Health Care Providers SBI Pre-test Form
Great Lakes Medical and Allied Health Care Providers Follow-up Form
Great Lakes Medical and Allied Health Care Providers Post-test Form
Great Lakes Medical and Allied Health Care Providers Pre-test Form
Frontier Practitioner Online Follow-up Form
Frontier Practitioner Online Post-test Form
Frontier Practitioner Online Pre-test Form
Frontier Academic Faculty and Students Online Follow-up Form
Frontier Academic Faculty and Students Online Post-test Form
Frontier Academic Faculty and Students Online Pre-test Form
Frontier Training of Trainers Follow-up Form
Frontier Training of Trainers Post-test Form
Frontier Training of Trainers Pre-test Form
Frontier Allied Health Practioner Follow-up Form
Frontier Allied Health Practioner Post-test Form
Frontier Allied Health Practioner Pre-test Form
Frontier Social Work Follow-up Form
Frontier Social Work Post-test Form
Frontier Social Work Pre-test Form
Frontier Nursing Follow-up Form
Frontier Nursing Post-test Form
Frontier Nursing Pre-test Form
Arctic Classroom and Special Event Post-test Form
Arctic Online III Pre- and Post-test Form
Arctic Online II Pre- and Post-test Form
Arctic Online I Pre- and Post-test Form
Arctic Train the Trainer Follow-up Form
Arctic Train the Trainer Post-test Form
Arctic Train the Trainer Pre-test Form
Arctic Intro to FASD Follow-up Form
Arctic Intro to FASD Post-test Form
Arctic Intro to FASD Pre-test Form
Arctic FASD 201 Follow-up Form
Arctic FASD 201 Post-test Form
Arctic FASD 201 Pre-test Form
Arctic Foundations Follow-up Form
Arctic Foundations Post-test Form
Arctic Foundations Pre-test Form

All Historical Document Collections

201209-0920-008

Approved with change

New collection (Request for a new OMB Control Number)

2012-09-26