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Syringe Service Programs (SSPs) Communication Toolkit - Faith-Based Organizations (FBOs) 0920-0572-22GF
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0572 Syringe Service Programs (SSPs) Communication Toolkit - Faith-Based Organizations (FBOs) Survey Attachment C-FBO Survey.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Syringe Service Programs (SSPs) Communication Toolkit - Faith-Based Organizations (FBOs) Screener Attachment B-FBO Screener_revised 081022.docx Yes Yes Fillable Fileable

Health Health Care Services

 

600 0
   
Private Sector Not-for-profit institutions
 
   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 600 0 600 0 0 0
Annual IC Time Burden (Hours) 260 0 260 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSPs Communication Toolkit--FBOs: Project Summary Attachment A-Project Summary.docx 06/13/2022
IRB Determination Attachment E-IRB Determination.pdf 06/13/2022
HMTS Expedited Review Form (SSPs Communication Toolkit-FBOs) _HMTSExpeditedReviewForm.pdf 06/13/2022
Burden Hour Calculations sheet Attachment D-Burden Hour Calculations_rev.docx 06/16/2022
List of Attachments _List of Attachments.rev.docx 06/16/2022
Attachment F_Screenshots (FBO Survey) Attachment F_Screenshot (FBO Survey).docx 06/16/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.