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Leveraging Community Engagement and Electronic Health Record Strategies to Promote Diverse Participation in COVID-19 Clinical Trials OC
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Recruitment email 1. 0497 Recruitment Email Leveraging Community Engagement.docx Yes No Printable Only
Other-Demographic screener 2. 0497 Leveraging Community Demographic Screener.docx Yes Yes Fillable Fileable
Other-Focus group guide 3. 0497 Leveraging Community Focus Group Guide.docx Yes Yes Fillable Fileable
Other-IRB information sheet 4. 0497 Leveraging Community IRB Information Sheet.docx Yes No Printable Only

Health Consumer Health and Safety

 

60 0
   
Individuals or Households
 
   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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 120 0 120 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo - Leveraging Community Engagement and Electronic Health Record Strategies to Promote Diverse Participation in COVID-19 Clinical Trials 0497 OMB memo Leveraging Community Engagement and Health Record Strategies.docx 06/27/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.