OMB control number

Targeted Surveillance and Biometric Studies for Enhanced Evaluation of CTGs

OMB 0920-0977 · HHS/CDC.

OMB 0920-0977

Latest Forms, Documents, and Supporting Material

Document Name
Adult Targeted Surveillance Survey - screener Form
Youth Survey Form
Youth Survey Recruitment Screener for Youth Form
Youth Activity Diary - completed by youth Form
Youth Biometric Measures Form
Youth Activity Diary - completed by caregiver Form
Caregiver Survey Form
Caregiver Survey Recruitment Screener Form
Adult Activity Diary Form
Adult Biometric Measures Form
Adult Targeted Surveillance Survey - Telephone Interview Form
Adult Biometric Measures Recruitment Screener (In-person) Form
Adult Biometric Measures - screener Form
Adult Targeted Surveillance Survey - paper Form
0920-12IG_Cover Memo_June 2013 Revision_Final.doc Supplementary Document
0920-12IG Part B_08062013.docx Supporting Statement B
Att 12C_AdultBioMeasures_ItemSources.pdf Supplementary Document
Att 13D-S_AccelReminder_SP.docx Supplementary Document
Att 13D_Accelerometry Reminder.docx Supplementary Document
Att 11F-S_Enhanced_Script_Adults_SP.docx Supplementary Document
Att 11F_Enhanced_Script_Adults.docx Supplementary Document
Att 11E-S_Enhanced_Script_Caregivers(3-11)_SP.docx Supplementary Document
Att 11E_Enhanced_Script_Caregivers(3-11).docx Supplementary Document
Att 11D-S_Enhanced_Script_Youth(12-17)_SP.docx Supplementary Document
Att 11D_Enhanced_Script_Youth(12-17).docx Supplementary Document
Att 11C-S_Enhanced_Script_Parents(12-17)_SP.docx Supplementary Document
Att 11C_Enhanced_Script_Parents(12-17).docx Supplementary Document
Att 11B_ATSS_ReminderPostcard.doc Supplementary Document
Att 11A4-S_Letter_SecondMailing_Paper_SP.docx Supplementary Document
Att 11A4_Letter_SecondMailing_Paper.docx Supplementary Document
Att 11A3-S_Letter_Paper_AfterPhoneAttempt_SP.docx Supplementary Document
Att 11A3_Letter_Paper_AfterPhoneAttempt.docx Supplementary Document
Att 11A-S_LeadLetter_Standard_Phone_SP.docx Supplementary Document
Att 11A2-S_Letter_FirstMailing_Paper_SP.docx Supplementary Document
Att 11A1-S_LeadLetter_Enhanced_SP.docx Supplementary Document
Att 11A1_LeadLetter_Enhanced.docx Supplementary Document
Att 11A2_Letter_FirstMailing_Paper.docx Supplementary Document
Att 11A_LeadLetter_Standard_Phone.docx Supplementary Document
Att 8B-S_Letter_ATSS_Gift_SP.docx Supplementary Document
Att 8B_Letter_ATSS_Gift.docx Supplementary Document
Att 8A-S_ATSS_GiftForm_SP.docx Supplementary Document
Att 8A_ATSS_GiftForm.docx Supplementary Document
Att 6E-S_Enhanced_ParentalPermission_SP.docx Supplementary Document
Att 6E_Enhanced_ParentalPermission.docx Supplementary Document
Att 6D-S_Enhanced_Consent_SP.docx Supplementary Document
Att 6D_Enhanced_Consent.docx Supplementary Document
Att 6C-S_Enhanced_YouthAssent_SP.docx Supplementary Document
Att 6C_Enhanced_YouthAssent.docx Supplementary Document
Att 6B-S_Standard_Consent(Phone)_SP.docx Supplementary Document
Att 6B_Standard_Consent(Phone).docx Supplementary Document
Att 6A-S_Standard_Consent(Paper)_SP.docx Supplementary Document
Att 6A_Standard_Consent(Paper).docx Supplementary Document
Att 5_DataSources.doc Supplementary Document
Att 4C_ListofCTGAwardees.docx Supplementary Document
Att 4B_CTGEvaluationPlan.doc Supplementary Document
Att 4A_StrategicDirections.docx Supplementary Document
Att 3B_IRBApproval_Enhanced.pdf Supplementary Document
Att 3A_IRBApproval_Standard.pdf Supplementary Document
Att 2_60-dayFRN.pdf Supplementary Document
Att 1B_ACASection4201.doc Supplementary Document
Att 1A_PHSA.pdf Supplementary Document
Att 13A-S_AccelInstructions_SP.docx Supplementary Document
Att 13A_AccelInstructions.docx Supplementary Document
Att 13A-S_AccelInstructions_SP.docx Supplementary Document
Att 13A_AccelInstructions.docx Supplementary Document
Att 13A-S_AccelInstructions_SP.docx Supplementary Document
Att 13A_AccelInstructions.docx Supplementary Document
Att 10B-S_EnhancedInvitation_forATSS_Paper_SP.docx Supplementary Document
Att 10B_EnhancedInvitation_forATSS_Paper.docx Supplementary Document
Att 7B-S_ATSS_FAQGuide_SP.doc Supplementary Document
Att 7B_ATSS_FAQGuide.doc Supplementary Document
0920-12IG Part A_08062013.docx Supporting Statement A
Adult Targeted Surveillance Survey - screener Form
Youth Survey Form
Youth Survey Recruitment Screener for Youth Form
Youth Activity Diary - completed by youth Form
Youth Biometric Measures Form
Youth Activity Diary - completed by caregiver Form
Caregiver Survey Form
Caregiver Survey Recruitment Screener Form
Adult Activity Diary Form
Adult Biometric Measures Form
Adult Targeted Surveillance Survey - Telephone Interview Form
Adult Biometric Measures Recruitment Screener (In-person) Form
Adult Biometric Measures - screener Form
Adult Targeted Surveillance Survey - paper Form

All Historical Document Collections

201305-0920-002 Approved with change	New collection (Request for a new OMB Control Number)	2013-05-07
201208-0920-003 Withdrawn	New collection (Request for a new OMB Control Number)	2012-08-07