OMB control number

DCH Awardee Training Needs Assessment

OMB 0920-1076 · HHS/CDC.

OMB 0920-1076

Latest Forms, Documents, and Supporting Material

Document Name
State/Local/Tribal Media Communication Lead Form
State/Local/Tribal Evaluation Lead Form
State/Local/Tribal Principal Investigators and Program Managers Form
Private Sector Coalition Member Form
Private Sector Media/Communication Lead Form
Private Sector Evaluation Lead Form
Private Sector Principal Investigators and Program Managers Form
SS A_rev6-26-15 clean.doc Supporting Statement A
Attachment H_Thank You Email.docx Supplementary Document
Attachment G_Final Reminder Email_3 27 2015_ICF.docx Supplementary Document
Attachment F_Reminder Email_3 27 2015_ICF.docx Supplementary Document
Attachment E_Initial Outreach Email_ 3 27 2015_ICF.docx Supplementary Document
Attachment J_Telephone Interview Guide_rev7-01-15 clean.docx Supplementary Document
SS B_rev6-26-15 clean.doc Supporting Statement B
Attachment K_Respondent Matrix_rev6-26-15 clean.docx Supplementary Document
Attachment D_ICF International IRB Approval Memorandum.pdf Supplementary Document
Attachment C2_Summary of Public Comments.doc Supplementary Document
Attachment C1_60-day FRN 11 07 2014.pdf Supplementary Document
Attachment B_List of DCH PICH and REACH Awardees_3 27 2015_ICF.docx Supplementary Document
Attachment A2_ACA PPHF.pdf Supplementary Document
Attachment A1_Section 301 of the Public Health Service Act.pdf Supplementary Document
State/Local/Tribal Media Communication Lead Form
State/Local/Tribal Evaluation Lead Form
State/Local/Tribal Principal Investigators and Program Managers Form
Private Sector Coalition Member Form
Private Sector Media/Communication Lead Form
Private Sector Evaluation Lead Form
Private Sector Principal Investigators and Program Managers Form

All Historical Document Collections

201504-0920-003

Approved with change

New collection (Request for a new OMB Control Number)

2015-05-05