OMB control number

Monitoring Changes in Attitudes and Practices among Family Planning Providers and Clinics

OMB 0920-0969 · HHS/CDC.

OMB 0920-0969

Latest Forms, Documents, and Supporting Material

Document Name
Survey of non-Title X Clinic Administrators Form
Survey of Title X Clinic Administrators Form
Survey of non-Title X Clinic Providers Form
Survey of Title X Clinic Providers Form
Survey of Office-based Physicians in Private Sector Form
Att K-1 References.pdf Supplementary Document
Att J-2 IRB Non-research Determination.pdf Supplementary Document
Att J-1 Signed Privacy Impact Assessment.pdf Supplementary Document
Att I-3 Public-sector Follow-up Cover Letter for Administrator Survey.doc Supplementary Document
Att I-2 Public-sector Follow-up Cover Letter for Provider Survey.doc Supplementary Document
Att I-1 Private-sector Follow-up Cover Letter.doc Supplementary Document
Att H-1 Email to Private-sector Physician Non-Respondents.doc Supplementary Document
Att G-3 Public-sector Reminder Postcard for Administrator Survey.doc Supplementary Document
Att G-2 Public-sector Reminder Postcard for Provider Survey.doc Supplementary Document
Att G-1 Private-sector Reminder Postcard for Provider Survey.doc Supplementary Document
Att D-2 Public Sector Cover Letter.doc Supplementary Document
Att D-1 Private Sector Cover Letter.doc Supplementary Document
Att C-2 Summary of Comments.pdf Supplementary Document
Att C-1 60-day FRN.pdf Supplementary Document
Att B-1 Summary of Survey Constructs.docx Supplementary Document
Att A-1 Auth_Leg_Publ_Hlth_Svc_Act.doc Supplementary Document
SS B Reinstatement 0920-0969.docx Supporting Statement B
SS A Reinstatement 0920-0969.docx Supporting Statement A
Survey of non-Title X Clinic Administrators Form
Survey of Title X Clinic Administrators Form
Survey of non-Title X Clinic Providers Form
Survey of Title X Clinic Providers Form
Survey of Office-based Physicians in Private Sector Form

All Historical Document Collections

201810-0920-003 Approved without change	Reinstatement with change of a previously approved collection	2018-11-01
201303-0920-005 Approved with change	New collection (Request for a new OMB Control Number)	2013-03-11
201208-0920-008 Withdrawn	New collection (Request for a new OMB Control Number)	2012-08-29