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MUltimorbidity and Medications: the unheard perspective of older Under-Represented Racial and Ethnic Minority Adults OC
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Invitation letter 1. MUM-URMA1 Invitation Letter 9-13-2022.docx Yes No Printable Only
Other-Invitation letter (Traditional Chinese) 1a. MUM-URMA1 Invitation Letter (Traditional-chinese) 9-13-2022.docx Yes No Printable Only
Other-Invitation letter (Simplified Chinese) 1b. MUM-URMA1 Invitation Letter (Simplified-chinese) 9-13-2022.docx Yes No Printable Only
Other-Information sheet 2. MUM-URMA1 Information Sheet 9-13-2022.docx Yes No Printable Only
Other-Information sheet (Traditional Chinese) 2a. MUM-URMA1 Information Sheet (Traditional-chinese) 9-13-2022.docx Yes No Printable Only
Other-Information sheet (Simplified Chinese) 2b.MUM-URMA1 Information Sheet (Simplified-chinese) 9-13-2022.docx Yes No Printable Only
Other-Phone Recruitment and Screening 3. MUM-URMA1 Phone Recruitment and Screening 9-13-2022.docx Yes Yes Fillable Fileable
Other-Phone Recruitment and Screening (Traditional Chinese) 3a. MUM-URMA1 Phone Recruitment and Screening (Traditional-chinese) 9-13-2022.docx Yes Yes Fillable Fileable
Other-Phone Recruitment and Screening (Simplified Chinese) 3b. MUM-URMA1 Phone Recruitment and Screening (Simplified-chinese) 9-13-2022.docx Yes Yes Fillable Fileable
Other-Recruitment Flyer 4. MUM-URMA1 Recruitment Flyer 9-13-2022.docx Yes No Printable Only
Other-Recruitment Flyer (Traditional Chinese) 4a. MUM-URMA1 Recruitment Flyer (Traditional-chinese) 9-13-2022.docx Yes No Printable Only
Other-Recruitment Flyer (Simplified Chinese) 4b. MUM-URMA1 Recruitment flyer.word (Simplified-chinese) 9-13-2022.docx Yes No Printable Only
Other-Newsletter Advertisement 5. MUM-URMA1 Newsletter Advertisement.docx Yes No Printable Only
Other-Newsletter Advertisement (Traditional Chinese) 5a. MUM-URMA1 Newsletter Advertisement (Traditional-chinese) 9-13-2022.docx Yes No Printable Only
Other-Newsletter Advertisement (Simplified Chinese) 5b. MUM-URMA1 Newsletter Advertisement (Simplified-chinese) 9-13-2022.docx Yes No Printable Only
Other-Newspaper Recruitment Advertisement 6. MUM-URMA1 Newspaper Recruitment Advertisement.docx Yes No Printable Only
Other-Newspaper Recruitment Advertisement (Traditional Chinese) 6a. MUM-URMA1 Newspaper Recruitment Advertisement (Traditional-chinese) 9-13-2022.docx Yes No Printable Only
Other-Newspaper Recruitment Advertisement (Simplified Chinese) 6b. MUM-URMA1 Newspaper Recruitment Advertisement (Simplified-chinese) 9-13-2022.docx Yes No Printable Only
Other-Verbal Presentation Script Recruitment 7. MUM-URMA1 Verbal Presentation 9-13-2022.docx Yes No Printable Only
Other-Verbal Presentation Script Recruitment (Traditional Chinese) 7a. MUM-URMA1 Verbal Presentation (Traditional-chinese) 9-13-2022.docx Yes No Printable Only
Other-Verbal Presentation Script Recruitment (Simplified Chinese) 7b. MUM-URMA1 Verbal Presentation (Simplified-chinese) 9-13-2022.docx Yes No Printable Only
Other-Moderator Guide 8. MUM-URMA1 Moderator Guide 9-13-2022.docx Yes Yes Fillable Fileable
Other-Moderator Guide (Traditional Chinese) 8a. MUM-URMA1 Moderator Guide (Traditional-chinese) 9-13-2022.docx Yes Yes Fillable Fileable
Other-Moderator Guide (Simplified Chinese) 8b. MUM-URMA1 Moderator Guide (Simplified-chinese) 9-13-2022.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

250 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 250 0 250 0 0 0
Annual IC Time Burden (Hours) 169 0 169 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo - MUltimorbidity and Medications: the unheard perspective of older Under-Represented Racial and Ethnic Minority Adults MUM-URMA1 OMB memo 9-19-2022 final.docx 09/23/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.