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Asthma Control Initiative Communication Messaging and Materials Development 17YA
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Focus Group Guide Attachment 2_Focus Group Discussion Guide.docx Yes No Paper Only
Form and Instruction none Focus Group Screener Attachment 1_Focus Group Screener.doc No   Paper Only

Health Illness Prevention

 

336 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 336 0 336 0 0 0
Annual IC Time Burden (Hours) 96 0 96 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval HMTS Expedited Review Form-Asthma Control Initiative Communication Messaging and Materials Development.docx 03/15/2017
Focus Group Worksheet Attachment 3_Focus Group Worksheet.pdf 03/15/2017
Caregiver Consent Attachment 4_Focus Group Caregiver for Youth Consent Form.docx 03/15/2017
Youth Assent Attachment 5_Focus Group Youth Assent Form_AEcomments.docx 03/15/2017
Focus Group Consent Attachment 6_Focus Group Caregiver Consent Form.docx 03/15/2017
Confirmation Email Attachment 7_Focus Group Confirmation Email.docx 03/15/2017
Reminder Email Attachment 8_Focus Group Reminder Email.docx 03/15/2017
Project Protocol OMB Protocol_Asthma Control Initiative Communication Messaging Materials Development.docx 03/15/2017
Asthma Brochure Attachment 9 asthma_brochure.pdf 03/15/2017
Asthma Treatment Attachment 10 Management.pdf 03/15/2017
Asthma Triggers Attachment 11 Triggers.pdf 03/15/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.