OMB control number

Cooperative Re-Engagement Controlled Trial (CoRECT)

OMB 0920-1133 · HHS/CDC.

OMB 0920-1133

Latest Forms, Documents, and Supporting Material

Document Name
Annual Cost Analysis - clinic Form
Annual cost analysis - health department Form
Start up cost analysis - clinic Form
Start-up cost analysis - health department Form
Cost analysis- baseline Form
Participant Eligibility Disposition Form
Case Conference Form for Health Department Form
Case Conference Form for Clinic Managers Form
Standard of Care Survey Form
Barriers to Care Survey Form and Instruction
Justification 0920-1133_2 9 2017.docx Justification for No Material/Nonsubstantive Change
Supporting Statement A.docx Supporting Statement A
CoRECT protocol_May_21_2015.docx Supplementary Document
Attachment 17_ Yale University IRB letter.pdf Supplementary Document
Att 16_Philadelphia IRB approval.pdf Supplementary Document
Att 15_MA IRB approval 11_17_15.pdf Supplementary Document
Att 14_ State of Connecticut Project CoRECT IRB Approval.pdf Supplementary Document
Att 2_60 Day FRN.pdf Supplementary Document
Att 1_Auth Legislation.docx Supplementary Document
Supporting Statement B.docx Supporting Statement B
Annual Cost Analysis - clinic Form
Annual cost analysis - health department Form
Start up cost analysis - clinic Form
Start-up cost analysis - health department Form
Cost analysis- baseline Form
Participant Eligibility Disposition Form
Case Conference Form for Health Department Form
Case Conference Form for Clinic Managers Form
Standard of Care Survey Form
Barriers to Care Survey Form and Instruction
Transmittal of Clinic Variables Other-Variable list
Transmittal of Surveilance Variables Other-Variable list

All Historical Document Collections

201702-0920-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-02-10
201603-0920-004 Approved with change	New collection (Request for a new OMB Control Number)	2016-03-10