OMB control number

[NCHHSTP] Evaluation of Safe Spaces in CDC-directly funded Community-based Organizations (CBOs)

OMB 0920-1403 · HHS/CDC.

OMB 0920-1403

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920- Staff Interview Form and Instruction
Form 0920- Client Survey (Participant) Form
Form 0920 Eligibility Screener Form and Instruction
Privacy Act Checklist.docx Supplementary Document
Att 1_Section 301 of the Public Health Service Act.docx Supplementary Document
SS B_121922.docx Supporting Statement B
SS A_121922.docx Supporting Statement A
Staff Interview Form and Instruction
Client Survey (Participant) Form
Eligibility Screener Form and Instruction

All Historical Document Collections

202212-0920-002

2023-01-18