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Domestic Readiness Initiative on Zika Virus Disease: Year 2 Message & Materials Testing 0920-0572-17AUY
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Community Leader - Focus Group Screening Instrument Att2_CommLeadr_Screener_FG__final.docx NA No   Paper Only
Form and Instruction NA Men/Women Reproductive Age (18-49) - Focus Group Screening Instrument Att3_Men_Women Screener_FG_finaL.docx NA No   Paper Only
Form and Instruction NA Community Leader - Focus Group Guide Att4_CommLeadr Focus Group Guide_final.docx NA No   Paper Only
Form and Instruction NA Men/Women Reproductive Age (18-49) - Focus Group Guide Att5_Men_Women Focus Group Guide_final.docx NA No   Paper Only

Health Public Health Monitoring

 

125 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 125 0 125 0 0 0
Annual IC Time Burden (Hours) 73 0 73 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
How to Protect Against Mosquito Bites - English Att6A_How to Protect Against Mosquito Bites.pdf 07/27/2017
How to Protect Against Mosquito Bites - Spanish Att6B_How to Protect Against Mosquito Bites_SPANISH.pdf 07/27/2017
Mosquito Control - Promote the Partnership in Your Community - English Att6C_Mosquito Control Promote the Partnership in Your Community.pdf 07/27/2017
Mosquito Control - Promote the Partnership in Your Community - Spanish Att6D_Mosquito Control Promote the Partnership in Your Community_SPANISH.PDF 07/27/2017
Protect Your Family and Community- How Zika Spreads - English Att6E_Protect Your Family and Community- How Zika Spreads.pdf 07/27/2017
Protect Your Family and Community- How Zika Spreads - Spanish Att6F_Protect Your Family and Community- How Zika Spreads_SPANISH.pdf 07/27/2017
Protect Your Family and Community- How Zika Spreads - English Att7A_ Protect Your Family and Community- How Zika Spreads.pdf 07/27/2017
Protect Your Family and Community- How Zika Sprea - Spanish Att7B_Protect Your Family and Community- How Zika Spreads_SPANISH.pdf 07/27/2017
Why We Are All Responsible for Zika Prevention - No Text English Att7C_Why We Are All Responsible- No Text.pdf 07/27/2017
Why We Are All Responsible for Zika Prevention - No Text Spanish Att7D_Why We Are All Responsible for Zika Prevention-No Text SPANISH.pdf 07/27/2017
Why We Are All Responsible for Zika Prevention - With Text English Att7E_Why We Are All Responsible for Zika Prevention-With Text.pdf 07/27/2017
Why We Are All Responsible for Zika Prevention - With Text Spanish Att7F_Why We Are All Responsible for Zika Prevention-With Text_SPANISH.pdf 07/27/2017
Picking and Using an Insect Repellent - English Att7G_Picking and Using an Insect Repellent.pdf 07/27/2017
Picking and Using an Insect Repellent - Spanish Att7H_Picking and Using an Insect Repellent_SPANISH.pdf 07/27/2017
Non-Research Determination Att8_OADC Research_non-research Determination_task10_Zika(f).docx 07/27/2017
List of Attachments Att9_List of attachments_final.docx 07/27/2017
0920-0572 - HMTS Request HMTSExpeditedReviewForm_T10-final.pdf 07/27/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.