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PRETESTING HEALTH COMMUNICATION RESOURCES WITH IMMIGRATION APPLICANTS WITH B1 OR B2 TUBERCULOSIS CLASSIFICATIONS 0920-0572-22EA
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0572 Educational Video (script) Att 01_SPAN_ENG B1B2 Ed Video Script_FINAL_11122021.docx No   Paper Only
Form 0920-0572 B1 Your Health and Moving to the United States Att 02_B1 Photo Novella Storyboard_FINAL_11122021.docx No   Paper Only
Form 0920-0572 B2 Moving to the United States and Your Health Att 03_B2 Photo Novella Storyboard_FINAL_11122021.docx No   Paper Only
Form 0920-0572 B1 Applicant Intercept Interview Guide Att 05_B1 B2 Applicant Intercept Interview Guide.docx No   Paper Only
Form 0920-0572 B1 Applicant Consent Script (Chest X-Ray) Att 06_B1 Client Consent Script.docx No   Paper Only
Form 0920-0572 B2 Applicant Consent Script (Child's Blood Test) Att 07_B2 Client Consent Script.docx No   Paper Only
Form 0920-0572 Clinic Staff In-depth Interview Consent Script Att 08_Clinical Staff Consent Script_v2.docx No   Paper Only
Form 0920-0572 In-depth Interview Guide Att 09_Clinic Staff Individual Interview Guide_v2.docx No   Paper Only
Form 0920-0572 B1 Client Recruitment Script Att 10_B1 Client Recruitment Script.docx No   Paper Only
Form 0920-0572 B2 Client Recruitment Script Att 11_B2 Client Recruitment Script.docx No   Paper Only
Form 0920-0572 B1 Client Screener Att 12_B1 Client Screener.docx No   Paper Only
Form 0920-0572 B2 Client Screener Att 13_B2 Client Screener.docx No   Paper Only

Health Public Health Monitoring

 

197 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 197 0 197 0 0 0
Annual IC Time Burden (Hours) 102 0 102 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
TB Care Finder Webform Screenshots Att 04_TB Care Finder Webform Screen Shots.docx 04/01/2022
Applicants with B1 and B2 Tuberculosis Classifications B1 B2 Health Message Testing Protocol_02032022.docx 04/01/2022
HTMS Review Form HMTS Expedited Review Form_B1B2 Health Message Testing.pdf 04/01/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.