OMB control number

WISEWOMAN National Program Evaluation: Implementation Assessment

OMB 0920-1068 · HHS/CDC.

OMB 0920-1068

Latest Forms, Documents, and Supporting Material

Document Name
Private Sector Form
(Private Sector) Awardee Partners Discussion Guide Form
(Private Sector) Awardee Partners Network Survey Form
Clinical Providers Form
Healthy Behavior Support Staff Site Visit Discussion Guide Form
Awardee Partners Site Visit Discussion Guide Form
Awardee Partners Network Survey Form
Awardee Administrators Site Visit Discussion Guide Form
Awardee Administrators Network Survey Form
Awardee Administrators Program Survey Form
Attachment B proposed outcomes and measures_5 27 2015.docx Supplementary Document
Attachment B proposed outcomes and measures.docx Supplementary Document
Attachment E5 Consent form.docx Supplementary Document
IRB exempt.pdf Supplementary Document
Attachment F2 Summary of Public Comments.docx Supplementary Document
Attachment F1 Federal Register Notice.pdf Supplementary Document
Attachment A1 A2 authorizing legislation.pdf Supplementary Document
WISEWOMAN OMB Part B_11 07 2014.docx Supporting Statement B
WISEWOMAN OMB Part A_5 27 2015.docx Supporting Statement A
Private Sector Form
(Private Sector) Awardee Partners Discussion Guide Form
(Private Sector) Awardee Partners Network Survey Form
Clinical Providers Form
Healthy Behavior Support Staff Site Visit Discussion Guide Form
Awardee Partners Site Visit Discussion Guide Form
Awardee Partners Network Survey Form
Awardee Administrators Site Visit Discussion Guide Form
Awardee Administrators Network Survey Form
Awardee Administrators Program Survey Form

All Historical Document Collections

201412-0920-005

2014-12-22