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Informing Development of CDC Content about Sexually Transmitted Diseases: Interviews with Healthcare Providers 0920-21CE
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Recruitment Guide for Healthcare Professionals Attachment C2_ Recruitment Guide HCPs.docx Yes Yes Fillable Fileable
Form and Instruction n/a Moderator Guides for Interviews with Healthcare Professionals Attachment D2_Moderator Guides for HCP Interviews.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

40 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  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 40 0 40 0 0 0
Annual IC Time Burden (Hours) 35 0 35 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Part A DSTDP MSM Message Testing Part 2 (HCPs) SSA_01052021.docx 01/05/2021
Supporting Statement Part B DSTDP MSM Message Testing Part 2 (HCPs) SSB_01052021.docx 01/05/2021
HMTS GENIC Submission Template HMTSExpeditedReviewForm_1220.pdf 01/05/2021
Authorizing Legislation: PHSA Attachment A2_Authorizing Legislation.docx 01/05/2021
Consent Form Attachment B2_Consent Forms for Healthcare Providers.docx 01/05/2021
Messages to be Tested Attachment E2_MSM Messages to Test.docx 01/05/2021
CDC Determination: IRB Approval Is Not Required Att F1_Project Determination Amendment 12 20.docx 01/05/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.