OMB control number

Formative Research on Community-Level Factors that Promote the Primary Prevention of Adverse Childhood Experiences (ACEs) and Opioid Misuse Among Children, Youth, and Families in Tribal American India

OMB 0920-1351 · HHS/CDC.

OMB 0920-1351

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-20PJ Community Leaders or Service Providers Form and Instruction
Form 0920-20PJ Parents, Caregivers, and Young Adults Form and Instruction
Form 0920-20PJ Tribal Elders/Tribal Leaders/Traditional Healers Form and Instruction
Form 0920-1351 Demographic Survey Form and Instruction
Form 0920-20PJ Informed Consent Form and Instruction
Form 0920-20PJ Telephone Screening Form and Instruction
BIRCH Changes to Attachment I Demographic Survey 5-12-2022.docx Supplementary Document
BIRCH Crosswalk Template Non Substantive OMB Changes 5-12-2022.xlsx Supplementary Document
BIRCH Change Request Memo OMB 0920-1351 5-12-2022.docx Justification for No Material/Nonsubstantive Change
Attachment O_Study Flyer.docx Supplementary Document
Attachment N_IRB Letter.pdf Supplementary Document
Attachment M_ PIA.pdf Supplementary Document
Attachment H List of local and national resources for participants.docx Supplementary Document
Attachment B_ Federal Register Notice.pdf Supplementary Document
Attachment A_ Authorizing Legislation.docx Supplementary Document
SSB Formative Research Tribal Communities_final.docx Supporting Statement B
SSA Formative Research Tribal Communities_final.docx Supporting Statement A
Community Leaders or Service Providers Form and Instruction
Parents, Caregivers, and Young Adults Form and Instruction
Tribal Elders/Tribal Leaders/Traditional Healers Form and Instruction
Demographic Survey Form and Instruction
Informed Consent Form and Instruction
Reminder Email/Letter Other-Letter
Confirmatin Email/Letter Other-Letter
Telephone Screening Form and Instruction
Informational Letter Other-Letter

All Historical Document Collections

202205-0920-011 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-05-26
202105-0920-002 Approved without change	New collection (Request for a new OMB Control Number)	2021-05-14