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[CSTLTS] Assessing Outcomes of the CDC-Harvard Program Evaluation Practicum in Building Program Evaluation Capacity in STLT Maternal and Child Health Programs (2023) 0920-0879-23EF
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Training Feedback from 2023 MCH Program Participants (3-Month Survey) B- 2023 Participant 3-Month Survey.docx Yes Yes Fillable Fileable
Form and Instruction None Training Feedback from 2023 MCH Program Participants (3-Month Survey) (screen shots) V- 2023 Participant 3-Month Survey (Web).pdf Yes Yes Fillable Fileable
Form and Instruction None Progress of Evaluation Implementation from 2023 CDC Harvard Practicum Participants (6-Month Survey) C- 2023 Participant 6-Month Survey.docx Yes Yes Fillable Fileable
Form and Instruction None Progress of Evaluation Implementation from 2023 CDC Harvard Practicum Participants (6-Month Survey) (screen shots) W- 2023 Participant 6-Month Survey (Web).pdf Yes Yes Fillable Fileable
Form and Instruction None Evaluation Progress and Capacity Assessment among 2023 CDC Harvard Practicum Participants (12-Month Survey) D- 2023 Participant 12-Month Survey.docx Yes Yes Fillable Fileable
Form and Instruction None Evaluation Progress and Capacity Assessment among 2023 CDC Harvard Practicum Participants (12-Month Survey) (screen shots) X- 2023 Participant 12-Month Survey (Web).pdf Yes Yes Fillable Fileable
Form and Instruction None Evaluation Progress and Capacity Building among Participants from the 2023 CDC Harvard Practicum (12-Month Interview) E- 2023 Participant 12-Month Interview.docx Yes Yes Fillable Fileable
Form and Instruction None Evaluation Progress and Capacity Assessment among Past CDC Harvard Practicum Participants (2018-2022) (SURVEY) F- Former Participant Survey.docx Yes Yes Fillable Fileable
Form and Instruction None Evaluation Progress and Capacity Assessment among Past CDC Harvard Practicum Participants (2018-2022) (SURVEY) (screen shots) Y- Former Participant Survey (Web).pdf Yes Yes Fillable Fileable
Form and Instruction None Evaluation Capacity and Practicum Experience among Past Practicum Participants (2018-2022) (INTERVIEW) G- Former Participant Interview.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

241 0
   
State, Local, and Tribal Governments
 
   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 241 0 241 0 0 0
Annual IC Time Burden (Hours) 108 0 108 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Part A CSTLTS SSA_05-18-2023_clean.docx 05/18/2023
Supporting Statement Part B CSTLTS Generic Supporting_Statement_B.docx 05/15/2023
List of Participants by Location A- List of Participants.docx 05/15/2023
Training Feedback from 2023 CDC Harvard Practicum Participants-Advance Notification H- 2023 Participant Advance Notification .docx 05/15/2023
Training Feedback from 2023 CDC Harvard Practicum Participants-Email with survey link I- 2023 Participant 3-Month Survey Invitation.docx 05/15/2023
Training Feedback from 2023 CDC Harvard Practicum Participants-Reminder email J- 2023 Participant 3-Month Survey Reminder.docx 05/15/2023
¬Progress of Evaluation Implementation from 2023 CDC Harvard Practicum Participants-Email with survey link K- 2023 Participant 6-Month Survey Invitation.docx 05/15/2023
Progress of Evaluation Implementation from 2023 Practicum-Reminder email L- 2023 Participant 6-Month Survey Reminder.docx 05/15/2023
Evaluation Progress and Capacity Assessment among 2023 CDC Harvard Practicum Participants-Email with survey link M- 2023 Participant 12-Month Survey Invitation.docx 05/15/2023
Evaluation Progress and Capacity Assessment_2023 CDC Harvard Practicum Participants-Reminder email N- 2023 Participant 12-Month Survey Reminder.docx 05/15/2023
Evaluation Progress and Capacity Building among Participants from the 2023 CDC Harvard Practicum-Interview Invitation email O- 2023 Participant 12-Month Interview Invitation.docx 05/15/2023
Evaluation Progress and Capacity Building with Participants from the 2023 CDC Harvard Practicum- Interview Reminder email P- 2023 Participant 12-Month Interview Reminder.docx 05/15/2023
Evaluation Progress and Capacity Assessment among Past CDC Harvard Practicum Participants (2018-2022)-Advance Notification Q- Past Participant Advance Notification.docx 05/15/2023
Evaluation Progress and Capacity Assessment among Past CDC Harvard Practicum Participants (2018-2022)-Email with survey link R- Past Participant Survey Invitation.docx 05/15/2023
Evaluation Progress and Capacity Assessment among Past CDC Harvard Practicum Participants (2018-2022)-Reminder email S- Past Participant Survey Reminder.docx 05/15/2023
Evaluation Capacity and Practicum Experience among Past Practicum Participants (2018-2022)-Interview Invitation email T- Past Participant Interview Invitation.docx 05/15/2023
Evaluation Capacity and Practicum Experience among Past Practicum Participants (2018-2022)-Interview Reminder email U- Past Participant Interview Reminder.docx 05/15/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.